%0 Journal Article
%T Radical Prostatectomy by Laparotomy: Retrospective Study Comparing Separate and Continuous Stitches in the Performance of Vesicourethral Anastomosis at a Single Center in the Public Health Network
%A Guilherme Canabrava Rodrigues Silva
%A Tarcizo Afonso Nunes
%A Rafael Calv&#227
%A o Barbuto
%A Thiffany Quartarollo Lopes
%A Beatriz Melo De Almeida
%J Open Journal of Urology
%P 368-379
%@ 2160-5629
%D 2024
%I Scientific Research Publishing
%R 10.4236/oju.2024.146039
%X <b>Background:</b> Prostate cancer ranks as the second most prevalent malignancy in men, with treatment strategies ranging from observation to various interventions. Radical prostatectomy is a common approach, aiming for a cure, and the technique for vesico-urethral anastomosis varies, employing separate or continuous stitches. However, a consensus on the optimal technique is lacking. This study aims to compare vesico-urethral anastomosis techniques (separate vs. continuous stitches) in laparotomy-based radical prostatectomies, evaluating peri and postoperative outcomes. <b>Materials and Method:</b> A retrospective analysis of 140 patients&#8217; medical records yielded 86 eligible cases, divided into two groups based on anastomosis technique. Both groups underwent surgery at the same urology center between 2016 and 2019, with a follow-up period exceeding 12 months. Pre-operative characteristics were statistically similar between groups. <b>Results:</b> Perioperative complication rates did not significantly differ between the two techniques (p > 0.99). However, the continuous stitch group experienced a 20-minute longer procedure time (p < 0.01). Postoperative outcomes favored separate stitches, evidenced by shorter hospital stays, lower sentinel drain usage, and reduced stenosis rates (p < 0.01). Although urinary incontinence rates at 02, 06, and 12 months showed no statistical difference (p > 0.05), patients with continuous stitches had 2.5 times higher diaper usage at twelve months (p < 0.01). <b>Conclusion:</b> This research suggests that vesico-urethral anastomosis with separate stitches yields superior results in laparotomy-based radical prostatectomies compared to continuous stitches, demonstrating benefits in surgical time, hospital stay, sentinel drain duration, stenosis rates, and long-term urinary incontinence outcomes.
%K Prostate Cancer
%K Urinary Incontinence
%K Urethrovesical Anastomosis
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=134193