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April 12, 2026

Comparative analysis of urinary continence recovery after open and laparoscopic radical prostatectomy: a retrospective cohort study.

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Authors

ACAlexandru-Ionuț CherciuMPMihai-Cristian PersuABAndrei-Cosmin Bumbea

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Overview

A retrospective cohort study compares urinary continence recovery in two surgical approaches, suggesting patient factors are more influential than surgical access.

Key Points

  • This study aims to compare urinary continence recovery after open and laparoscopic radical prostatectomy and identify clinical predictors of continence.
  • Conducted a retrospective cohort analysis between January 2022 and December 2024.
  • Included 75 patients who underwent either open (50) or laparoscopic (25) radical prostatectomy.
  • Assessed continence at 3, 6, and 12-month intervals using defined criteria of 0-1 pad/day.
  • Utilized multivariable logistic regression for analysis, with specific methods for sparse data.
  • Continence rates were similar at 3 months (62% vs. 64%), 6 months (72% vs. 76%), and 12 months (86% vs. 88%) for ORP and LRP.
  • Surgical approach did not independently affect continence recovery, while higher body mass index was linked to persistent incontinence.
  • LRP showed benefits in shorter operative time, lower blood loss, and reduced hospitalization.

Cite This Study

Cherciu et al. (2026) studied this question.

synapsesocial.com/papers/69db36e64fe01fead37c4d59https://doi.org/10.25122/jml-2026-0004
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transitioning from open to laparoscopic radical prostatectomy: Safety and feasibility during the learning curve2026
  2. 2Feasibility of laparoscopic radical prostatectomy initiation by a surgeon with limited open surgery experience2026
  3. 3Urinary continence following extraperitoneal radical prostatectomy: impact of surgical technique and pelvic fascial spaces reconstruction2024
  4. 4The predictors of short and long term urinary continence recovery after laparoscopic radical prostatectomy: a single cancer center report in China2024 · 2 citations
  5. 5The Pubovesical Complex–Sparing Laparoscopic Radical Prostatectomy Improves Early Urinary Continence Without Compromising Oncologic Safety: A Prospective, Randomized, and Double‐Blinded Clinical Trial2025