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Does the Capio® Suture Capturing Device (Boston Scientific) Provide Equal Outcomes When Compared to Freehand-Sewn Anastomosis During Radical Retropubic Prostatectomy?
Tristan T Berry, Clinton W Collins, Vidal M Despradel, B. Mayer Grob
Virginia Commonwealth University Hospitals, Richmond, VA
Introduction: The Capio® Suture Capturing Device is an innovative modality that is utilized to facilitate urethrovesical anastomosis during radical retropubic prostatectomy. We employ this device at our medical center to provide a consistent means to teach this formidable skill to urology residents. A look into the outcomes of our series was performed to determine the efficacy of the device.
Methods: Retrospective data were compiled from 50 consecutive patients that underwent RRP with Capio® anastomosis (CA) from July 1, 2005 through June 30, 2006. These data were compared to a group of 50 consecutive patients that underwent conventional freehand-sewn anastomosis (FSA) from July 1, 2004 through June 30, 2005. Endpoints include bladder neck contracture and total surgical time.
Results: When comparing the CA group to the FSA group the rate of bladder neck contracture was 2% vs. 4% respectively. The average length of operation was 211 minutes for the CA group and 218 minutes for the FSA group.
Conclusions:The Capio® Suture Capturing Device provides an effective and consistent means to perform a complicated portion of RRP. Our series demonstrates that there is no difference in surgical time and rate of bladder neck contracture. Although our data were limited by the small number of patients our preliminary prospective data demonstrate equal or faster times of CA compared to FSA and virtually no learning curve for resident performed anastomosis. For these reasons, we propose that the Capio® Suture Capturing Device is a helpful, consistent, effective tool for teaching urethrovesical anastamosis to resident urologists.
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