Tissue glues and nonsuturing techniques.
OBJECTIVE
This article details the diverse urologic applications of tissue glues and hemostatic agents over the past 3 years in the management of genitourinary injuries, surgical wounds, and complications.


RESULTS
Biosurgical agents designed to promote tissue adhesion and hemostasis are being increasingly employed across all surgical disciplines. Fibrin sealant is the most widely utilized biosurgical product. Gelatin matrix thrombin has proven to be an efficacious hemostatic agent. Bovine serum albumin-gluataraldehyde is a new, promising tissue glue. Complex reconstructive, oncologic and laparoscopic procedures are those most appropriate for sealant use in urology.


CONCLUSIONS
Tissue glues and hemostatic agents are effective, safe, and their use is increasing. All urologists should have a working knowledge of these adjuncts.
Pursifull
Nathan F
NF
Department of Urology, Brooke Army Medical Center, Fort Sam, Houston, USA.
Morey
Allen F
AF
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D003487:Cyanoacrylates / Q000627:therapeutic use; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006488:Hemostasis, Surgical; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D007668:Kidney / Q000293:injuries; D009392:Nephrectomy / Q000379:methods; D011468:Prostatectomy / Q000379:methods; D011506:Proteins / Q000627:therapeutic use; D014014:Tissue Adhesives / Q000009:adverse effects / Q000627:therapeutic use*; D014521:Urethra / Q000601:surgery; D014551:Urinary Tract / Q000293:injuries*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D014947:Wounds and Injuries / Q000150:complications* / Q000628:therapy
C472676:Bio-glue; D003487:Cyanoacrylates; D015718:Fibrin Tissue Adhesive; C411004:FloSeal Matrix; D006490:Hemostatics; D011506:Proteins; D014014:Tissue Adhesives; C421460:glubran; C421461:glubran 2