{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:10:59Z","timestamp":1770747059273,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,6,26]],"date-time":"2013-06-26T00:00:00Z","timestamp":1372204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the influence of preservation of the muscular internal sphincter and proximal urethra on continence recovery after radical prostatectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective single\u2010center, case\u2013control study. A total of 40 consecutive patients with organ\u2010confined prostate cancer were submitted to radical prostatectomy with the preservation of the muscular internal sphincter and the proximal urethra (group\u20091), and their outcomes were compared with those of 40 patients submitted to a standard procedure (group\u20092). Continence rates were assessed using a self\u2010administrated questionnaire at 3, 7 and 30 days, and 3 and 12 months after removal of the catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group\u20091 had a faster recovery of early continence than group\u20092 at day\u20093 (45% <jats:italic>vs<\/jats:italic> 22%; <jats:italic>P<\/jats:italic>\u2009=\u20090.029) and at day\u20097 (75% <jats:italic>vs<\/jats:italic> 50%; <jats:italic>P<\/jats:italic>\u2009=\u20090.018). Considering the number of pads, group\u20091 had a faster recovery of continence at 3, 7 and 30 days, and also had less incidence of severe incontinence. There was no statistically significant difference in terms of continence at 3 and 12 months among the two groups. Multivariate logistic regression analysis showed that surgical technique and young age were significantly associated with earlier time to continence at 3 and 7 days. The two groups had no significant differences in terms of surgical margins.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our modified technique of radical retropubic prostatectomy with preservation of the smooth muscular internal sphincter, as well as of the proximal urethra during bladder neck dissection, results in a significantly increased urinary continence at 3, 7 and 30 days after catheter removal, with a minor incidence of severe incontinence. The technique is also oncologically safe, and it does not increase the operative duration of the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.12206","type":"journal-article","created":{"date-parts":[[2013,6,27]],"date-time":"2013-06-27T00:08:53Z","timestamp":1372291733000},"page":"157-162","source":"Crossref","is-referenced-by-count":13,"title":["Preservation of the smooth muscular internal (vesical) sphincter and of the proximal urethra for the early recovery of urinary continence after retropubic radical prostatectomy: A prospective case\u2013control study"],"prefix":"10.1111","volume":"21","author":[{"given":"Eugenio","family":"Brunocilla","sequence":"first","affiliation":[{"name":"Department of Urology University of Bologna, S. Orsola\u2010Malpighi Hospital  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Schiavina","sequence":"additional","affiliation":[{"name":"Department of Urology University of Bologna, S. 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