Preparation Of The Urethral Stump

The preserved length of the urethra is essential to the quality of the urethrovesical anastomosis.

As the urethra is classically sharply cut in a stretched position, with the assistance of a cephalad traction on the prostate, a subsequent retraction of the urethra is expected after section (7). The presence of an 18-French catheter or of a urethral dilator facilitates the exposition of the stump with eventual assistance of a gentle push on the perineum at the level of the bulbar urethra.

Relative preservation of the bladder neck contributes to the feasibility of the anastomosis not only in terms of smooth muscle preservation but also by the saving of available centimeters of tissue to fill the prostate gap.

Anastomosis is performed with interrupted 3-0 resorbable 4/8 or 5/8 sutures on a No. 26 needle.

Stitch placement is performed using both hands, because more than 50% of the sutures are passed with the left hand.

0 0

Post a comment