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Inicio Actas Urológicas Españolas (English Edition) Radical retropubic prostatectomy: Vesicourethral anastomosis
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Vol. 44. Issue 6.
Pages 423-429 (July - August 2020)
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Vol. 44. Issue 6.
Pages 423-429 (July - August 2020)
Original article
Radical retropubic prostatectomy: Vesicourethral anastomosis
La prostatectomía radical retropúbica: anastomosis vesico-uretral
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9
F Herranz-Amo
Servicio de Urología. Hospital General, Universitario Gregorio Marañón, Madrid, Spain
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Abstract
Objective

Historical review of the procedures and maneuvers described in the literature for the performance of vesicourethral anastomosis (VUA) after retropubic prostatectomy.

Materials and method

Review of the main original articles on the design of VUA maneuvers.

Results

Various techniques have been described to facilitate VUA, the most common being those with soft or hard catheters, or endoscopes.

Conclusion

There is no perfect technique for the performance of VUA after retropubic prostatectomy. Since it does not require specific instrumentation, the Gil-Vernet maneuver may be the technique through which a longer urethral segment is transferred inside the abdomen and the easiest to perform.

Keywords:
Prostate cancer
Radical prostatectomy
Vesicourethral anastomosis
History
RESUMEN
Objetivo

Revisión histórica de los procedimientos y maniobras descritos en la literatura para la realización de la anastomosis vesico-uretral después prostatectomía retropúbica.

Material y método

Revisión fundamentalmente de los artículos originales sobre el diseño de maniobras para la realización de la anastomosis vesico-uretral.

Resultados

Se han descrito numerosas maniobras para facilitar la anastomosis vesico-uretral. Las que utilizan un catéter elástico o un catéter metálico o endoscopios son las más numerosas.

Conclusión

No existe la maniobra ideal para la realización de la anastomosis vesico-uretral después de la prostatectomía retropúbica. Probablemente la maniobra de Gil-Vernet al no necesitar instrumentación especial sea la más sencilla de realizar y con la que se logra intrabdominalizar un segmento mayor de uretra

Palabras clave:
Cáncer de próstata
Prostatectomía radical
Anastomosis vesico-uretral
Historia

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