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Functional outcome of vesicourethral anastomosis with bidirectional poliglecaprone vs. barbed polyglycaprone suture in robot-assisted radical prostatectomy
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Original Article
VOLUME: 53 ISSUE: 3
P: 516-522
2020

Functional outcome of vesicourethral anastomosis with bidirectional poliglecaprone vs. barbed polyglycaprone suture in robot-assisted radical prostatectomy

Acta Haematol Oncol Turc 2020;53(3):516-522
DOI: 10.5505/aot.2020.72602
Mehmet Yıldızhan 1
Erem Asil 1
1. Ankara City Hospital, Urology Department, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2020-06-15T22:19:12
Accepted Date: 2020-12-30T17:45:02
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Abstract

INTRODUCTION

We aimed to evaluate anostomosis time, anostomosis leakage status, length of catheterization, urinary continence recovery following robot-assisted radical prostatectomy (RARP) using monofilament polyglecaprone suture vs. barbed suture during vesicourethral anastomosis.

METHODS

The data of 118 patients (40 bidirectional barbed sutures, 78 monofilament polyglycapron sutures) who underwent RARP between 2017-2020 were analyzed retrospectively. Demographic information, length of catheterization, cystography times and urinary incontinence status of the patients were obtained using the hospital database. All of the surgical procedures were performed by a single surgeon using Da-Vinci Xi robotic surgical systems (Intuitive surgery, Sunnyvale, CA). The patients were divided into two groups according to the type of sutures used.

RESULTS

Median age, Psa level, preoperative International index of erectile function (IIEF) scores, prostate biopsy gleason scores, length of hospital stay and median blood loss were similar in the groups. Median anastomosis time 13 (8-25) and 21 (12-31) (p <0.001), median console times 21 (12-31), 110 (73-205) (p <0.001) were observed in group 1 and group 2, respectively. In Group 1 and 2; median catheterization time was 7 (7-14) days to 8 (7-30) days (p <0.001), and median hospitalization was similar (p = 0.259). Leakage rates on the 7th postoperative day were observed as 15 (21.4%) to 3 (6.3%), respectively. The continence rates of the patients in Group 1 and Group 2; 77.1% (n = 37), 75.7% (n = 53) at 1st month; In the 3rd month, 87.5% (n = 42), 82.9% (n = 58), respectively. While late postoperative continence rates were significantly higher in favor of barbed suture (p = 0.047), early continence rates were similar (p <0.001). None of the patients showed bladder neck contracture in two groups.

DISCUSSION AND CONCLUSION

The current study proves that the barbed suture provides shorter anostomosis times and early catheter removal compared to the monofilament suture.