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Transrectal ultrasonographically assisted radical retropubic prostatectomy
A Zisman1, S Strauss, Y I Siegel
1Department of Urology, Assaf Harofeh' Medical Center, Zerifin, Israel.
Summary
Intraoperative transrectal ultrasonography can help surgeons during radical prostatectomy. This technique aids in identifying the urethral stump and assessing the vesicourethral anastomosis, potentially improving surgical outcomes.
Area of Science:
- Urology
- Surgical Oncology
- Medical Imaging
Background:
- Radical prostatectomy, a common treatment for prostate cancer, presents challenges in precisely identifying the urethral division site at the prostate apex.
- Accurate visualization of the apical dissection and urethral stump is crucial for successful surgical outcomes and minimizing complications.
Purpose of the Study:
- To evaluate the feasibility and utility of intraoperative transrectal ultrasonography during radical retropubic prostatectomy.
- To determine if transrectal ultrasonography can assist in identifying the prostate apex and visualizing the urethral stump.
Main Methods:
- A feasibility clinical trial involving three patients undergoing radical retropubic prostatectomy.
- Intraoperative transrectal ultrasonography was employed to visualize the apical region of the prostate and the urethral stump.
Main Results:
- The apex of the prostate was readily identified using transrectal ultrasonography.
- Detailed visualization of the urethral stump was achieved, allowing for identification and excision of residual apical tissue in one patient.
- The creation and water tightness of the vesicourethral anastomosis were successfully documented.
Conclusions:
- Intraoperative transrectal ultrasonography is a feasible technique during radical retropubic prostatectomy.
- This imaging modality may assist surgeons in selected cases by improving visualization of the prostate apex and urethral stump.
- Transrectal ultrasonography can aid in assessing the integrity of the vesicourethral anastomosis.