Novel technique of Vest suture vesicourethral anastomosis in morbidly obese patient undergoing radical retropubic prostatectomy.

PURPOSE

The urethrovesical anastomosis can be a technically challenging procedure in the morbidly obese patient. We successfully overcame this challenge using a Vest suture technique.

MATERIALS AND METHODS

After the completion of radical prostatectomy a Stamey needle is passed through the perineum under bimanual control. Vest sutures are placed and tied with a Foley catheter in place.

RESULTS

This technique was used in a morbidly obese patient. Postoperatively continence was excellent.

CONCLUSIONS

In the morbidly obese patient this novel technique of Vest suture placement should be considered to facilitate urethrovesical anastomosis after the completion of radical prostatectomy.