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Vesicourethral anastomotic suture placement during radical prostatectomy using Maniceps
Yoshiaki Yamada1, Nobuaki Honda, Kogenta Nakamura
1Department of Urology, Aichi Medical University, School of Medicine, Nagakute 480-1195, Japan. 101959@gk.amu.aichi-med-u.ac.jp
Urologia Internationalis
|March 28, 2003
Summary
The Maniceps device offers a safe and effective method for precise vesicourethral anastomosis during prostatectomy. This technique demonstrates excellent results, with high rates of urinary continence and minimal obstruction.
Area of Science:
- Urology
- Surgical Technology
Background:
- Radical retropubic prostatectomy necessitates precise vesicourethral anastomosis.
- Traditional methods can be challenging, impacting patient outcomes.
Purpose of the Study:
- To describe and evaluate a novel semiautomatic device, Maniceps, for vesicourethral anastomosis.
- To assess the safety, efficacy, and functional outcomes of this technique.
Main Methods:
- A cohort of 15 patients underwent radical retropubic prostatectomy using the Maniceps device.
- Follow-up included retrograde urethrocystography at 2 weeks and evaluation of anastomotic time, obstruction, and urinary continence.
Main Results:
- The average anastomotic time was 8.1 minutes.
- All patients had their catheters removed by 2 weeks post-surgery.
- A high success rate was observed, with only 6.7% experiencing anastomotic obstruction and 93.3% achieving complete urinary continence.
Conclusions:
- The Maniceps device provides a safe, easy, and reliable method for performing vesicourethral anastomosis.
- This technique yielded favorable surgical results in the studied patient cohort.