FORMATION OF VESICOURETHRAL ANASTOMOSIS DURING ENDOVIDEOSURGICAL EXTRAPERITONEAL RADICAL PROSTATECTOMY: СOMPARATIVE STUDY OF THREE DIFFERENT PROCEDURES

Abstract

Extraperitoneoscopic (endovideosurgical extraperitoneal) radical prostatectomy (ERPE) is one of the current surgical treatment procedures in patients with localized prostate cancer. Failure of vesicourethral anastomosis (VUA) and the development of its stricture are common surgi-cal complications. This investigation compares the efficiency and safety of different procedures to form VUA during ERPE: an interrupted suture (n = 24), a MVAC suture (n = 23), and a MVAC suture using self-locking suture material (n = 24). The performed comparative analysis of different procedures for forming VUA during ERPE may conclude that there are a number of advantages of the MVAC suture ap-plying the self-locking suture material. These advantages include less time taken to form VUA with the low frequency of complications, such as leakages occurring during control cystography or the development of delayed VUA strictures