title: Novel technique of Vest suture vesicourethral anastomosis in morbidly obese patient undergoing radical retropubic prostatectomy.
abstract: OBJECTIVE
  The urethrovesical anastomosis can be a technically challenging procedure in the morbidly obese patient. We successfully overcame this challenge using a Vest suture technique.
  
  
  METHODS
  After the completion of radical prostatectomy a Stamey needle is passed through the perineum under bimanual control. Vest sutures are placed and tied with a Foley catheter in place.
  
  
  RESULTS
  This technique was used in a morbidly obese patient. Postoperatively continence was excellent.
  
  
  CONCLUSIONS
  In the morbidly obese patient this novel technique of Vest suture placement should be considered to facilitate urethrovesical anastomosis after the completion of radical prostatectomy.
authors.affiliation: Division of Urology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Kamerer
authors.forename: Joseph
authors.initials: J
authors.lastname: Basler
authors.forename: Ian
authors.initials: I
authors.lastname: Thompson
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D015897:Comorbidity; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000453:epidemiology*; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000453:epidemiology* / Q000601:surgery; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*