Vesicourethral anastomotic suture placement during radical prostatectomy using Maniceps.
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.
Yamada
Yoshiaki
Y
Department of Urology, Aichi Medical University, School of Medicine, Nagakute 480-1195, Japan. 101959@gk.amu.aichi-med-u.ac.jp
Honda
Nobuaki
N
Nakamura
Kogenta
K
Mitsui
Kenji
K
Hibi
Hatsuki
H
Taki
Tomohiro
T
Aoki
Shigeyuki
S
Kato
Keitaro
K
Kokubo
Hiroto
H
Fukatsu
Hidetoshi
H
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