Techniques in endourology - Vesicourethral anastomosis during laparoscopicradical prostatectomy: The running suture method

Vesicourethral reconstruction is the most critical and time-consuming step of laparoscopic radical prostatectomy, We describe the use of two hemicircu mferential running sutures that has significantly simplified the procedure in our last 30 patients. The vesicourethral reconstruction took 31 minutes on average. Six months postoperatively, 84% of the patients were fully cont inent, and no bladder neck stenosis had occurred, The economy of intracorpo real suturing provided by this novel method, together with geometric factor s such as the optimal position of the trocars, contributes to the improveme nt of ergonomy, allowing the surgeon to decrease operating times.