Vesicourethral Anastomosis During Radical Retropubic Prostatectomy: Does the Number of Sutures Matter?

Luigi Gallo, Sisto Perdonà, Riccardo Autorino, Luigi Menna, Luigi Claudio, Luigi Marra, Giuseppe Di Lorenzo, Antonio Gallo

Research output: Contribution to journalArticlepeer-review


Objectives: To prospectively evaluate the outcome of radical retropubic prostatectomy using three different techniques of vesicourethral anastomosis (VUA), with a different number of sutures used during this surgical step. Methods: Three groups of patients who had undergone nerve-sparing radical retropubic prostatectomy were compared. Overall, 90 patients with localized prostate cancer were recruited. The patients were randomly assigned to undergo one of three different VUA techniques. The anastomotic sutures consisted of four or six monocryl 2-0 stitches. The "two-suture" anastomosis in group 1 was performed by passing two U-shaped horizontal stitches at the 6-o'clock and 12-o'clock positions. The following intraoperative and perioperative parameters were considered for the comparative analysis: time to perform VUA, blood loss, hospitalization, and time to drain removal. Results: A statistically significant difference was found in terms of the mean time to anastomosis between groups 1 and 2 (3.61 ± 1.14 versus 16.6 ± 4.04, P

Original languageEnglish
Pages (from-to)547-551
Number of pages5
Issue number3
Publication statusPublished - Mar 2007

ASJC Scopus subject areas

  • Urology


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