{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:00:42Z","timestamp":1774591242165,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["LUTS"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Urinary incontinence (UI) in the first 3\u2009months after robot\u2010assisted radical prostatectomy (RARP) frequently impairs work performance, yet its quantitative impact on presenteeism remains unclear. This prospective cohort study longitudinally evaluated how early postoperative UI influences presenteeism among employed Japanese men undergoing RARP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We consecutively enrolled 92 employed male patients scheduled for RARP and assessed them preoperatively, at discharge, and at 1\u2010 (PS\u20101) and 3\u2010month (PS\u20103) post\u2010surgery. Outcomes were the International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF), WHO Health and Work Performance Questionnaire (HPQ)\u2010Presenteeism Scale, King's Health Questionnaire (KHQ), and Kessler Psychological Distress Scale (K6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 92 eligible participants, 85 (92.4%) completed the PS\u20101 and 80 (87.0%) completed the PS\u20103 assessment. Median ICIQ\u2010SF total scores increased from 0 (IQR 0\u20132) preoperatively to 9 (6\u201312) at PS\u20101, remaining elevated at 7 (4\u201310) at PS\u20103 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Mean HPQ\u2010presenteeism declined from 81.4%\u2009\u00b1\u200913.9% preoperatively to 64.9%\u2009\u00b1\u200918.8% at PS\u20101, partially recovering to 75.3%\u2009\u00b1\u200916.1% at PS\u20103 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). At PS\u20101, UI impact on daily life (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u22120.45) and ICIQ\u2010SF total (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u22120.43) were moderately associated with lower presenteeism; at PS\u20103, correlations persisted and extended to multiple KHQ subscales (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u22120.41 to \u22120.53).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early postoperative UI after RARP produces a clinically meaningful reduction in work productivity, greatest at PS\u20101 and still evident at PS\u20103. Targeted continence care and occupational support during this window may mitigate productivity loss and facilitate sustainable return to work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/luts.70055","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T02:20:19Z","timestamp":1773886819000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Early Postoperative Urinary Incontinence on Presenteeism After Robot\u2010Assisted Radical Prostatectomy for Prostate Cancer: A Prospective Cohort Study"],"prefix":"10.1111","volume":"18","author":[{"given":"Noriko","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Teine Keijinkai Hospital  Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4728-9409","authenticated-orcid":false,"given":"Tetsuya","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Keio University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Kumagai","sequence":"additional","affiliation":[{"name":"Miyanosawa Nephrology and Urology Clinic  Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Cancer Statistics \u201cCancer Information Service National Cancer Center Japan (National Cancer Registry Ministry of Health Labour and Welfare) \u201daccessed August 11 2025 https:\/\/ganjoho.jp\/reg_stat\/statistics\/data\/dl\/index.html."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520931348"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyq167"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-020-00601-w"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.07.1294"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.11.011"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.06762.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12421"},{"key":"e_1_2_12_10_1","unstructured":"Pan American Health Organization \u201cPresenteeism \u201daccessed September 11 2024 https:\/\/www.paho.org\/en\/search\/r?keys=presenteeism#gsc.tab=0&gsc.q=presenteeism."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dji171"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-011-0200-z"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2003.10.059"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20041"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-11692012000200018"},{"key":"e_1_2_12_16_1","unstructured":"Harvard Medical School \u201cHealth and Work Performance Questionnaire (HPQ) \u201daccessed August 27 2024 https:\/\/www.hcp.med.harvard.edu\/hpq\/."},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.03.034"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10169"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-011-9416-7"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc080867"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2008.02237.x"},{"key":"e_1_2_12_22_1","unstructured":"International Consultation on Incontinence \u201cICIQ\u2010UI Short Form (ICIQ\u2010UI SF) \u201daccessed August 20 2025 https:\/\/iciq.net\/iciq\u2010ui\u2010sf."},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.04.069"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23907"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajco.12515"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.2486\/indhealth.2019-0090"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3109\/21681805.2015.1100674"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23744"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.29.8091"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(00)00084-8"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22523"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.12.025"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euo.2019.06.020"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.257"}],"container-title":["LUTS: Lower Urinary Tract Symptoms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70055","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/luts.70055","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:22:39Z","timestamp":1774585359000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/luts.70055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/luts.70055"],"URL":"https:\/\/doi.org\/10.1111\/luts.70055","archive":["Portico"],"relation":{},"ISSN":["1757-5664","1757-5672"],"issn-type":[{"value":"1757-5664","type":"print"},{"value":"1757-5672","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70055"}}