Does it Enable Earlier Foley Catheter and Jackson Pratt Drain Removal?
Sarah C Flury, Danille N Starnes, Willaim D. Steers UVA, Charlottesville, VA Introduction: After robotic assisted laparascopic prostatectomy (RALRP), leakage at the urethrovescial anastamosis in the immediate postoperative period can occur and cause ileus. We examined the effectiveness of using a fibrin sealant at the anastamosis to eliminate urine leakage and facilitate earlier Jackson Pratt drain and Foley catheter removal. Methods: 40 consecutive patients underwent RALRP by one surgeon at our institution. The first 20 pateints underwent standard operation and served as the control group. The subsequent 20 patients underwent the same operation with addition of fibrin sealant following a running absorbable sutured urethrovesical anastamosis. Results: The two groups were compared for age (60.5 vs 58.2 yrs), pre-operative PSA (5.23 vs. 4.71), Gleason Score (6.3 vs. 6.5), and prostate size at resection (51.7g vs. 47.7g). Wilcoxon Rank Sum test determined no statistically significant diff
