Transrectal ultrasonographically assisted radical retropubic prostatectomy.
Radical prostatectomy is associated with difficulty in determining the division site of the urethra adjacent to the apical region of the prostate. We present the results of a feasibility clinical trial in three patients to determine whether intraoperative transrectal ultrasonography may assist during radical retropubic prostatectomy. Using this technique the apex is readily identified and a detailed view of the urethral stump could be obtained. In one case residual apical tissue was identified and excised. The creation of the vesicourethral anastomosis was documented and its water tightness was demonstrated. We conclude that transrectal ultrasonography can be performed during radical retropubic prostatectomy and may be helpful in selected cases.
Zisman
A
A
Department of Urology, Assaf Harofeh' Medical Center, Zerifin, Israel.
Strauss
S
S
Siegel
Y I
YI
Manor
H
H
Lindner
A
A
D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000601:surgery; D000714:Anastomosis, Surgical; D019160:Endosonography; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D012007:Rectum; D014521:Urethra / Q000000981:diagnostic imaging / Q000601:surgery; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery