Randomised Study Assessing Urinary Continence following Robotic Radical Prostatectomy with or without an intraoperative 'RoboSling'.

Participants in the intervention group will first complete a baseline questionnaire when they consent to the trial, and undergo pre-operative urinal functional testing by a urologist (including a perineal/pelvic floor ultrasound, uroflow test and urodynamic assessment). They will then proceed to a robotic-assisted radical prostatectomy surgery, incorporating the construction of a retropubic vascularised fascial sling (RoboSling, the 'intervention'), completed by their treating urological surgeon. The RoboSling is created by dissecting a piece of peritoneum (abdominal lining tissue) off f the rear surface of the bladder, which is then brought underneath the bladder to the front, and top corners of the flap stitched upwards under tension to the pubic bone). After surgery, intervention participants will complete a series of 6 post-operative questionnaires at set follow-up timepoints up to one year post-operative when visiting their surgeon for post-operative review/management appointments, and again undergo post-operative urinal functional testing at one-year with a urologist. The control (comparator) group will undergo all these procedures except their surgery will NOT include the construction of a RoboSling.