Name:
Modified Urethral Anastomosis Technique in Patients Undergoing Robotic Radical Prostatectomy: Tube-Shaped Bladder Neck
Description:
Modified Urethral Anastomosis Technique in Patients Undergoing Robotic Radical Prostatectomy: Tube-Shaped Bladder Neck
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/aa4ae855-ec1a-4735-80b8-2e8a5a13ac62/videoscrubberimages/Scrubber_1.jpg?sv=2019-02-02&sr=c&sig=MulNtsY7hm5t12zQ%2ByTdq1F7cCtOWNeGNx3M0WGk054%3D&st=2026-03-09T17%3A06%3A28Z&se=2026-03-09T21%3A11%3A28Z&sp=r
Duration:
T00H04M40S
Embed URL:
https://stream.cadmore.media/player/aa4ae855-ec1a-4735-80b8-2e8a5a13ac62
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/aa4ae855-ec1a-4735-80b8-2e8a5a13ac62/764009646-SONHALmp4.mp4?sv=2019-02-02&sr=c&sig=3%2BqG5EqtvDkvbbPqLpT0fHcIMiU%2F5lJ%2FSmsXNjMk4IM%3D&st=2026-03-09T17%3A06%3A28Z&se=2026-03-09T19%3A11%3A28Z&sp=r
Upload Date:
2024-06-12T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
I'm explaining [INAUDIBLE] technique. Surgery was conducted under general anesthesia with the patient in a 30-degree Trendelenburg position, following standard surgical preparation, using a transfer tunnel anterior labrum approach. The surgical steps up to the basic ureteral anastomosis were performed sequentially as described in the literature for transfer to an anterior robotic assisted radical prostatectomy.
After completing the surgical steps described, the bladder neck was identified to narrow the bladder neck to zero-multifilament absorbable continuous sutures were applied at a one-centimeter run, starting approximately two something proximal to the bladder neck. This resulted in a tubular narrowed bladder neck. The sutures were advanced through the serosa and muscular surfaces of the bladder with an aim to remain on the serosa surface as much as possible.
Suturing began on the right lateral side and continued at one-centimeter range until reaching the left lateral side. The string then continued by returning one-centimeter proximal to the left lateral side. And the procedure was terminated by tying the [INAUDIBLE] on the right lateral side. The aim was to narrow the angle of vesicoureteral junction, and partially resemble the geometry of the bladder neck to that of the urethra, thereby increasing the function [INAUDIBLE] length.
Reflex bleeding was prevented while also aiming to reduce the reflection of intra bladder pressure to the external urethral sphincter in cases of increased intra-abdominal pressures. Now we insert the [INAUDIBLE] through the serosa surface at one-centimeter intervals.
Here the bladder neck is narrowed by connect the sutures at starting point, and the end point, and a tubular-shape bladder neck is obtained.
Yes, now we are making a bladder-neck incision. Here we are protecting the bladder neck as much as possible, because it is the middle lobe of the patient's prostate. Protecting the bladder neck will make it easier for us in the subsequent anastomosis.
Now we are watching the anastomosis. The bladder neck is protected and tube-shaped bladder neck is clearly observed.
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