Novel technique of Vest suture vesicourethral anastomosis in morbidly obese patient undergoing radical retropubic prostatectomy.
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.
Kamerer
Angela
A
Division of Urology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Basler
Joseph
J
Thompson
Ian
I
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*