Radical prostatectomy is a common treatment for patients with prostate cancer [1]. The current surgical technique for radical prostatectomies requires dividing the urethra from the bladder in order to aid the removal of the prostate [2]. At the end of a prostatectomy, the urethra is reconnected to the bladder in a procedure known as urethrovesical anastomosis (UVA) involving suturing the urethra to the bladder with bio-absorbable sutures. This procedure is commonly done first by reconstructing the posterior aspect of the rhabdosphincter, using this reconstruction to bring together the bladder and the urethral stump and lastly performing a running suture to avoid multiple knot tying. UVA is the most challenging and time consuming of the radical prostatectomy procedure due to the constrained surgical field, the proximity of the external urethral sphincter, and the complexity of suturing on very small tubular structures. These have limited the surgical time...
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Harvard University
Brigham and Women's Hospital
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September 2013
Technical Briefs
Minimally Invasive Device for Rapid Urethrovesical Anastomosis
Conor Walsh,
Harvard University
Conor Walsh
School of Engineering and Applied Sciences
,Harvard University
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Kevin Loughlin
Brigham and Women's Hospital
Kevin Loughlin
Department of Urology
,Brigham and Women's Hospital
Search for other works by this author on:
Conor Walsh
School of Engineering and Applied Sciences
,Harvard University
Kevin Loughlin
Department of Urology
,Brigham and Women's Hospital
Manuscript received March 15, 2013; final manuscript received April 26, 2013; published online July 3, 2013. Assoc. Editor: Arthur G. Erdman.
J. Med. Devices. Sep 2013, 7(3): 030908 (3 pages)
Published Online: July 3, 2013
Article history
Received:
March 15, 2013
Revision Received:
April 26, 2013
Citation
Pardo-Martin, C., Duffy, M., Hoffman, K., Poddar, R., Holland, D., Roche, E., Walsh, C., and Loughlin, K. (July 3, 2013). "Minimally Invasive Device for Rapid Urethrovesical Anastomosis." ASME. J. Med. Devices. September 2013; 7(3): 030908. https://doi.org/10.1115/1.4024503
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