Long-term urinary functional outcome of vesicourethral anastomosis with bidirectional poliglecaprone (Monocryl ® ) vs. barbed polyglyconate suture (V-Loc TM 180) in robot-assisted radical prostatectomy

We aimed to evaluate urinary continence recovery following robot-assisted radical prostatectomy (RARP) using monofilament poliglecaprone (Monocryl ) suture vs. barbed suture (V-Loc 180) during vesicourethral anastomosis (VUA). In this prospective, observational cohort, data were collected on 322 consecutive patients. All patients underwent continuous, bidirectional, single-layer running anastomosis with either 3.0 monofilament suture (n=141) or 3.0 barbed suture (n=181). The primary outcome was continence recovery defined as time to 0 pad at one, three, six, 12, and 24 months following surgery. Continence rates were significantly better with monofilament VUA at all followup time points up to one year. Median time to continence was one month vs. five months in the monofilament group vs. barbed group, respectively (p