{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T09:25:43Z","timestamp":1771752343624,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T00:00:00Z","timestamp":1525824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To present the step\u2010by\u2010step technique of a 360\u00b0 mucosal reconstruction after transvesical robot\u2010assisted simple prostatectomy (\n                      <jats:styled-content style=\"fixed-case\">RASP<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Methods<\/jats:title>\n                    <jats:p>\n                      We analysed the first 23 consecutive patients who underwent\n                      <jats:styled-content style=\"fixed-case\">RASP<\/jats:styled-content>\n                      using our 360\u00b0 reconstruction between December 2015 and October 2017. After transperitoneal intravesical adenoma enucleation, a circumferential 360\u00b0 reconstruction is performed. The first suture is placed at the 9 o'clock position and the edge of the urethra and bladder mucosa is approximated using 2\u20100 barbed suture. The reconstruction is continued counter\u2010clockwise and the bladder mucosa is approximated to the urethra circumferentially.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean (\n                      <jats:sc>sd<\/jats:sc>\n                      ) operating time was 160.6 (28.1) min and the estimated blood loss was 98.6 (99.8)\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      . No patients required conversion to open surgery. No intra\u2010operative or postoperative transfusions were needed. No intra\u2010operative complications occurred. The mean (\n                      <jats:sc>sd<\/jats:sc>\n                      ) length of hospital stay was 2.1 (0.6) days. One postoperative complication was reported (respiratory distress in a patient with chronic obstructive pulmonary disease, requiring intensive care unit admission).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Our 360\u00b0 reconstruction during\n                      <jats:styled-content style=\"fixed-case\">RASP<\/jats:styled-content>\n                      is feasible and safe. The aim of the technique is to minimize use of electrocautery and decrease the raw surface area on the prostate capsule. This technical modification could potentially lessen postoperative bleeding after\n                      <jats:styled-content style=\"fixed-case\">RASP<\/jats:styled-content>\n                      and therefore the need for continuous bladder irrigation. In addition, it could potentially lead to mitigation of burning and irritative postoperative symptoms. Longer follow\u2010up and comparative studies of different\n                      <jats:styled-content style=\"fixed-case\">RASP<\/jats:styled-content>\n                      techniques are still needed.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14203","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T20:59:50Z","timestamp":1521838790000},"page":"344-348","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Transvesical robot\u2010assisted simple prostatectomy with 360\u00b0 circumferential reconstruction: step\u2010by\u2010step technique"],"prefix":"10.1111","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8892-5539","authenticated-orcid":false,"given":"Giovanni","family":"Cacciamani","sequence":"first","affiliation":[{"name":"USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles CA 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