Novel Methods to Aid Vesicourethral Anastomosis in Radical Retropubic Prostatectomy

Abstract

Introduction: Vesicourethral anastomosis is a technically challenging aspect of the retropubic radical prostatectomy. We describe 2 novel methods that may be used to facilitate anastomosis of the urethral stump to the bladder neck. Materials and Methods: The first technique we describe involves the use of a dental mirror, and the second involves the insertion of a flexible cystoscope per urethra, both of which allow visualization of the urethral stump. Results: Both these techniques were utilized successfully to allow accurate suture placement in situations where vision of the urethral stump was restricted. Conclusion: These 2 methods that are described are simple and inexpensive, and the equipment required is readily available in theaters.