Double-pigtail stenting of the ureters: technique for securing the ureteral orifices during robot-assisted radical prostatectomy for large median lobes.
Patients with large median prostate lobes undergoing robot-assisted radical prostatectomy are at potential risk of ureteric orifice injury, during posterior bladder neck transection and vesicourethral anastomosis reconstruction. We describe our technique of in situ robot-assisted ureteral stenting with double-pigtail stents for accurate observation and preservation of the ureteral orifices. We have performed this maneuver in over 30 patients in our cohort of over 1500 patients undergoing robot-assisted radical prostatectomy to date--none of these patients developed urinary leak or bladder neck contracture, and had uneventful cystoscopic removal of stents at 6 weeks after surgery.
El Douaihy
Youssef
Y
LeFrak Institute of Robotic Surgery & Prostate Cancer Institute, James Buchanan Brady Foundation Department of Urology, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, New York 10065, USA.
Tan
Gerald Y
GY
Dorsey
Philip J
PJ
Jhaveri
Jay K
JK
Tewari
Ashutosh K
AK
D006801:Humans; D008297:Male; D011467:Prostate / Q000473:pathology* / Q000601:surgery*; D011468:Prostatectomy / Q000379:methods*; D012371:Robotics; D015607:Stents; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery