title: Double-pigtail stenting of the ureters: technique for securing the ureteral orifices during robot-assisted radical prostatectomy for large median lobes.
abstract: 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.
authors.affiliation: 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.
authors.forename: Youssef
authors.initials: Y
authors.lastname: El Douaihy
authors.forename: Gerald Y
authors.initials: GY
authors.lastname: Tan
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Dorsey
authors.forename: Jay K
authors.initials: JK
authors.lastname: Jhaveri
authors.forename: Ashutosh K
authors.initials: AK
authors.lastname: Tewari
mesh_terms: 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