Stress urinary incontinence (SUI) remains a significant complication following robotic-assisted radical prostatectomy (RARP), impacting patients’ quality of life. This chapter provides a comprehensive overview of the relationship between RARP and SUI, exploring surgical approaches, risk factors, and prevention strategies. The chapter examines various surgical techniques for RARP, including the retropubic, Retzius-sparing, and other less common approaches. It highlights the potential impact of each technique on urinary continence, with particular emphasis on the Retzius-sparing approach, which has shown promising results in preserving continence. Risk factors for post-RARP SUI are thoroughly discussed, categorized into patient-related factors (age, BMI, comorbidities), surgical factors (surgeon experience, technique modifications), and tumor characteristics. The chapter emphasizes the multifactorial nature of SUI development and the importance of comprehensive preoperative evaluation and risk stratification. Prevention and risk reduction strategies are explored, including patient selection, preoperative counseling, surgical technique refinements, and the role of peri-operative pelvic floor muscle training. The chapter underscores the importance of a multidisciplinary approach in implementing these strategies effectively. A comparative analysis of SUI rates across different surgical techniques is presented, acknowledging the limitations of direct comparisons due to varying study methodologies and definitions of continence. The chapter also discusses ongoing research and technological advancements aimed at further reducing SUI incidence and improving functional outcomes. In conclusion, while SUI remains a challenge in RARP, advancements in surgical techniques, risk stratification, and preventive strategies offer promising avenues for improving continence outcomes. The chapter emphasizes the need for continued research, quality improvement initiatives, and multidisciplinary collaboration to optimize patient care and quality of life following RARP.