The effect of vesicourethral anastomosis technique on functional results in retropubic radical prostatectomy

2021 ◽  
Author(s):  
Fuat Kızılay ◽  
Serdar Kalemci ◽  
Adnan Şimşir
Keyword(s):  
Radical Prostatectomy ◽  
Functional Results ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy

scholarly journals When and How Should We Test the Tightness of the Vesicourethral Anastomosis after Retropubic Radical Prostatectomy?

2011 ◽  
Vol 86 (4) ◽  
pp. 388-392 ◽  
Author(s):  
A. Mattei ◽  
S. Z’Brun ◽  
P. Stucki ◽  
G.B. Di Pierro ◽  
H. Danuser
Keyword(s):  
Radical Prostatectomy ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy

Outcome of precise vesicourethral anastomosis following retropubic radical prostatectomy using a Foley catheter

1999 ◽  
Vol 6 (2) ◽  
pp. 75-77 ◽  
Author(s):  
MASATO FUJISAWA ◽  
AKIHIRO HIGUCHI ◽  
AKINOBU GOTOH ◽  
TAKASHI MATSUI ◽  
ISAO HARA ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Foley Catheter ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy

scholarly journals Early Continence and Extravasation After Open Retropubic Radical Prostatectomy – Interrupted vs Continuous Suturing for Vesicourethral Anastomosis

2020 ◽  
Vol Volume 16 ◽  
pp. 1289-1296
Author(s):  
Nora Köhler ◽  
Nasrin El-Bandar ◽  
Andreas Maxeiner ◽  
Bernhard Ralla ◽  
Kurt Miller ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy

scholarly journals Vesicourethral anastomosis including rhabdosphincter in retropubic radical prostatectomy: Technique and results

2019 ◽  
Vol 90 (4) ◽  
pp. 249-253 ◽  
Author(s):  
Ramazan Topaktaş ◽  
Ahmet Ürkmez ◽  
Musab Ali Kutluhan ◽  
İsmail Başıbüyük ◽  
Şinasi Yavuz Önol
Keyword(s):  
Radical Prostatectomy ◽  
Symphysis Pubis ◽  
Urinary Continence ◽  
Pelvic Cavity ◽  
Removal Time ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy ◽  
Continence Status ◽  
Continence Rate ◽  
Total Psa

Objective: Retropubic radical prostatectomy (RRP) is still widely used in clinical practice in localized prostate cancer because of its high oncological success. The aim of this study was to define the continence status in patients where rhabdosphincter was included in the vesicourethral anastomosis. Materials and methods: Between November 2004 and September 2010, 90 cases who underwent RRP by the same surgeon in our clinic were taken into the study. In all cases vesicourethral anastomosis was performed include the rhabdosphincter. The anastomosis was performed with mean 2.9 (0-7) interrupted no 2-0 vicryl sutures, depending on the angulation of symphysis pubis and pelvic cavity. Pad test was performed to all patients at 1, 3, 6 and 12 months postoperatively. We defined patients as ‘continent’ when they no need pad, as ‘mild incontinence’ when they use only one pad daily, as ‘moderate incontinence’ when they use two or three pads daily and as ‘severe incontinence’ when they use more than three pads daily. Results: Preoperative total PSA value was 12.2 ng/ml (range: 2.7-84 ng/ml). Preoperative prostate biopsy results were found that Gleason scores were 5, 6, 7 and 8 in 7, 53, 21, 9 patients, respectively. Mean operation and urethral catheter removal time was 103 minutes (60-200) and 14,6 days (9-28), respectively. Mean hospital stay was 4.6 days (2-20). According to results of postoperative pad tests, 38 (42.2%), 48 (53.3%), 55 (61.1%) and 75 (83.3%) patients were defined as continent in first, third, sixth and twelfth months, respectively. Conclusions: We think that, our novel technique of vesicourethral anastomosis in standard RRP provides more optimal urethral position during fixation of pelvic floor and urethra, protect caudal retraction, preserve functional urethral length. Also strong full thickness stitch on urethra provides better urinary continence by hanging urethra in our patients. Although our early continence rate is better, our long term continence rate is similar to literature.

scholarly journals Original Article. Open Retropubic and Robot-Assisted Radical Prostatectomy in Prostate Carcinoma: Advantages of Methods

