title: Vesicourethral anastomotic suture placement during radical prostatectomy using Maniceps.
abstract: BACKGROUND
  A new method of using a semiautomatic device (Maniceps) for precise vesicourethral anastomosis during radical retropubic prostatectomy is described.
  
  
  METHODS
  A total of 15 patients underwent radical retropubic prostatectomy with this technique. The follow-up period ranged from 6 to 16 months. The retrograde urethrocystography was performed at 2 weeks. Patients were evaluated specifically for anastomotic time, anastomotic obstruction and urinary continence.
  
  
  RESULTS
  The average anastomotic time was 8.1 (range 5-12) min. The catheter of all patients could be removed at 2 weeks. Anastomotic obstruction occurred in 1 patient (6.7%), and 14 patients (93.3%) were completely continent of urine.
  
  
  CONCLUSIONS
  Maniceps is a useful procedure to carry out vesicourethral anastomosis safely, easily and surely, and it has provided good surgical results in our experience.
authors.affiliation: Department of Urology, Aichi Medical University, School of Medicine, Nagakute 480-1195, Japan. 101959@gk.amu.aichi-med-u.ac.jp
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Yamada
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Honda
authors.forename: Kogenta
authors.initials: K
authors.lastname: Nakamura
authors.forename: Kenji
authors.initials: K
authors.lastname: Mitsui
authors.forename: Hatsuki
authors.initials: H
authors.lastname: Hibi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Taki
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Aoki
authors.forename: Keitaro
authors.initials: K
authors.lastname: Kato
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kokubo
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Fukatsu
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011468:Prostatectomy; D013536:Suture Techniques / Q000295:instrumentation*; D013997:Time Factors; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014549:Urinary Incontinence / Q000517:prevention & control