{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:32:16Z","timestamp":1754159536255,"version":"3.41.2"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>Currently, robot-assisted radical prostatectomy (RARP), extraperitoneal radical prostatectomy (ERPE), and laparoscopic radical prostatectomy (LRP) are frequently used for the treatment of localized prostate cancer.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods:<\/jats:title>\n            <jats:p>\n              The study included 2,290 patients with localized prostate cancer. All patients underwent radical prostatectomy (RPE) performed by a single surgeon using different surgical approaches: robot-assisted (RARP,\n              <jats:italic>n<\/jats:italic>\n              \u2009=\u2009888), laparoscopic (LRP,\n              <jats:italic>n<\/jats:italic>\n              \u2009=\u2009965), and extraperitoneal (ERPE,\n              <jats:italic>n<\/jats:italic>\n              \u2009=\u2009437). Oncological outcomes were assessed based on postoperative PSA levels. Functional status was assessed using the following questionnaires: IIEF-5, ICIQ-SF, DRIP-test, and 24-h pad test.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              In the NS group (LRP and RARP access), the operative time was (200.0 [180.0; 225.0] vs 180.0 [135.0; 230.0] min;\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u20090.0001), and the volume of blood loss was (300.0 [200.0; 350.0] vs. 200.0 [150.0; 250.0]). According to the ICIQ-SF test, the presence of patients with symptoms of severe to moderate urinary incontinence (ICIQ-SF scale) in the early postoperative period (mean 9.0 [4.0; 14.0] for RARP vs 11.0 [5.0; 16.0] for LRP and 12.0 [11.0; 14.0] for ERPE,\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u20090.0001) contrasted with the results 12\u2009months after surgery, where only patients with mild to moderate urinary incontinence remained (mean 1.0 [0.0; 5.0] for RARP, 4.0 [2.0; 7.0] for LRP, and 5.0 [3.0; 8.0] for ERPE,\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u20090.0001).\n            <\/jats:p>\n            <jats:p>\n              Postoperative erectile function results were evaluated at 12, 24, and 36\u2009months. In all three groups without the NS technique, all patients had significant erectile dysfunction (\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u20090.0001). In contrast, at a median follow-up of 12\u2009months, the postoperative questionnaire results for RARP using the NS technique averaged 14.0 [10.0; 18.0], and for LRP 9.0 [6.0; 11.0] (\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u20090.0001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Robot-assisted radical prostatectomy is the preferred method as it provides better functional outcomes. The use of the nerve-sparing technique significantly improved outcomes in terms of urinary continence and also resulted in fewer patients requiring urological pads.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/03915603251318868","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T08:01:30Z","timestamp":1742457690000},"page":"415-423","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endovideosurgical methods for treatment of local prostate cancer: Comparative functional and oncological results"],"prefix":"10.1177","volume":"92","author":[{"given":"Chernov","family":"Yaroslav","sequence":"first","affiliation":[{"name":"Institute for Urology and Reproductive Health, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chinenov","family":"Denis","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kurbanov","family":"Asadulla","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9321-3448","authenticated-orcid":false,"given":"Kovalevskii","family":"Anatoliy","sequence":"additional","affiliation":[{"name":"Medical Resident of Department of Urology, City Clinical Hospital 52 of Moscow Healthcare Department, Moscow, Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yurkanova","family":"Darina","sequence":"additional","affiliation":[{"name":"Medical Resident of Department of Surgery, A.S. Loginov Moscow Clinical Scientific Centre of Moscow Healthcare Department, Moscow, Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6767-3224","authenticated-orcid":false,"given":"Votyakov","family":"Artem","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rapoport","family":"Leonid","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health, I. M. 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