{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:48:01Z","timestamp":1782452881530,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate whether an age\u2009&lt;\u200955\u2009years is independently associated with early urinary continence recovery after robot\u2010assisted radical prostatectomy (RARP) in a large multi\u2010institutional Japanese cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The cohort comprised 5349 patients aged &lt;\u200975\u2009years with clinically localized prostate cancer (cT1\u20132N0M0) who underwent RARP at Japanese tertiary care centers from August 2011 to April 2023. The primary analysis consisted of a 1:1 propensity score\u2010matched comparison between men aged &lt;\u200955 and 55\u201374\u2009years. Covariates used for matching included American Society of Anesthesiologists physical status, clinical T stage, biopsy International Society of Urological Pathology grade group, prostate\u2010specific antigen, prostate volume, nerve\u2010sparing status, pelvic lymph node dissection, and surgical approach. Early urinary continence, biochemical recurrence\u2010free survival, and surgical outcomes were evaluated using logistic regression and Cox proportional hazards models in the matched cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After propensity score matching, 158 well\u2010balanced matched pairs were generated. A younger age (&lt;\u200955\u2009years) was significantly associated with higher odds of early continence at 1\u2009month (odds ratio: 1.66, 95% confidence interval [CI]: 1.04\u20132.65) and 3\u2009months (odds ratio: 2.22, 95% CI: 1.32\u20133.73). Five\u2010year biochemical recurrence\u2010free survival was similar between men aged &lt;\u200955 and 55\u201374\u2009years (86.2% vs. 84.8%). In an exploratory three\u2010group analysis, continence recovery showed a graded age\u2010related pattern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this large Japanese cohort, an age\u2009&lt;\u200955\u2009years was independently associated with early urinary continence recovery after RARP without compromising oncological outcomes. These findings provide age\u2010specific evidence to support preoperative counseling and surgical decision\u2010making in younger patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70535","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:41:15Z","timestamp":1780731675000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Younger Age Is Associated With Early Urinary Continence Recovery After Robot\u2010Assisted Radical Prostatectomy"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8651-9695","authenticated-orcid":false,"given":"Hiroki","family":"Hagimoto","sequence":"first","affiliation":[{"name":"Department of Urology National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Kubota","sequence":"additional","affiliation":[{"name":"Department of Urology 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