2026/07/01 by Huan Cheng, Zjin Wan, Jingyang Liang +4
Medicine · #Pelvic floor disorders treatments #Prostate Cancer Diagnosis and Treatment #Urinary Bladder and Prostate Research
paper · doi:10.1111/apm.70233
openalex publication_date 2026/07/01 · openalex created_date 2026/07/10 · openalex updated_date 2026/07/28
ABSTRACT This study was designed to expound the efficacy of a modified extraperitoneal laparoscopic radical prostatectomy (ELRP) technique involving total intrafascial resection with the standard interfascial nerve‐sparing technique in patients with prostate cancer (PC), and to identify factors influencing postoperative urinary continence recovery following the modified procedure. Phase 1: A retrospective analysis compared modified ( n = 100) vs. standard ELRP ( n = 100) for surgical outcomes, urodynamics, erectile function, and continence recovery. Phase 2: Analysis of 400 modified ELRP patients identified independent continence recovery risk factors via logistic regression (poor‐continence: n = 63; good‐continence: n = 337). At 6 months, the modified group showed greater urodynamic improvement ( p < 0.05). Erectile function and continence were comparable at 1/3 months but better in the modified group at 6 months ( p < 0.05). Age ≥ 65 years, BMI ≥ 24.0 kg/m 2 , TURP history, prostate volume ≥ 30 cm 3 , preserved urethral length ≤ 5 cm, and absence of regular pelvic floor exercises were associated with postoperative continence recovery in PC patients ( p < 0.05). Modified ELRP provides favorable oncological and functional outcomes in PC patients. Several patient‐ and surgery‐related factors were associated with postoperative urinary continence recovery.