title: Comparison of the urethrovesical anastomoses with polyglecaprone (Monocryl®) and bidirectional barbed (V-Loc 180®) running sutures in laparoscopic radical prostatectomy.
abstract: OBJECTIVE
  We compared polyglecaprone (Monocryl®) and bidirectional barbed (V-Loc® 180) running sutures during urethrovesial anastomosis (UVA) in laparoscopic radical prostatectomy (LRP).
  
  
  METHODS
  A total of 92 consecutive patients underwent extraperitoneal LRP for prostate cancer. In the first 47 patients, the running UVA was performed using 3-0 monofilament polyglecaprone (Monocryl®) suture (Group 1). In the subsequent 45 patients, the running UVA was performed with the 3-0 barbed suture (V-Loc® 180) (Group 2). Rhabdosphincter reconstruction was performed in all the patients.
  
  
  RESULTS
  The mean prostatectomy time was 196 and 179 minutes in Group 1 and 2, respectively (p &lt; 0.001). Moreover, the mean UVA time was 40 and 24 minutes in Group 1 and 2, respectively (p &lt; 0.001). Also, catheterization time, lenght of hospital stay and the number of the patients with urine leakage were significantly lower in Group 2 than the other (p &lt; 0.001). No patients in V-Loc® 180 suture group and 5 patients in Monocryl® suture group experienced postoperative drain leakage in the present study. Overall pad usage at 6th month was higher in group 1 than the other group. In group 1 and 2, 78.7% and 93.3% of the patients reported 0 to 1 pads daily, whereas 21.3% and 6.7% reported ≥ 2 pads daily (p = 0.002).
  
  
  CONCLUSIONS
  We therefore consider that use of barbed suture running UVA during LRP is associated with a significantly shorter operative time maintaining a proper suturing tension compared with standard suture and it is not associated with a higher incidence of adverse events with no postoperative complications.
authors.affiliation: Izmir University School of Medicine, Department of Urology, Izmir. tuncelaltug@yahoo.com.
authors.forename: Murat
authors.initials: M
authors.lastname: Arslan
authors.forename: Altug
authors.initials: A
authors.lastname: Tuncel
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Aslan
authors.forename: Zafer
authors.initials: Z
authors.lastname: Kozacioglu
authors.forename: Bulent
authors.initials: B
authors.lastname: Gunlusoy
authors.forename: Ali
authors.initials: A
authors.lastname: Atan
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D004146:Dioxanes; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011091:Polyesters; D011468:Prostatectomy / Q000379:methods*; D013537:Sutures; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*
chemical_list: D004146:Dioxanes; D011091:Polyesters; C095495:glycolide E-caprolactone copolymer