Vesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic interventions and open reconstruction.

A properly constructed anastomosis is important in reducing urinary leak, and hastening the recovery phase. This chapter describes the different techniques used to perform a vesicourethral anastomosis, along with the advantages and disadvantages of each approach.

The vesicourethral anastomosis represents a step of major difficulty at the end of minimally invasive radical prostatectomy. Over 10 years ago, we have devised the single-knot running vesicourethral anastomosis, which has been widely adopted in urologic departments worldwide.

Tewari AK, Srivastava A, Sooriakumaran Pet, et al. Use of a novel absorbable barbed plastic surgical suture enables a "self-cinching" technique of vesicourethral anastomosis during robot-assisted prostatectomy and improves anastomotic times.

2023年8月1日 · Vesicourethral anastomotic stenosis after radical prostatectomy is a complication with significant adverse quality-of-life implications. Herein, we identify groups at risk for vesicourethral anastomotic stenosis and further characterize the …

2007年7月1日 · Berlin- The Van Velthoven suspended running suture technique used for vesicourethral anastomosis after a laparoscopic radical prostatectomy is very effective, according to a recent multicenter study.

2020年7月1日 · Vesicourethral anastomosis is probably one of the most difficult steps in the performance of radical prostatectomy. This is attributed to the fact that the access to the urethra is limited on its anterior side by the pubis and the ligated dorsal venous complex and on its posterior aspect by the rectal ampulla.

The robotic management of complex vesicourethral anastomosis stenosis with transperineal urethral advancement is a feasible and safe procedure that requires the interdisciplinary management of robotic and reconstructive urologists.

2016年5月31日 · The vesicourethral anastomosis represents a step of major difficulty at the end of minimally invasive radical prostatectomy. Over 10 years ago, we have devised the single-knot running vesicourethral anastomosis, which has been …

A vesicourethral anastomosis is the most challenging and time-consuming step of radical prostatectomy. In 2003, van Velthoven introduced his own technique of connecting the bladder neck with the membranous urethra, which has remained the most popular method since.