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


Submitted: July 9, 2014
Accepted: July 9, 2014
Published: June 30, 2014
Abstract Views: 2657
PDF: 1624
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Authors

  • 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.
  • 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.
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.

Arslan, M., Tuncel, A., Aslan, Y., Kozacioglu, Z., Gunlusoy, B., & Atan, A. (2014). Comparison of the urethrovesical anastomoses with polyglecaprone (Monocryl®) and bidirectional barbed (V-Loc 180®) running sutures in laparoscopic radical prostatectomy. Archivio Italiano Di Urologia E Andrologia, 86(2), 90–94. https://doi.org/10.4081/aiua.2014.2.90

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