Utility of extracorporeal traction with nylon thread for easier vesicourethral anastomosis in laparoscopic prostatectomy.
OBJECTIVE
Vesicourethral anastomosis in laparoscopic prostatectomy is a very difficult procedure. Our purpose in this study was to evaluate a new method using extracorporeal bladder neck traction with nylon thread for vesicourethral anastomosis during laparoscopic radical prostatectomy.


METHODS
A total of 10 patients underwent laparoscopic radical prostatectomy by this technique, and we evaluated anastomosis time, operative time, and postoperative status of vesicourethral anastomosis.


RESULTS
It was possible to shorten both anastomosis time and operative time by this procedure, and to obtain a hermetic anastomosis without higher risk of incontinence, stricture, or leakage.


CONCLUSIONS
Extracorporeal bladder neck traction with nylon thread is a very useful procedure to carry out easier vesicourethral anastomosis, especially for a surgeon's initial experience in laparoscopic radical prostatectomy.
Kondo
Yukihiro
Y
Department of Urology, Nippon Medical School, Tokyo, Japan. kondoy@pharm.kitasato-u.ac.jp
Matsuzawa
Ichiro
I
Watanabe
Jun
J
Hamasaki
Tsutomu
T
Yoshida
Kazuhiro
K
Nishimura
Taiji
T
D000714:Anastomosis, Surgical / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009757:Nylons; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*
D009757:Nylons