Retropubic radical prostatectomy technique
The RRP was carried out in accordance with the technique described by
Walsh in 1988.9 Under general intratracheal
anesthesia, an 18 Fr Foley catheter was introduced and the skin,
subcutaneous, and muscles were cut through the suprapubic incision. Then
the endopelvic fascia was opened, the dorsal venous plexus was ligated
with 0 Vicryl suture and cut. The urethra was released, suspended and
cut. The prostate was released by sharp and blunt dissections from the
denonvilliers fascia. Bilateral ductus deferens were clamped and cut,
the right and left seminal vesicles were removed enblock with the
prostate. A 22 Fr Foley catheter was introduced. VUA was performed from
4 or 6 foci with 2/0 monocryl sutures. One
Jackson-pratt® drain was inserted into the surgical
area, fasia was closed with 0 PDS suture, and skin with stapler,
respectively. In the four focus technique, sutures were placed at the
12-, 3-, 6-, and 9-o’clock positions. In the six focus technique,
sutures were placed at 12-, 2-, 4-, 6-, 8- and 10-o’clock positions. VUA
techniques with four and six focus are schematized in Figure 2 .