“Single Knot–Single Running Suture” Vesicourethral Anastomosis with Posterior Musculofascial Reconstruction during Robot-Assisted Radical Prostatectomy: A Step-by-Step Guide of Surgical Technique

Background: Our aim is to describe Gallucci’s (VV-G) technique for vesicourethral anastomosis and posterior musculofascial reconstruction (PMFR) during robot-assisted radical prostatectomy (RARP) assess early urinary continence recovery perioperative outcomes. VV-G consists of a “single knot–single running suture” with PMFR. Methods: Between September 2019 October 2021, we prospectively compared vs. conventional Van Velthoven (VV-STD) RARP. We excluded patients incontinence, pelvic radiotherapy, urethral BPH surgery prior Social (SC) recovery, complications, length hospital stay (LOS) were between VV-STD. SC was defined as 0–1 pad/die. applied 1:1 propensity score matching (PSM) adjusting different covariates (age, Charlson Comorbidity Index, BMI, prostate volume, nerve-sparing lymph node dissection). Results: From 166 patients, PSM resulted in two equally sized groups 40 each no residual differences (all p ≥ 0.2). yielded higher 3-month rates than VV-STD (97.5 55.0%, < 0.001). A tiny difference still recorded at one-year follow-up 80.0%, = 0.029, HR: 2.90, 95% CI: 1.74–4.85, Conversely, observed any complications (15.0 22.5%, OR: 0.61, CI 0.19–1.88, 0.4) LOS (3 4 days, Δ: −0.69 ± 0.1). Conclusions: significantly improved without increasing morbidity. In our opinion, represents an easy-to-learn easy-to-teach due its single-suture, single-knot, symmetrical design.