title: Laparoscopic "single knot-single running" suture vesico-urethral anastomosis with posterior musculofascial reconstruction.
abstract: OBJECTIVE
  To describe results of a simplified technique to configure the vesicourethral anastomosis and to restore posterior musculofascial plate during laparoscopic radical prostatectomy with a "single knot-single running" suture.
  
  
  METHODS
  Between December 2006 and 2009, a conventional Van Velthoven anastomosis (group A) was applied in 125 cases while the novel anastomosis was applied in 155 consecutive patients (group B). A between group comparison of continence recovery was performed with log-rank test and Chi-square test. Continuous variables were compared with Wilcoxon's test and categorical ones with Chi-square test.
  
  
  RESULTS
  Median operative time and median time to configure the anastomosis were comparable between two groups. Proportions of patients using 0 pad, 1 pad and >1 pad per day were statistically different between groups at 1 month (54.4%, 14.4%, 31.2% vs. 52.3%, 27.7%, 20%, in group A and group B, respectively; p = 0.01), at 3 months (73.6%, 8.8%, 17.6% vs. 86.5%, 7.1%, 6.5%; p = 0.01) and at 6 months (80.8%, 12.8%, 6.4% vs. 92.3%, 6.5%, 1.2%; p = 0.01). At log-rank test, continence recovery between two groups was statistically different (p = 0.008).
  
  
  CONCLUSIONS
  The excellent outcome together with the easiness of performing this novel anastomosis compared to the traditional Van Velthoven make it widely reproducible.
authors.affiliation: Department of Urology, "Regina Elena" National Cancer Institute, Via Chianesi 53, 00144 Rome, Italy. puldet@gmail.com
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Simone
authors.forename: Rocco
authors.initials: R
authors.lastname: Papalia
authors.forename: Mariaconsiglia
authors.initials: M
authors.lastname: Ferriero
authors.forename: Salvatore
authors.initials: S
authors.lastname: Guaglianone
authors.forename: Michele
authors.initials: M
authors.lastname: Gallucci
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D000071938:Fasciotomy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000517:prevention & control; D011446:Prospective Studies; D011467:Prostate / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014549:Urinary Incontinence / Q000517:prevention & control