| Reducing the number of sutures for vesicourethral anastomosis in radical retropubic prostatectomy. | |
| | |
MedLine Citation:
|
PMID: 19409119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To prospectively evaluate the outcome of using a two-suture technique for the vesicourethral anastomosis (VUA) during radical retropubic prostatectomy (RRP). MATERIALS AND METHODS: Two groups of 50 patients each underwent nerve-sparing RRP for localized prostate cancer by one surgeon. In one group, the vesicourethral anastomosis was performed using 2 Vicryl 2-0 stitches placed at the 3- and 9-o'clock positions and in the other group 6 Vicryl 2-0 stitches were placed at the 2-, 4-, 6-, 8-, 10- and 12-o'clock positions. The intraoperative and perioperative parameters analyzed were time to perform the VUA, time to remove the drain and hospitalization. The rate of incontinence, anastomotic stricture and erectile function were included in the outcome analysis. RESULTS: The anastomotic time differed statistically between the 2 groups (mean 3.3 minutes for the 2-suture group and 10.5 minutes for the 6-suture group, p < 0.0001) with similar periods of drain removal (mean 3.12 days for the 2-suture group and 3.45 days for the 6-suture group; p = 0.13) and hospitalization (mean 4.66 days for the 2-suture group and 5.3 days for the 6-suture group; p = 0.09). The functional outcome was excellent for the 2-suture group with no patient suffering from incontinence or anastomotic strictures 1 year postoperatively, while in the 6-suture group there were 2 patients (4%) suffering from incontinence (2 underwent sling procedure) and 1 patient suffered from anastomotic stricture. CONCLUSION: The low number of sutures in the 2-suture VUA technique reduces operating times, does not influence perioperative and intraoperative parameters and results in excellent functional outcome. |
| | |
Authors:
|
Evangelos M Mazaris; Eleftherios Chatzidarellis; Ioannis M Varkarakis; Athanasios Dellis; Charalambos Deliveliotis |
Related Documents
:
|
17011699 - Must colposuspension be associated with sacropexy to prevent postoperative urinary inco... 20721659 - Functional and quality of life outcome of transobturator tape for treatment of female s... 18499169 - Sacral neuromodulation for the dysfunctional elimination syndrome: a single center expe... 16244539 - Efficacy of sacral nerve stimulation for fecal incontinence: results of a multicenter d... 20506669 - Can urethral retroresistance pressures predict midurethral sling outcomes? 17327249 - Non-surgical management of stress urinary incontinence: ambulatory treatments for leaka... 17984229 - Outcome of vancomycin treatment in patients with methicillin-susceptible staphylococcus... 22721869 - Acoustic voice analysis does not identify presence of penetration/aspiration as confirm... 21424149 - Type of lateral internal sphincterotomy incision: parallel or vertical? |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: International braz j urol : official journal of the Brazilian Society of Urology Volume: 35 ISSN: 1677-6119 ISO Abbreviation: Int Braz J Urol Publication Date: 2009 Mar-Apr |
Date Detail:
|
Created Date: 2009-05-04 Completed Date: 2010-02-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101158091 Medline TA: Int Braz J Urol Country: Brazil |
Other Details:
|
Languages: eng Pagination: 158-63 Citation Subset: IM |
Affiliation:
|
Second Department of Urology, Sismanoglio Hospital, University of Athens, Athens, Greece. evmazaris@yahoo.gr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Anastomosis, Surgical / methods Chi-Square Distribution Feasibility Studies Humans Male Middle Aged Prospective Studies Prostatectomy / methods* Prostatic Neoplasms / surgery* Suture Techniques / standards* Time Factors Treatment Outcome Urethra / surgery* Urinary Bladder / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Perioperative outcomes of open radical prostatectomy versus laparoscopic radical prostatectomy in As...
Next Document: Uni- vs. multiloculated pelvic lymphoceles: differences in the treatment of symptomatic pelvic lymph...