Anastomosi vescico-uretrale CAPIO™ RP assisted dopo prostatectomia radicale retropubica.

Vescico-urethral anastomosis following radical retrobupic prostatectomy (RRP) can sometime be extremely difficul due to a short uretheral end or to a narrow and deep pelvis, so that the suture stitches can be wrongly positioned , without passing through the uretheral wall, or the wrong position, and this can produce the onset of a urinary fistula, and sudsequently, stenosis of the anastomotic tract. The CAPIO tm RP suture device allows a perfect vesico-uretheral anastomosis end the suture stitches can be easilu positioned insidethe uretheral wall, and exactly where the surgenon decides to put them according to personal experience. Twenty-six patients age ranged fron 52 to 67 yrs, suffering from localized prostaic cancer, under nerce sparing RRP and subsequent CAPIO tm RP assisted vesico -uretheral anastomosis. In all patients, the catheter was removed 6 days after surgery: 22 patiens (84;6%) showed immediate urinary continence; and for patients (15,4%) had mild stress urinary incontinence , with disappeared after 2 weeks. Medium Qmax during follow-up from 1-8 mounth was 20 mL/sec. The CAPIO tm RP suture deviceis, in our experience, a valid tool in the hands of the urologist that makes any vesico-uretheral anastomosis extremely easy and safe, reducing the risk of complications .