Abstract
The association between age at surgery and urinary continence (UC) recovery after Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) is not well established. We addressed this knowledge gap, relying on a large series of 1,417 patients treated with RS-RARP at a high-volume centre between 2010 and 2021. Multivariable logistic models, as well as LOESS plot functions were performed. The probability of immediate, as well as 12-month UC-recovery progressively declined with increasing age at surgery, and per 5-years age at surgery increase reached the independent predictor status for both immediate and 12-month UC-recovery. These findings may significantly improve the quality of patient counseling regarding RS-RARP.
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Study concept and design: PD, ST. Acquisition of data: PD, OM, SS, AO, DDT. Analysis and interpretation of data: PD, ST. Drafting of the manuscript: PD, ST. Critical revision of the manuscript for important intellectual content: AMB, AG. Statistical analysis: ST. Obtaining funding: none. Supervision: AG, AMB.
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Dell’Oglio, P., Tappero, S., Maltzman, O. et al. Does Retzius-Sparing robot-assisted radical prostatectomy guarantee optimal urinary continence recovery across all ages?. Prostate Cancer Prostatic Dis (2024). https://doi.org/10.1038/s41391-023-00784-x
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DOI: https://doi.org/10.1038/s41391-023-00784-x