title: Utility of extracorporeal traction with nylon thread for easier vesicourethral anastomosis in laparoscopic prostatectomy.
abstract: 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.
authors.affiliation: Department of Urology, Nippon Medical School, Tokyo, Japan. kondoy@pharm.kitasato-u.ac.jp
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kondo
authors.forename: Ichiro
authors.initials: I
authors.lastname: Matsuzawa
authors.forename: Jun
authors.initials: J
authors.lastname: Watanabe
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hamasaki
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yoshida
authors.forename: Taiji
authors.initials: T
authors.lastname: Nishimura
mesh_terms: 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*
chemical_list: D009757:Nylons