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Updated: Dec 20, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Radical retropubic prostatectomy: Vesicourethral anastomosis
1Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Objective:
Historical review of the procedures and maneuvers described in the literature for the performance of vesicourethral anastomosis (VUA) after retropubic prostatectomy.
Material And Method:
Review of the main original articles on the design of VUA maneuvers.
Results:
Various techniques have been described to facilitate VUA, the most common being those with soft or hard catheters, or endoscopes.
Conclusion:
There is no perfect technique for the performance of VUA after retropubic prostatectomy. Since it does not require specific instrumentation, the Gil-Vernet maneuver may be the technique through which a longer urethral segment is transferred inside the abdomen and the easiest to perform.
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