{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T18:26:15Z","timestamp":1783967175547,"version":"3.55.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aimed to develop a nomogram to predict the recovery of immediate urinary continence in laparoscopic radical prostatectomy (LRP) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prediction model was developed based on a dataset of 154 LRP patients. Immediate urinary continence was defined as free from using pads within 7 days after the removal of the urinary catheter. The least absolute shrinkage and selection operator regression (LASSO) model was applied to screen the features. Multivariate logistic regression analysis was used to establish prediction model integrating the features selected from the LASSO regression analysis. Receiver operating curve (ROC), calibration and decision curve analysis (DCA) were used to assess the model's discrimination, calibration and clinical utility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The identified features of the prediction model included age, body mass index (BMI) and three pelvic anatomic parameters measured by MRI: membranous urethral length (MUL), intravesical prostatic protrusion length (IPPL) and puborectalis muscle width (PMW). The nomogram showed good discrimination with an are under the curve(AUC) of 0.914 (95% CI, 0.865\u20130.959, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). Moreover, good calibration was showed in the model. Lastly, DCA showed that the nomogram was clinically useful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The developed novel nomogram that can predict the possibility for post-prostatectomy patients to recover immediate urinary continence could be used as a counseling tool to explain urinary incontinence to patients after LRP.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.1071093","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T07:41:40Z","timestamp":1672990900000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["The development and assessment of a predicting nomogram for the recovery of immediate urinary continence following laparoscopic radical prostatectomy"],"prefix":"10.3389","volume":"9","author":[{"given":"Zhuoran","family":"Gu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zongtai","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wentao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyu","family":"Mao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiang","family":"Geng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xudong","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3322\/caac.21654","article-title":"Cancer statistics, 2021","volume":"71","author":"Siegel","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"B2","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1056\/NEJMc080867","article-title":"Quality of life and satisfaction with outcome among prostate-cancer survivors","volume":"359","author":"Yu","year":"2008","journal-title":"N Engl J Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1016\/j.eururo.2018.11.035","article-title":"Posterior, anterior, and periurethral surgical reconstruction of urinary continence mechanisms in robot-assisted radical prostatectomy: a description and video compilation of commonly performed surgical techniques","volume":"76","author":"Vis","year":"2019","journal-title":"Eur Urol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s11934-017-0717-4","article-title":"Surgical techniques to optimize early urinary continence recovery post robot assisted radical prostatectomy for prostate cancer","volume":"18","author":"Sridhar","year":"2017","journal-title":"Curr Urol Rep"},{"key":"B5","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1111\/bju.13087","article-title":"Preoperative predictive model of recovery of urinary continence after radical prostatectomy","volume":"116","author":"Matsushita","year":"2015","journal-title":"BJU Int"},{"key":"B6","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1016\/j.euf.2021.04.020","article-title":"Patient- and tumour-related prognostic factors for urinary incontinence after radical prostatectomy for nonmetastatic prostate cancer: a systematic review and meta-analysis","volume":"8","author":"Lardas","year":"2022","journal-title":"Eur Urol Focus"},{"key":"B7","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1016\/j.juro.2009.09.082","article-title":"Risk of urinary incontinence following prostatectomy: the role of physical activity and obesity","volume":"183","author":"Wolin","year":"2010","journal-title":"J Urol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e93","DOI":"10.5489\/cuaj.2086","article-title":"Predictors of early continence following robot-assisted radical prostatectomy","volume":"9","author":"Lavigueur-Blouin","year":"2015","journal-title":"Can Urol Assoc J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1016\/S0022-5347(05)64568-5","article-title":"Urinary continence after radical retropubic prostatectomy: relationship with membranous urethral length on preoperative endorectal magnetic resonance imaging","volume":"168","author":"Coakley","year":"2002","journal-title":"J Urol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1016\/j.eururo.2016.06.023","article-title":"Preoperative membranous urethral length measurement and continence recovery following radical