{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:31:26Z","timestamp":1792053086968,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Objectives<\/jats:title>\n To test whether prehabilitation (PreHab), delivered digitally or as digital + on\u2010site, improves early continence after robot\u2010assisted radical prostatectomy (RARP) vs no PreHab, and to evaluate implementation by quantifying programme uptake after transitioning from an on\u2010site programme to a digital pathway.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n Two\u2010centre, high\u2010volume, non\u2010randomised before\u2013after consecutive cohort over 3\u2009years (\n N<\/jats:italic>\n \u2009=\u2009350; Control\u2009=\u2009204; PreHab\u2009=\u2009146). PreHab combined pelvic floor muscle training, structured education, and optimisation via a smartphone pathway with or without a 1\u2010day class. Primary outcome: 6\u2010week continence (0\u20131\u2009pad\/day). Secondary outcomes: same\u2010day discharge (SDD), complications (Clavien\u2013Dindo Grade \u2265III), 30\u2010day unplanned visits and readmissions, postoperative physiotherapy, satisfaction (0\u201310 visual analogue scale), and continence at 6 and 12\u2009months. Group comparisons used chi\u2010square\/Fisher's and Mann\u2013Whitney\n U<\/jats:italic>\n ; multivariable logistic regression provided adjusted estimates.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n For the PreHab vs Control cohorts: 6\u2010week continence 84.2% vs 67.6% (\n P<\/jats:italic>\n \u2009=\u20090.003); SDD 47.3% vs 35.3% (\n P<\/jats:italic>\n \u2009=\u20090.025); high\u2010grade complications 2.1% vs 7.4% (\n P<\/jats:italic>\n \u2009<\u20090.001); mean (standard deviation) satisfaction score 9.4\u2009(0.7) vs 8.4\u2009(1.3) (\n P<\/jats:italic>\n \u2009<\u20090.001). Readmissions 3.4% vs 7.8% (\n P<\/jats:italic>\n \u2009=\u20090.086) and unplanned visits 3.4% vs 6.4% (\n P<\/jats:italic>\n \u2009=\u20090.218) were not different. Continence remained higher with PreHab at 6\u2009months 97.7% vs 84.3% (\n P<\/jats:italic>\n \u2009<\u20090.001) and 12\u2009months 99.2% vs 93.6% (\n P<\/jats:italic>\n \u2009=\u20090.004). Adjusted analyses showed lower odds of 6\u2010week incontinence (odds ratio 0.43, 95% confidence interval 0.22\u20130.85;\n P<\/jats:italic>\n \u2009=\u20090.015). Uptake rose from 26.6% (on\u2010site era) to 48.2% and 68.7% across successive digital periods (\n P<\/jats:italic>\n \u2009<\u20090.001). Effects did not differ by delivery mode.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Prehabilitation, regardless of delivery mode, improves early continence vs no PreHab without compromising safety; digitisation increased programme uptake, indicating that digital PreHab is an effective and scalable option.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.70102","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T07:16:35Z","timestamp":1764659795000},"page":"473-479","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Transition to a digital perioperative pathway for robot\u2010assisted radical prostatectomy: impact on patient\u00a0outcomes and adherence"],"prefix":"10.1111","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5981-3802","authenticated-orcid":false,"given":"Bogdan Adrian","family":"Buhas","sequence":"first","affiliation":[{"name":"Urology 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