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The efficacy of STRATAFIX® spiral PDS for vesicourethral anastomosis during robot-assisted laparoscopic radical prostatectomy: a single-center retrospective study

  • Urology - Original Paper
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Abstract

Purpose

To investigate the efficacy of continuous suturing using barbed suture for vesicourethral anastomosis (VUA) during robot-assisted laparoscopic radical prostatectomy (RARP).

Materials and methods

Seventy-three consecutive patients who underwent RARP by a single surgeon between 2020 and 2022 were retrospectively divided based on the suture type used for VUA: group A, 3–0 poliglecaprone-25 RB-1 needle (Monocryl®), n = 46; group B, 3–0 spiral polydioxanone (PDS) barbed suture with RB-1 needle (STRATAFIX®), n = 27.

Results

There was no significant difference in patient background characteristics between groups, including age, body mass index, and clinical stage. However, group B had a significantly shorter operative time, console time, hospital stay, and duration of urethral catheterization. The VUA time was significantly shorter in group B than in group A (17.9 min vs. 10.6 min; p < 0.001). Only 1 case of minor leakage was observed during the intraoperative leak test (1 patient in group A). There was no significant difference in the number of pads used at 1, 3, 6 months and 1 year postoperatively. There were no urethral strictures, and there was no significant difference in pathologic results or postoperative prostate-specific antigen progression between groups.

Conclusions

Our study suggests that the use of barbed suture during VUA for RARP is associated with reduced VUA time.

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Data availability

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

LND:

Lymph node dissection

RARP:

Robot-assisted radical prostatectomy

VUA:

Vesicourethral anastomosis

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Acknowledgements

I appreciate that English proofreading was edited by JAM Post.

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Authors and Affiliations

  1. Faculty of Medicine Graduate School of Medicine, Shimane University, Izumo, Shimane, Japan

    Ichiro Tsuboi, Kohei Ogawa, Gen Tanaka, Kazutaka Mitani, Saori Yoshioka, Shuhei Yokoyama, Hirochika Nakajima, Taichi Nagami & Koichiro Wada

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  1. Ichiro Tsuboi
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  2. Kohei Ogawa
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  3. Gen Tanaka
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  4. Kazutaka Mitani
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  5. Saori Yoshioka
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  6. Shuhei Yokoyama
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  7. Hirochika Nakajima
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  8. Taichi Nagami
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  9. Koichiro Wada
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Contributions

Research conception and design: IT, KO, KW. Data acquisition: IT. Statistical analysis: IT. Drafting of the manuscript: IT. Supervision: KO, KW. Approval of the final manuscript: GT, KM, SY, SY, YK, HN, TN, KO, KW.

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Correspondence to Ichiro Tsuboi.

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Tsuboi, I., Ogawa, K., Tanaka, G. et al. The efficacy of STRATAFIX® spiral PDS for vesicourethral anastomosis during robot-assisted laparoscopic radical prostatectomy: a single-center retrospective study. Int Urol Nephrol 56, 137–142 (2024). https://doi.org/10.1007/s11255-023-03775-y

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