prostatectomy: a systematic review and meta-analysis","volume":"71","author":"Mungovan","year":"2017","journal-title":"Eur Urol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1111\/iju.12419","article-title":"Intravesical prostatic protrusion as a predictor of early urinary continence recovery after laparoscopic radical prostatectomy","volume":"21","author":"Lee","year":"2014","journal-title":"Int J Urol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1159\/000506021","article-title":"Impact of preoperative magnetic resonance imaging anatomic features on urinary continence recovery after laparoscopic radical prostatectomy","volume":"104","author":"Yang","year":"2020","journal-title":"Urol Int"},{"key":"B13","doi-asserted-by":"publisher","first-page":"501","DOI":"10.21037\/tau.2019.12.17","article-title":"Association of preoperative urethral parameters on magnetic resonance imaging and immediate recovery of continence following Retzius-sparing robot-assisted radical prostatectomy","volume":"9","author":"Li","year":"2020","journal-title":"Transl Androl Urol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1007\/s11255-018-02071-4","article-title":"Predictors for immediate recovery of continence following Retzius-sparing robot-assisted radical prostatectomy: a case-control study","volume":"51","author":"Qin","year":"2019","journal-title":"Int Urol Nephrol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1007\/s00345-002-0265-4","article-title":"The\u00a0endoscopic extraperitoneal radical prostatectomy (EERPE): technique and initial experience","volume":"20","author":"Stolzenburg","year":"2002","journal-title":"World J Urol"},{"key":"B16","doi-asserted-by":"publisher","first-page":"996","DOI":"10.1016\/j.eururo.2006.10.014","article-title":"Posterior reconstruction of the rhabdosphincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy","volume":"51","author":"Rocco","year":"2007","journal-title":"Eur Urol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"5512","DOI":"10.1002\/sim.3148","article-title":"Selection of important variables and determination of functional form for continuous predictors in multivariable model building","volume":"26","author":"Sauerbrei","year":"2007","journal-title":"Stat Med"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18637\/jss.v033.i01","article-title":"Regularization paths for generalized linear models via coordinate descent","volume":"33","author":"Friedman","year":"2010","journal-title":"J Stat Softw"},{"key":"B19","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1186\/1472-6947-8-53","article-title":"Extensions to decision curve analysis, a novel method for evaluating diagnostic tests, prediction models and molecular markers","volume":"8","author":"Vickers","year":"2008","journal-title":"BMC Med Inform Decis Mak"},{"key":"B20","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1111\/j.1464-410X.2008.08073.x","article-title":"Can nomograms be superior to other prediction tools?","volume":"103","author":"Shariat","year":"2009","journal-title":"BJU Int"},{"key":"B21","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1053\/suro.2002.32490","article-title":"Comparisons of nomograms and urologists\u2019 predictions in prostate cancer","volume":"20","author":"Ross","year":"2002","journal-title":"Semin Urol Oncol"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14071644","article-title":"Prediction of incontinence after robot-assisted radical prostatectomy: development and validation of a 24-month incontinence nomogram","volume":"14","author":"Pinkhasov","year":"2022","journal-title":"Cancers (Basel)"},{"key":"B23","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1007\/s11701-020-01145-9","article-title":"Patient reported outcome measures concerning urinary incontinence after robot assisted radical prostatectomy: development and validation of an online prediction model using clinical parameters, lower urinary tract symptoms and surgical experience","volume":"15","author":"Collette","year":"2021","journal-title":"J Robot Surg"},{"key":"B24","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.eururo.2012.02.057","article-title":"Prediction of functional outcomes after nerve-sparing radical prostatectomy: results of conditional survival analyses","volume":"62","author":"Abdollah","year":"2012","journal-title":"Eur Urol"},{"key":"B25","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1007\/s00345-013-1127-y","article-title":"Development and validation of nomograms to predict the recovery of urinary continence after radical prostatectomy: comparisons between immediate, early, and late continence","volume":"32","author":"Jeong","year":"2014","journal-title":"World J Urol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/j.eururo.2016.01.026","article-title":"A critical analysis of the current knowledge of surgical anatomy of the prostate related to optimisation of cancer control and preservation of continence and erection in candidates for radical prostatectomy: an update","volume":"70","author":"Walz","year":"2016","journal-title":"Eur Urol"},{"key":"B27","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.eururo.2007.03.051","article-title":"Voiding dysfunction after radical retropubic prostatectomy: more than external urethral sphincter deficiency","volume":"52","author":"Porena","year":"2007","journal-title":"Eur