{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:33:51Z","timestamp":1789403631823,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"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":["LUTS"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to investigate the longitudinal 5\u2010year long\u2010term outcomes for urinary continence and quality of life (QOL) after robot\u2010assisted radical prostatectomy (RARP), particularly nerve\u2010sparing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among patients who underwent RARP between October 2010 and October 2015, postoperative urinary symptoms were retrospectively examined using the International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF), QOL index, and number of pads used. Patients were divided into nerve\u2010sparing and non\u2010nerve\u2010sparing groups, and all data were evaluated before and at 1, 3, 6, 12, 24, 36, 48, and 60\u2009months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After propensity score matching, 47 patients each were included in the two groups. No significant difference in the IPSS or QOL index was seen between groups. The IPSS and QOL index showed an increase in the first month after RARP, but at 6\u2009months, values were lower than preoperative levels and then slowly improved. Pad\u2010free rates at 5\u2009years after surgery were 93.6% and 80.1% in the nerve\u2010sparing and non\u2010nerve\u2010sparing groups, respectively (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.029). ICIQ\u2010SF scores were significantly improved in the nerve\u2010sparing compared with the non\u2010nerve\u2010sparing group at 1, 3, and 6\u2009months after surgery. After 12\u2009months, no significant changes were identified until 60\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this study, nerve\u2010sparing had a strong impact on urinary continence in the early postoperative period. After 12\u2009months, urinary continence remained stable until 60\u2009months.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12421","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:29:52Z","timestamp":1638491392000},"page":"178-185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Longitudinal, 5\u2010year long\u2010term outcomes for urinary continence and quality of life after robot\u2010assisted radical prostatectomy in <scp>Japanese<\/scp> patients"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2156-6084","authenticated-orcid":false,"given":"Katsuya","family":"Hikita","sequence":"first","affiliation":[{"name":"Division of Urology, Department of Surgery Tottori University Faculty of Medicine  Yonago 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