2016 ◽  
Vol 9 (2) ◽  
pp. 145-148
Author(s):  
Nikolay H. Kolev ◽  
Jitian A. Atanasov ◽  
Vladislav R. Dunev ◽  
Boyan A. Stoykov ◽  
Rumen P. Kotsev ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Operative Time ◽  
Functional Results ◽  
University Hospital ◽  
Robot Assisted ◽  
Retropubic Radical Prostatectomy ◽  
The University ◽  
Urology Clinic

Summary Prostate cancer (PC) is the most common type of cancer in men inanumber of countries. The choice of surgical technique for radical prostatectomy (RP) concerns both patients and urologists. The choice is not easy to make, since data is still limited due to the lack of large multicentric randomized research trials. For three years (2011-2014), 244 patients with limited prostate cancer were operated in the Urology Clinic of the University Hospital in Pleven. Robot-assisted radical prostatectomy (RARP) was performed on 35 patients (14%), open retropubic radical prostatectomy (ORP) - on 199 patients (81%), and laparoscopic RP - on 12 patients (5%). The preoperative and post-op results from the first two groups were compared. For the follow-up period of 12 months, functional results in 82 patients of the ORPgroup were compared to the results in the 35 patients of the RARPgroup. The operative time was significantly longer in the RARPgroup, and blood loss was lower. The catheter stay was shorter in patients with RARP. The percentage of significant postoperative complications was 0%in the patients with RARPand 3%in the patients with an ORP. RARPpatients demonstrated better continence: 91%vs. 87%and erectile function46%vs.40%at 12 months.

Running suture versus interrupted suture for vesicourethral anastomosis in retropubic radical prostatectomy: A randomized study

2014 ◽  
Vol 22 (3) ◽  
pp. 271-277 ◽  
Author(s):  
Hideyasu Matsuyama ◽  
Hiroaki Matsumoto ◽  
Kazuhiro Nagao ◽  
Noriaki Harada ◽  
Takahiko Hara ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Randomized Study ◽  
Interrupted Suture ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy

A Simple Technique for Vesicourethral Anastomosis in Retropubic Radical Prostatectomy

1998 ◽  
Vol 61 (4) ◽  
pp. 232-234 ◽  
Author(s):  
Hiromitsu Mimata ◽  
Yasuhiro Kasagi ◽  
Sadaaki Sakamoto ◽  
Yoshio Nomura
Keyword(s):  
Radical Prostatectomy ◽  
Simple Technique ◽  
Vesicourethral Anastomosis ◽  
Retropubic Radical Prostatectomy

scholarly journals The effect of vesicourethral anostomosis technique on functional results in retropubic radical prostatectomy

2021 ◽  
Author(s):  
Fuat Kizilay ◽  
Serdar Kalemci ◽  
Adnan Simsir
Keyword(s):  
Radical Prostatectomy ◽  
Erectile Function ◽  
Functional Results ◽  
Decisive Factor ◽  
Significant Difference ◽  
Retropubic Radical Prostatectomy ◽  
Continence Status ◽  
Oncological Results ◽  
The Mean ◽  
Mean Time

Aim We aimed to compare the functional results of two different vesicourethral anostomosis (VUA) techniques used in retropubic radical prostatectomy (RRP). Methods A total of 476 patients including the first group with 4 focal VUA at 12-, 3-, 6-, and 9-o’clock positions (n = 288) and the second group with 6 focal VUA at 12-, 2-, 4-, 6-, 8- and 10-o’clock (n = 188) were included in the study. Perioperative data and erectile function and continence status over a 12-month period were compared. Results Demographic and perioperative data were similar between the two groups. The proportion of patients with VUA stricture in the first group was significantly higher than in the second group (5.1% vs 3.2%, p = 0.017). The mean time to stricture development was also shorter in the first group (48.9 vs 74.3 days, p = 0.002). In the second group, the proportion of continent patients at the sixth and twelfth months was higher than the first group (79.3% vs 62.8%, p <0.001; 92.4% vs 81.3%, p = 0.032, respectively). There was no significant difference between the two groups in terms of the proportions of potent patients (p = 0.194 for 6 months and p = 0.351 for 12 months). Conclusions Better continence results can be obtained with the six-focus VUA compared to the four-focus technique. The number of anostomotic sutures in VUA can affect functional results and may be a decisive factor for surgeons who focus on functional results as well as oncological results.

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