{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T21:54:31Z","timestamp":1771019671878,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare sexual rehabilitation outcomes in prostate cancer patients with preexisting erectile dysfunction (ED) undergoing simultaneous vs. delayed inflatable penile prosthesis (PP) placement during robot\u2010assisted radical prostatectomy (RARP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010six patients with refractory ED and prostate cancer (2011\u20132023) were included. Simultaneous RARP and inflatable PP placement was done in 29 patients. Twenty\u2010seven patients underwent RARP followed by delayed inflatable PP placement after a mean of 3.28\u2009years. The same surgeon performed both RARP and inflatable PP implantation. Modified Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), EORTC Sexual Health Scores, and penile length changes were evaluated at 1\u2009year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean age of the simultaneous and delayed PP group was 64.41 and 62.66\u2009years, respectively. The simultaneous group had a higher percentage of severe ED (55.2% vs. 25.9%). At 1 year, simultaneous group patients had significantly better mean Modified EDITS (79.1 vs. 61.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and better EORTC Sexual Health scores (62.5 vs. 47.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Penile length loss was significantly less in the simultaneous group compared to the delayed group (0.32 \u00b1\u20090.29\u2009cm vs. 1.43 \u00b1\u20090.36\u2009cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Positive surgical margin (13.7% vs. 18.5%) and biochemical recurrence at 2\u2009years (10.3% vs. 14.8%) showed no significant difference between the simultaneous and delayed PP groups, respectively. No major complications were observed in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simultaneous inflatable PP with RARP is safe and provides early sexual rehabilitation, improves patients' quality of life and maintains penile length without compromising surgical and oncological outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70285","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T11:03:32Z","timestamp":1763723012000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Comparative Study of Simultaneous and Delayed Penile Prosthesis During Robot\u2010Assisted Radical Prostatectomy"],"prefix":"10.1111","volume":"33","author":[{"given":"Ignacio","family":"Moncada","sequence":"first","affiliation":[{"name":"Department of Urology and Robotic Surgery La Zarzuela University Hospital  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9614-9218","authenticated-orcid":false,"given":"Pramod","family":"Krishnappa","sequence":"additional","affiliation":[{"name":"Department of Urology and Robotic Surgery La Zarzuela University Hospital  Madrid Spain"},{"name":"Andrology Division Department of Urology &amp; Robotic Surgery, Orchidz Health, NU Hospitals  Bangalore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agust\u00edn","family":"Fraile\u2010Poblador","sequence":"additional","affiliation":[{"name":"Department of Urology, ROC Clinic  Madrid Spain"},{"name":"Department of Urology HM Hospitales  Madrid 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Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Ignacio","family":"Martinez\u2010Salamanca","sequence":"additional","affiliation":[{"name":"Lyx Institute of Urology Francisco de Vitoria University  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Romero Otero","sequence":"additional","affiliation":[{"name":"Department of Urology, ROC Clinic  Madrid Spain"},{"name":"Department of Urology HM Hospitales  Madrid 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