Review Article
Advances in Robotic-Assisted Radical Prostatectomy over Time
Table 3
Urethrovesical anastomosis.
| Modification | Primary author | Results |
|
Posterior reconstruction | Rocco [19, 86] | Posterior reconstruction in RRP was associated with improved time to return to continence. | Coelho [87] | Posterior reconstruction in RALP had faster return of continence and fewer anastomotic leaks. |
| Anterior reconstruction | Campenni [20] | Anterior anastomotic urethral suspension sutures increase Valsalva LLP and may speed the return of continence. | Patel [21] | Suspension stitch in RALP leads to improved continence at 3 months. |
|
Double layer anastomosis | Menon [22] | No improvement in continence was seen with reconstruction. | Sammon [23] | Single or double layer anastomosis did not correlate to urinary outcomes at 2 years. | Joshi [25] | Posterior reconstruction did not improve continence after RALP. | Sutherland [24] | Posterior reconstruction did not increase early return of continence after RALP. | Hurtes [88] | Early return of continence after RALP was improved with anterior suspension combined with posterior reconstruction. |
| Barbed suture | Sammon [26] | RALP using v-lock suture showed a decrease in anastomotic time without change in outcomes. |
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