{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:58:59Z","timestamp":1790812739983,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the impact of a routine, on\u2010site, 1\u2010day prehabilitation (PreHab) programme on peri\u2010operative and continence recovery after robot\u2010assisted radical prostatectomy (RARP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>All 303 consecutive RARPs performed between March 2018 and February 2020 since the routine implementation of PreHab were included in our study. PreHab was carried out according to the availability of the 1\u2010day programme before the planned date of surgery (two sessions per month including four patients per session). The PreHab programme was implemented in 165 patients (54.5%). The primary endpoint was continence recovery, strictly defined as no safety pad use at 1 and 6\u2009months. Secondary endpoints were peri\u2010operative variables (blood loss, operating time, length of stay, transfusion, complications, and readmission rates). Comparisons were made according to whether the PreHab pathway was applied or not (PreHab+ vs PreHab\u2212) in univariable and multivariable models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The PreHab pathway was implemented for a stable proportion of patients over time (54.5%). The two cohorts were comparable in terms of preoperative and pathological features (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.05). Length of stay was significantly shorter in the PreHab+ group (1.3 vs 1.9\u2009days;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.001). There was a trend towards fewer complications in the PreHab+ group (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.061). Use of the PreHab pathway was independently correlated with higher continence rates at 1 month (37% vs 60%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) and 6\u2009months (67.4% vs 87.3%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), even after controlling for age, body mass index, prostate volume, type of apical reconstruction, nerve\u2010sparing surgery and lymph node dissection. The main limitation of the study was the absence of randomization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our experience demonstrates that the PreHab programme is the major predictor of improved peri\u2010operative outcomes and continence recovery after RARP, with sustainable benefits 6 months after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15666","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T01:59:22Z","timestamp":1638410362000},"page":"357-363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["A prehabilitation programme implemented before robot\u2010assisted radical prostatectomy improves peri\u2010operative outcomes and continence recovery"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2875-2936","authenticated-orcid":false,"given":"Razvan\u2010George","family":"Rahota","sequence":"first","affiliation":[{"name":"Urology Department La Croix du Sud Hospital  Quint Fonsegrives France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambroise","family":"Salin","sequence":"additional","affiliation":[{"name":"Urology Department La Croix du Sud Hospital  Quint Fonsegrives France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Romain","family":"Gautier","sequence":"additional","affiliation":[{"name":"Urology Department La Croix du Sud Hospital  Quint Fonsegrives France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Almeras","sequence":"additional","affiliation":[{"name":"Urology Department La Croix du Sud Hospital  Quint Fonsegrives 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