Double-pigtail stenting of the ureters: technique for securing the ureteral orifices during robot-assisted radical prostatectomy for large median lobes.

Abstract:

:Patients with large median prostate lobes undergoing robot-assisted radical prostatectomy are at potential risk of ureteric orifice injury, during posterior bladder neck transection and vesicourethral anastomosis reconstruction. We describe our technique of in situ robot-assisted ureteral stenting with double-pigtail stents for accurate observation and preservation of the ureteral orifices. We have performed this maneuver in over 30 patients in our cohort of over 1500 patients undergoing robot-assisted radical prostatectomy to date--none of these patients developed urinary leak or bladder neck contracture, and had uneventful cystoscopic removal of stents at 6 weeks after surgery.

journal_name

J Endourol

journal_title

Journal of endourology

authors

El Douaihy Y,Tan GY,Dorsey PJ,Jhaveri JK,Tewari AK

doi

10.1089/end.2009.0133

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1975-7

issue

12

eissn

0892-7790

issn

1557-900X

journal_volume

23

pub_type

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