Recurrent Foley catheter puncture and displacement: a complication of the use of barbed polyglyconate suture to facilitate vesicourethral anastomosis during robot-assisted radical prostatectomy

Abstract

Robot-assisted radical prostatectomy (RARP) has been rapidly adopted as an option for surgical management of clinically localized prostate cancer. A challenging aspect of the operation is producing a watertight vesicourethral anastomosis (VUA). The use of unidirectional barbed polyglyconate absorbable suture (V-Loc 180, Covidien, Mansfield, MA, USA) for posterior reconstruction and VUA during RARP was initially described in 2010 [1, 2] and has been shown to safely improve anastomotic times [3–6]. We describe a unique postoperative complication of the use of barbed suture during RARP: recurrent puncture and displacement of the urethral catheter.