{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T21:32:23Z","timestamp":1778880743809,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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>Background and Objective<\/jats:title>\n                    <jats:p>Vesicourethral anastomotic stenosis and\/or urethral stenosis (VUAS\/US) is a complication of robotic\u2010assisted radical prostatectomy (RARP) for prostate cancer. We aimed to evaluate the incidence of VUAS\/US after RARP and to identify potential risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We performed a retrospective assessment of clinical records of patients with RARP as primary prostate cancer treatment (January 2011\u2013December 2018) and investigated associations between VUAS\/US formation and radiotherapy, pT\u2010stage, tumor margins, Gleason score, nerve\u2010sparing, and postoperative duration of bladder catheterization. Statistical analysis was performed via uni\u2010 and multivariable cox regression; risk estimation was done with the Kaplan\u2013Meier method and log\u2010rank test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Limitations<\/jats:title>\n                    <jats:p>\n                      809 patients were included in the study. Median clinical follow\u2010up was 61.0\u2009months (IQR 50.0\u201375.0) and 175 (22%) patients received radiotherapy. VUAS and US were recorded in 19 (2.3%) and 10 (1.2%) patients, respectively. Whereas in univariable analysis radiotherapy, pT\u2010stage \u2265 pT3a, higher Gleason score, positive tumor margins, nerve\u2010sparing, and prolonged duration of bladder catheterization were significant risk factors, in a multivariable analysis only radiotherapy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and prolonged duration of bladder catheterization (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0309) proved to be independently predictive. Estimated 5\u2010year risk of VUAS\/US formation was lower without than with radiotherapy (2.1% [95% CI: 0.9\u20133.3] vs. 7.3% [95% CI: 3.4\u201311]) and with normal compared to prolonged bladder catheterization (2.6% [95% CI: 1.4\u20133.8] vs. 9.9% [95% CI: 2.3\u201318]). Retrospectivity and the limited number of events were our major limitations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Implications<\/jats:title>\n                    <jats:p>Low incidence of VUAS\/US in RARP. Patients undergoing radiotherapy or requiring prolonged catheterization should be explicitly informed about the risk of VUAS\/US and about symptoms. Also, physicians must be aware.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70339","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T05:35:53Z","timestamp":1768196153000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Retrospective Analysis of Vesicourethral\u2010Anastomosis Stricture\/Urethral Stricture After Robotic\u2010Assisted Laparoscopic Radical Prostatectomy With and Without Radiotherapy"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3079-9448","authenticated-orcid":false,"given":"Kinan","family":"Massouh","sequence":"first","affiliation":[{"name":"Department of Urology Jena University Hospital, Friedrich\u2010Schiller University  Jena Germany"},{"name":"Comprehensive Cancer Center Central Germany (CCCG)  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Leucht","sequence":"additional","affiliation":[{"name":"Department of Urology Jena University Hospital, Friedrich\u2010Schiller University  Jena Germany"},{"name":"Comprehensive Cancer Center Central Germany (CCCG)  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lutz","family":"Leistritz","sequence":"additional","affiliation":[{"name":"Institute of Medical Statistics, Computer and Data Sciences Jena University Hospital  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc\u2010Oliver","family":"Grimm","sequence":"additional","affiliation":[{"name":"Department of Urology Jena University Hospital, Friedrich\u2010Schiller University  Jena Germany"},{"name":"Comprehensive Cancer Center Central Germany (CCCG)  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21442"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djh259"},{"issue":"2","key":"e_1_2_10_4_1","first-page":"90","article-title":"Urethral Strictures and Stenoses Caused by Prostate Therapy","volume":"18","author":"Chen M. 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