{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T02:03:47Z","timestamp":1789956227954,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008719","name":"Movember Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008719","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"abstract":"\n Objectives<\/jats:title>\n Our objective was to compare functional outcomes between open radical prostatectomy (ORP) and robotic\u2010assisted laparoscopic prostatectomy (RALP) in New Zealand.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We analysed responses from men in the Prostate Cancer Outcome Registry of New Zealand (PCOR\u2010NZ) who underwent ORP or RALP as primary treatment for prostate cancer between January 2016 and December 2024. We included men who completed an Expanded Prostate Cancer Index \u2013 26 (EPIC\u201026) patient\u2010reported outcome measure (PROM) questionnaire either at baseline, 12\u2009months after radical prostatectomy or both. EPIC\u201026 scores range from 0 to 100 (100\u2009=\u2009best score). Established thresholds assessed minimal clinically important differences; urinary incontinence (6\u20139 points), urinary obstruction (5\u20137 points), bowel (4\u20136 points), sexual (10\u201312 points) and hormonal (4\u20136 points). Mean differences were calculated using multivariate analysis to adjust for age, prostate\u2010specific antigen and International Society of Urological Pathology grade. Additional analyses assessed daily pad usage and patient\u2010reported sexual function.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of the 4889 men who completed a questionnaire, 2844 (58.1%) underwent ORP and 2045 (41.8%) underwent RALP. PROM completion rates were 52.3% at baseline and 78.8% at 12\u2009months after treatment. Patients who underwent RALP had higher post\u2010treatment PROM scores in all domains. Adjusted mean differences for urinary incontinence (6.9 points, 95% confidence interval 4.6\u20139.2\n P<\/jats:italic>\n \u2009<\u20090.001) and sexual (11.4 points, 95% confidence interval 9.1\u201313.7,\n P<\/jats:italic>\n \u2009<\u20090.001) domains were above the threshold for minimal clinically important difference. Urinary obstruction, bowel and hormonal domains did not reach clinical significance. At 12\u2009months, RALP had a higher rate of zero pads\/day usage (65.1% vs 54.4%\n P<\/jats:italic>\n \u2009<\u20090.001) and lower two or more pads\/day usage (3.9% vs 10.0%\n P<\/jats:italic>\n \u2009<\u20090.001). More men in the RALP group reported a \u2018good\u2019 to \u2018very good\u2019 sexual function at 12\u2009months (13.7% vs 5.3%,\n P<\/jats:italic>\n \u2009<\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n RALP is associated with higher PROMs across all EPIC\u201026 domains, with clinically meaningful benefit in sexual function, urinary incontinence and reduced incontinence pad usage at 12\u2009months.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.70459","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T01:47:16Z","timestamp":1789955236000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010reported outcomes after open and robotic radical prostatectomy: a New Zealand registry study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-4579","authenticated-orcid":false,"given":"Kieran","family":"Long","sequence":"first","affiliation":[{"name":"Department of Urology Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2065-3945","authenticated-orcid":false,"given":"Joseph","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Department of Urology Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Acland","sequence":"additional","affiliation":[{"name":"Department of Urology Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3558-8045","authenticated-orcid":false,"given":"Judith","family":"Clarke","sequence":"additional","affiliation":[{"name":"Prostate Cancer Outcome Registry \u2013 New Zealand (PCOR\u2010NZ) Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6912-5886","authenticated-orcid":false,"given":"Phil","family":"Hider","sequence":"additional","affiliation":[{"name":"Prostate Cancer Outcome Registry \u2013 New Zealand (PCOR\u2010NZ) Christchurch New Zealand"},{"name":"University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Mark","sequence":"additional","affiliation":[{"name":"Department of Urology Christchurch Hospital Christchurch New Zealand"},{"name":"Prostate Cancer Outcome Registry \u2013 New Zealand (PCOR\u2010NZ) Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Health New Zealand.Cancer data web tool [Internet].2025Available at:https:\/\/tewhatuora.shinyapps.io\/cancer\u2010web\u2010tool\/. 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impact of surgeon experience on urinary continence recovery after robot\u2010assisted radical prostatectomy: results of four high\u2010volume surgeons","volume":"31","author":"Fossati N","year":"2017","journal-title":"J Endourol"},{"key":"e_1_2_10_17_1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/JU.0000000000003967","article-title":"Perioperative, oncological, and functional outcomes between robot\u2010assisted laparoscopic prostatectomy and open radical Retropubic prostatectomy: a randomized clinical trial","volume":"212","author":"Nahas WC","year":"2024","journal-title":"J Urol"},{"key":"e_1_2_10_18_1","doi-asserted-by":"crossref","first-page":"2617","DOI":"10.1007\/s11701-023-01714-8","article-title":"Robot\u2010assisted versus open radical prostatectomy: a systematic review and meta\u2010analysis of prospective studies","volume":"17","author":"Wang J","year":"2023","journal-title":"J Robot 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