{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:11:11Z","timestamp":1787242271002,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T00:00:00Z","timestamp":1740614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We evaluated the long\u2010term outcomes in health\u2010related quality of life (QOL) after robot\u2010assisted radical prostatectomy (RARP) and the factors influencing them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Overall, 246 patients who underwent RARP were included. The Expanded Prostate Cancer Index Composite (EPIC) and Short Form\u20108 (SF\u20108) questionnaires were utilized. Continence was defined as a score of \u2264\u20091 on question 1 of the International Consultation on Incontinence Questionnaire\u2010Short Form. Questionnaires were collected preoperatively until 84\u2009months postoperatively. For EPIC, each score was compared to preoperative values to examine the changes in HRQOL. For SF\u20108, the change in each score was examined separately for groups with and without urinary incontinence. Furthermore, factors influencing the SF\u20108 scores at 60 and 84\u2009months postoperatively were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In EPIC urinary function, urinary incontinence, and sexual function scores decreased significantly beginning from 1\u2009month postoperatively and did not return to preoperative levels even after 84\u2009months. In SF\u20108, social function, mental health, and mental health summary scores were significantly lower postoperatively in those with urinary incontinence. Multivariate analysis showed that urinary incontinence was a significant factor that affected the SF\u20108 scores at 60 and 84\u2009months postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.039, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The QOL related to urinary and sexual function showed a sustained decline up to 84\u2009months postoperatively compared to preoperative levels. Urinary incontinence was a significant predictor of HRQOL at 60 and 84\u2009months postoperatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70025","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T18:53:35Z","timestamp":1741719215000},"page":"664-671","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Outcomes in Health\u2010Related Quality of Life and Impact of Urinary Incontinence on Health\u2010Related Quality of Life 7\u2009Years After Robot\u2010Assisted Radical Prostatectomy"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4492-0506","authenticated-orcid":false,"given":"Yusuke","family":"Kimura","sequence":"first","affiliation":[{"name":"Department of Urology Tottori University Faculty of Medicine  Yonago 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