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Comparison of two different urethrovesical anastomosis techniques in laparoscopic radical prostatectomy

Author(s): Mehmet Kaba | Murat Binbay | Abdulkadir Tepeler | Tolga Akman | Murat Baykal | Ahmet Yaser Müslümanoğlu | Ahmet Hamdi Tefekli

Journal: Turkish Journal of Urology
ISSN 1300-5804

Volume: 35;
Issue: 04;
Start page: 335;
Date: 2009;
Original page

Keywords: Prostatectomy | urethrovesical anastomosis | urinary incontinence

Objective: The urethrovesical anastomosis is one of the critical steps of laparoscopic radical prostatectomy. We compared two different urethrovesical anastomosis techniques described by van Velthoven and Patel.Materials and methods: We reviewed the data of 50 patients in whom either van Velthoven technique (Group 1, n=30), or modified Patel technique (Group 2, n=20) was carried out for urethrovesical anastomosis. All anastomoses were performed by the same surgeon. After a mean follow-up of 11±3.2 (range 3-18) months, urinary continence and bladder neck contracture rates were analyzed.Results: Mean age, prostate volumes, and preoperative prostate-specific antigen (PSA) levels were similar in both groups. There was no statistical difference in mean hospitalization and mean catheterization times. The mean anastomosis and operation time was significantly shorter in Group 1 than in Group 2 (p
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