Vesicourethral anastomotic suture placement during radical prostatectomy using Maniceps

• Published in: Urologia internationalis Vol. 70; no. 3; p. 181
• Main Authors: Yamada, Yoshiaki, Honda, Nobuaki, Nakamura, Kogenta, Mitsui, Kenji, Hibi, Hatsuki, Taki, Tomohiro, Aoki, Shigeyuki, Kato, Keitaro, Kokubo, Hiroto, Fukatsu, Hidetoshi
• Format: Journal Article
• Language: English
• Published: Switzerland 01.01.2003
• Subjects: Aged; Anastomosis, Surgical - methods; Follow-Up Studies; Humans; Male; Prostatectomy; Suture Techniques - instrumentation; Time Factors; Urethra - surgery; Urinary Bladder - surgery; Urinary Incontinence - prevention & control
• ISSN: 0042-1138
• DOI: 10.1159/000068768

A new method of using a semiautomatic device (Maniceps) for precise vesicourethral anastomosis during radical retropubic prostatectomy is described. A total of 15 patients underwent radical retropubic prostatectomy with this technique. The follow-up period ranged from 6 to 16 months. The retrograde urethrocystography was performed at 2 weeks. Patients were evaluated specifically for anastomotic time, anastomotic obstruction and urinary continence. The average anastomotic time was 8.1 (range 5-12) min. The catheter of all patients could be removed at 2 weeks. Anastomotic obstruction occurred in 1 patient (6.7%), and 14 patients (93.3%) were completely continent of urine. Maniceps is a useful procedure to carry out vesicourethral anastomosis safely, easily and surely, and it has provided good surgical results in our experience.