{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T19:59:17Z","timestamp":1794427157297,"version":"4.9.1"},"reference-count":49,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"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":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare Retzius\u2010sparing (RS\u2010) robot\u2010assisted radical prostatectomy (RARP), hood\u2010technique RARP and standard RARP, assessing functional, oncological and peri\u2010operative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses (PRISMA) guidelines. The primary outcome was postoperative perfect continence rate (0 pad\/day) at different time points over 12\u2009months. Secondary outcomes included postoperative social continence, positive surgical margins (PSMs), biochemical recurrence at 12\u2009months, and other peri\u2010operative measures. A meta\u2010analysis was conducted to assess RS\u2010RARP vs standard RARP. A further exploratory meta\u2010analysis was performed to compare the hood technique against standard RARP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The meta\u2010analyses included 26 studies comparing RS\u2010RARP vs standard RARP and four studies assessing hood\u2010technique RARP vs standard RARP, covering a total of 5512 patients. In comparison with standard RARP, RS\u2010RARP demonstrated a significantly higher rate of perfect continence at 0\u2009months (risk ratio [RR]\u20092.28, 95% confidence interval [CI] 1.42\u20133.66), 1\u2009month (RR\u20092.94, 95% CI 1.24\u20136.98), 3\u2009months (RR\u20091.85, 95% CI 1.21\u20132.84), 6\u2009months (RR\u20091.20, 95% CI 1.04\u20131.38) and 12\u2009months (RR\u20091.30, 95% CI\u20091.03\u20131.63) after surgery. The hood technique also demonstrated a statistically favourable perfect continence outcome at 6\u2009months post\u2010surgery (RR 1.52, 95% CI 1.13\u20132.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both RS\u2010RARP and hood\u2010technique RARP are associated with a higher continence rate in the early period after surgery. However, there is limited evidence to suggest significant differences between these techniques in the long term. A direct comparison between hood\u2010technique RARP and RS\u2010RARP as well as quality data on long\u2010term outcomes are needed to determine which technique provides superior functional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16847","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T04:08:46Z","timestamp":1751947726000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A meta\u2010analysis of Retzius\u2010sparing and hood\u2010technique robot\u2010assisted radical prostatectomy"],"prefix":"10.1111","volume":"136","author":[{"given":"Siyu","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Surgery The University of Melbourne  Parkville Vic. Australia"},{"name":"Division of Cancer Surgery Peter MacCallum Cancer Centre  Melbourne Vic. 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