Urol"},{"key":"B28","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.urology.2017.11.008","article-title":"Estimated minimal residual membranous urethral length on preoperative magnetic resonance imaging can be a new predictor for continence after radical prostatectomy","volume":"112","author":"Satake","year":"2018","journal-title":"Urology"},{"key":"B29","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1089\/end.2014.0708","article-title":"Factors contributing to early recovery of urinary continence analyzed by pre- and postoperative pelvic anatomical features at robot-assisted laparoscopic radical prostatectomy","volume":"29","author":"Haga","year":"2015","journal-title":"J Endourol"},{"key":"B30","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.juro.2007.03.044","article-title":"Relationship between the integrity of the pelvic floor muscles and early recovery of continence after radical prostatectomy","volume":"178","author":"Song","year":"2007","journal-title":"J Urol"},{"key":"B31","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1016\/j.juro.2011.10.143","article-title":"Recovery of urinary function after radical prostatectomy: predictors of urinary function on preoperative prostate magnetic resonance imaging","volume":"187","author":"von Bodman","year":"2012","journal-title":"J Urol"},{"key":"B32","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/s00345-017-2134-1","article-title":"Complete bladder neck preservation promotes long-term post-prostatectomy continence without compromising midterm oncological outcome: analysis of a randomised controlled cohort","volume":"36","author":"Nyarangi-Dix","year":"2018","journal-title":"World J Urol"},{"key":"B33","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1089\/end.2017.0459","article-title":"The impact of lateral bladder neck preservation on urinary continence recovery after robot-assisted radical prostatectomy","volume":"32","author":"Hashimoto","year":"2018","journal-title":"J Endourol"},{"key":"B34","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1186\/s12894-017-0308-1","article-title":"Combined bladder neck preservation and posterior musculofascial reconstruction during robotic assisted radical prostatectomy: effects on early and long term urinary continence recovery","volume":"17","author":"Bartoletti","year":"2017","journal-title":"BMC Urol"},{"key":"B35","doi-asserted-by":"publisher","first-page":"2341","DOI":"10.2147\/CMAR.S299367","article-title":"\u201cSandwich\u201d technique of total urethral reconstruction in the laparoscopic radical prostatectomy: a prospective study","volume":"13","author":"Liu","year":"2021","journal-title":"Cancer Manag Res"},{"key":"B36","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1111\/bju.13480","article-title":"Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta-analysis","volume":"118","author":"Grasso","year":"2016","journal-title":"BJU Int"},{"key":"B37","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.eururo.2010.03.028","article-title":"Impact of posterior musculofascial reconstruction on early continence after robot-assisted laparoscopic radical prostatectomy: results of a prospective parallel group trial","volume":"58","author":"Joshi","year":"2010","journal-title":"Eur Urol"},{"key":"B38","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1016\/j.juro.2010.11.085","article-title":"Posterior rhabdosphincter reconstruction during robotic assisted radical prostatectomy: results from a phase II randomized clinical trial","volume":"185","author":"Sutherland","year":"2011","journal-title":"J Urol"},{"key":"B39","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1016\/j.eururo.2015.11.004","article-title":"Preoperative pelvic floor muscle exercise and postprostatectomy incontinence: a systematic review and meta-analysis","volume":"69","author":"Chang","year":"2016","journal-title":"Eur Urol"},{"key":"B40","doi-asserted-by":"publisher","first-page":"Cd001843","DOI":"10.1002\/14651858.CD001843.pub5","article-title":"Conservative management for postprostatectomy urinary incontinence","volume":"1","author":"Anderson","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"B41","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1016\/j.eururo.2014.10.020","article-title":"Preservation of the neurovascular bundles is associated with improved time to continence after radical prostatectomy but not long-term continence rates: results of a systematic review and meta-analysis","volume":"68","author":"Reeves","year":"2015","journal-title":"Eur Urol"},{"key":"B42","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.urology.2015.09.016","article-title":"Stimulation of the neurovascular bundle results in rhabdosphincter contraction in a proportion of men undergoing radical prostatectomy","volume":"87","author":"Reeves","year":"2016","journal-title":"Urology"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1071093\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T07:41:42Z","timestamp":1672990902000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1071093\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,6]]},"references-count":42,"alternative-id":["10.3389\/fsurg.2022.1071093"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.1071093","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,6]]},"article-number":"1071093"}}