{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T15:52:06Z","timestamp":1789228326168,"version":"build-2803163510"},"reference-count":11,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>Postoperative recovery of urinary continence has a great impact on quality of life for patients undergoing robot-assisted radical prostatectomy (RARP). A variety of surgical techniques including reconstruction of the periurethral structure have been introduced, and yet there are no effective methods that promote early urinary continence recovery after surgery. We hypothesized that the preservation of pelvic floor muscle structure could be responsible for early recovery of urinary continence after surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A total of 94 consecutive patients who underwent RARP at our hospital were enrolled in this study. Operative video records were reviewed and the severity of pelvic floor muscle injury was classified according to the scoring system that we devised in this study. Briefly, damage of pelvic floor muscles was classified into 4 categories; intact, fascial injury, unilateral muscle injury, and bilateral muscle injury. The volume of urinary incontinence was measured for 2 days after removal of the urethral catheter, and the incontinence ratio (amount of incontinence\/total volume of urine per day) was calculated. Predictive factors for immediate incontinence after catheter removal were identified by multivariate regression analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The severity of puboperineal muscle injury was significantly associated with the early incontinence ratio after catheter removal (<jats:italic>p<\/jats:italic> &lt; 0.001). Age at surgery and severity of puboperineal muscle injury were independent predictors for early incontinence after catheter removal.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Preservation of the pelvic floor muscle, particularly the puboperineal muscle is an important factor for early continence recovery after RARP.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0275792","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T17:35:20Z","timestamp":1665164120000},"page":"e0275792","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["Preservation of pelvic floor muscles contributes to early continence recovery after robot-assisted radical prostatectomy"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7473-3325","authenticated-orcid":true,"given":"Masaki","family":"Nakamura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Sato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Honda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taketo","family":"Kawai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Akiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motofumi","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruki","family":"Kume","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"issue":"3","key":"pone.0275792.ref001","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1111\/luts.12181","article-title":"\"Predictors of Early Continence after Robot-assisted Radical Prostatectomy","volume":"10","author":"Y. Yamada","year":"2018","journal-title":"Low Urin Tract Symptoms"},{"issue":"3","key":"pone.0275792.ref002","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.eururo.2012.05.045","article-title":"\"Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy","volume":"62","author":"V. Ficarra","year":"2012","journal-title":"Eur Urol"},{"issue":"18","key":"pone.0275792.ref003","doi-asserted-by":"crossref","first-page":"35","DOI":"10.5301\/RU.2011.8773","article-title":"\"[Ralp and Rocco stitch: original technique]","volume":"78","author":"M. G. Spinelli","year":"2011","journal-title":"Urologia"},{"issue":"3","key":"pone.0275792.ref004","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.urology.2013.12.010","article-title":"CORPUS\u2014novel COmplete Reconstruction of the Posterior Urethral Support after robotic radical prostatectomy: preliminary data of very early continence recovery","volume":"83","author":"F. Dal Moro","year":"2014","journal-title":"Urology"},{"issue":"3","key":"pone.0275792.ref005","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/j.eururo.2015.08.005","article-title":"\"Total Anatomical Reconstruction During Robot-assisted Radical Prostatectomy: Implications on Early Recovery of Urinary Continence,\" (in eng)","volume":"69","author":"F. Porpiglia","year":"2016","journal-title":"Eur Urol"},{"issue":"5","key":"pone.0275792.ref006","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/j.eururo.2016.05.032","article-title":"\"Advanced Reconstruction of Vesicourethral Support (ARVUS) during Robot-assisted Radical Prostatectomy: One-year Functional Outcomes in a Two-group Randomised Controlled Trial,\"","volume":"71","author":"V. Student","year":"2017","journal-title":"Eur Urol"},{"issue":"6","key":"pone.0275792.ref007","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1111\/iju.14228","article-title":"\"Complete puborectalis, puboperinealis muscle and urethral rhabdomyosphincter preservation in laparoscopic radical prostatectomy: Anatomical landmarks to achieve early urinary continence,\" (in eng)","volume":"27","author":"O. Laucirica","year":"2020","journal-title":"Int J Urol"},{"key":"pone.0275792.ref008","doi-asserted-by":"crossref","first-page":"1756287218813787","DOI":"10.1177\/1756287218813787","article-title":"\"Anatomical, surgical and technical factors influencing continence after radical prostatectomy,\" (in eng)","volume":"11","author":"C. Arroyo","year":"2019","journal-title":"Ther Adv Urol"},{"key":"pone.0275792.ref009","author":"J. E. Anderson","year":"2020","journal-title":"\"Grant\u2019s atlas of anatomy,\""},{"issue":"5\u20136","key":"pone.0275792.ref010","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s00276-003-0151-9","article-title":"Origins and courses of the nervous branches to the male urethral sphincter,\" (in eng)","volume":"25","author":"K. Akita","year":"2003","journal-title":"Surg Radiol Anat"},{"issue":"5","key":"pone.0275792.ref011","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.eururo.2012.05.041","article-title":"Posterior musculofascial reconstruction after radical prostatectomy: a systematic review of the literature,\" (in eng)","volume":"62","author":"B. Rocco","year":"2012","journal-title":"Eur Urol"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0275792","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T17:35:34Z","timestamp":1665164134000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0275792"}},"subtitle":[],"editor":[{"given":"Adrian Stuart","family":"Wagg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,10,7]]},"references-count":11,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,7]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0275792","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,7]]}}}