Background/Objectives: Urinary continence recovery after robot-assisted radical prostatectomy (RARP) follows a progressive trajectory that is often simplified into binary outcomes. Modeling continence recovery as an ordered process may better reflect post-operative functional patterns and identify clinically relevant predictors. Methods: We retrospectively analyzed 180 patients undergoing extraperitoneal single-port RARP. At 6 months, continence recovery was classified into three ordered categories: early continence, late continence, and persistent incontinence. Multivariable ordinal logistic regression was used to identify independent predictors of continence recovery. The primary model included nerve-sparing (NS) status, postoperative complications, age, and prostate volume. Sensitivity analyses were performed by sequentially replacing prostate volume with body mass index, surgical case number, or preoperative prostate-specific antigen (PSA). An interaction between NS and age group was also tested. Results: NS surgery was the factor most strongly associated with favorable continence recovery (p < 0.001), followed by absence of post-operative complications (p = 0.003). Younger age and larger prostate volume were also independently associated with improved continence recovery. Sensitivity analyses confirmed the robustness of the primary model, as replacement of prostate volume with body mass index, surgical case number, or PSA did not improve model performance and did not alter the effect of NS surgery. No significant interaction between NS and age group was observed. Conclusions: Continence recovery after extraperitoneal RARP is primarily associated with NS surgery and an uncomplicated post-operative course, with age and prostate volume providing additional refinement. Modeling continence as an ordinal outcome offers a clinically meaningful framework for evaluating functional recovery after prostatectomy.

Purpose: The optimal surgical approach (transperitoneal vs. extraperitoneal) for single-port robot-assisted radical prostatectomy (SP-RARP) remains a subject of ongoing debate, with limited high-quality evidence to compare their safety and efficacy. This study aimed to compare the safety, effectiveness, and functional outcomes of transperitoneal (SP-TPRP) and extraperitoneal (SP-EPRP) approaches in SP-RARP using propensity score matching (PSM). Methods: This retrospective study analyzed 211 consecutive patients who underwent SP-RARP at a tertiary referral center (2018–2024): 58 SP-TPRP and 153 SP-EPRP. PSM was performed to balance baseline covariates. Perioperative outcomes were compared between the two groups. Time to urinary continence recovery was assessed using Kaplan-Meier analysis. Results: After PSM, 55 patients per group were analyzed. The SP-EPRP group demonstrated significantly higher estimated blood loss (150.0 vs. 100.0 mL, p = 0.021) and a shorter hospital stay (1 vs. 2 days, p < 0.001), and lower pain scores(0.0 vs. 4.0, p < 0.001). Gastrointestinal complications occurred exclusively in SP-TPRP ( n = 5), while lymphoceles only in SP-EPRP ( n = 4). No significant differences were found in operative time, overall complications, short-term oncological outcomes or function recovery. Kaplan-Meier analysis showed no significant difference in time to continence recovery between approaches ( p = 0.32). Conclusions: Both approaches achieve comparable oncological outcomes, perioperative safety, and functional recovery. SP-EPRP was associated with shorter hospital stay and lower early postoperative pain, but higher estimated blood loss. Both approaches appear clinically feasible, and prospective studies with longer follow-up are warranted to validate these findings.

To evaluate the safety and effectiveness of laser therapy on urethral hemangioma. We retrospectively analyzed the clinical records of consecutive patients