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Comparison of the urethrovesical anastomoses with polyglecaprone (Monocryl®) and bidirectional barbed (V-Loc 180®) running sutures in laparoscopic radical prostatectomy

Murat Arslan, Altug Tuncel, Yilmaz Aslan, Zafer Kozacioglu, Bulent Gunlusoy, Ali Atan
  • Murat Arslan
    Izmir University School of Medicine, Department of Urology, Izmir, Turkey
  • Altug Tuncel
    Ministry of Health, Ankara Numune Research and Training Hospital, Third Department of Urology, Ankara, Turkey | tuncelaltug@yahoo.com
  • Yilmaz Aslan
    Ministry of Health, Ankara Numune Research and Training Hospital, Third Department of Urology, Ankara, Turkey
  • Zafer Kozacioglu
    Ministry of Health, Bozyaka Research and Training Hospital, Department of Urology, Izmir, Turkey
  • Bulent Gunlusoy
    Ministry of Health, Bozyaka Research and Training Hospital, Department of Urology, Izmir, Turkey
  • Ali Atan
    Ministry of Health, Ankara Numune Research and Training Hospital, Third Department of Urology, Ankara, Turkey

Abstract

Objective: We compared polyglecaprone (Monocryl®) and bidirectional barbed (V-Loc® 180) running sutures during urethrovesial anastomosis (UVA) in laparoscopic radical prostatectomy (LRP). Materials and methods: A total of 92 consecutive patients underwent extraperitoneal LRP for prostate cancer. In the first 47 patients, the running UVA was performed using 3-0 monofilament polyglecaprone (Monocryl®) suture (Group 1). In the subsequent 45 patients, the running UVA was performed with the 3-0 barbed suture (V-Loc® 180) (Group 2). Rhabdosphincter reconstruction was performed in all the patients. Results: The mean prostatectomy time was 196 and 179 minutes in Group 1 and 2, respectively (p < 0.001). Moreover, the mean UVA time was 40 and 24 minutes in Group 1 and 2, respectively (p < 0.001). Also, catheterization time, lenght of hospital stay and the number of the patients with urine leakage were significantly lower in Group 2 than the other (p < 0.001). No patients in V-Loc® 180 suture group and 5 patients in Monocryl® suture group experienced postoperative drain leakage in the present study. Overall pad usage at 6th month was higher in group 1 than the other group. In group 1 and 2, 78.7% and 93.3% of the patients reported 0 to 1 pads daily, whereas 21.3% and 6.7% reported ≥ 2 pads daily (p = 0.002). Conclusions: We therefore consider that use of barbed suture running UVA during LRP is associated with a significantly shorter operative time maintaining a proper suturing tension compared with standard suture and it is not associated with a higher incidence of adverse events with no postoperative complications.

Keywords

Radical prostatectomy; Laparoscopy; Barbed suture; Anastomosis

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Submitted: 2014-07-09 16:11:01
Published: 2014-06-30 00:00:00
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Copyright (c) 2014 Murat Arslan, Altug Tuncel, Yilmaz Aslan, Zafer Kozacioglu, Bulent Gunlusoy, Ali Atan

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