513
12227226014562113
Ces8507936014570127174
Urol10497936014578115180208
2024;12827936014562121178235258
28(1):15657936014562121154208233255
10–1218457936014562116180233285
VIDEO852207016978121223301405
anastomosis850898013150109159199234291382441482503543
without1426898013180103137196255314348
supporting180789801314198159220280313350373431491
reconstruction233189801313385136192252292327359418468504527586645
of850104801315987
the969104801313492145
levator1146104801312477125175207263296
ani14741048013150107129
muscle16351048013190147187236258311
Three19951048013151111142194248
thread2275104801313492123175223282
turns2590104801313491123182221
are2843104801315081133
made8501198013190139198251
without11331198013179102135193251309343
tension1507119801313485143182203261320
on18581198013158117
No20061198013170129
5-82184119801315386141
and23561198013150108167
only25551198013158117139187
then2773119801313492145203
the850134801313492145
stitch101913480131417597131177235
is1277134801312362
gradually1363134801315991141200257306328350398
tightened1784134801313456115173205256314367427
The22531348013152111165
anastomosis24411348013150108157196231287376435475496535
at850149801315184
No9671498013171131
8-121150149801315489136182
is1365149801312464
completed,14621498013150107199260283337371424485504
and19991498013151110171
the2203149801313594149
stump2385149801314277136227288
of2706149801316089
the2828149801313594148
Santorini8501648013151101159190246278301359380
plexus1260164801316184137184242281
is1571164801312362
sutured1663164801314197131188220271332
ventral20241648013150102160191223273295
to2349164801313490
the2469164801313492145
urethra2644164801315889141174232263313
The8501798013151111164
anastomosis10441798013150108157197231287377435475496535
is1610179801312362
closed1702179801314971129169222282
with20151798013179102135193
the2238179801313492145
remainder2414179801313284173221243301360413445
of2889179801315887
the850194801313492145
first102119480131275384125160
suture1207194801314197131188219271
from1504194801312962118208
No17381948013170128
519101948013153
in1989194801312381
the2096194801313492145
ventral22671948013149101159191223273295
direction2588194801315981112164214250272329388
to850209801313490
No9622098013170129
121130209801315498
The12682098013151111164
needles14542098013159112166226248301341
of1817209801315987
both19262098013161120153211
sutures2159209801314197131188220271311
are2492209801315082133
cut26472098013149107140
and28092098013150108167
both8502248013160117148204
ends10732248013152108166204
of1295224801315885
the1398224801313490141
self-anchoring1558224801314091113140169216272319375431462483539596
sutures2173224801314095127183213263302
are2493224801314979129
still264022480131417495116136
tied2795224801313354105163
Comment10002393013564125217310366429467
on14862393013562124
the16292393013539101157
technique:1805239301353994144206268296359421477502
The23282398013151111163
methodol‑25122398013189142175233291351409432465
ogy8502548013159119167
has10412548013159107147
been12112548013161115169227
used1461254801315998151211
for1696254801312886118
over18372548013158107158190
1020502548013154101
years21742548013149101149180221
in2418254801312381
more25222548013190149181232
than2777254801313492141199
2,000850269801315370123177232
cases1101269801314998137189229
with13502698013178100133190
satisfactory1560269801314190122143182211261309344399431482
functional2061269801312987144192227249306364412433
results,2514269801313283123178200233274292
but28252698013161118151
the850284801313492145
results1016284801313384125181203236278
have13152848013159108156207
not15442848013158117149
been17142848013161115169227
analysed19622848013150108156179227267320381
in2364284801312380
a24662848013149
high2537284801315980139197
qual‑27552848013160117166188221
ity850299801312356108
study990299801314175133193241
We12762998013191141
do14492998013160118
not15992998013159117150
routinely1781299801313289147180202260313336384
perform21972998013160114146178235267357
posterior25862998013161120160195246277300358390
reconstruction,850314801313282130185242280314345402449484505562619636
this1505314801313390111149
is1673314801312360
also1752314801315071109166
a19373148013149
given2005314801315980128178235
historically,2259314801315879117150205236258305353375395442454
when27333148013178135187243
we8503298013180133
did1015329801316083142
not11903298013159118151
perform13733298013161116148180238270361
it1766329801312357
even18563298013153103155213
in2102329801312381
open22163298013159119174232
procedures2481329801316194151201252313370402454495
and8503448013151111172
we10563448013181135
did1225344801316184145
not14043448013160120154
have15923448013160111160213
more18393448013192153186239
frequent2112344801312964117179238293353386
complica‑25323448013150108200261286308358409444
tions850359801313456114172212
of1084359801315987
urinary1194359801315990112170219250302
continence15193598013149105163195217275328385434485
We20443598013190140
perform22073598013161115146178235267357
posterior25873598013161120160194245277299357389
supportive850374801314197157217276308345367417468
reconstruction1339374801313284133189248287321353411460496518576634
only19943748013158117139187
very22013748013150102133185
exceptionally24063748013154101148199259291313371430478501522570
when8503898013179138191249
there1126389801313492145176228
is1380389801312362
a14693898013150
large1546389801312372103161214
spacer17873898013141100150198249281
defect20943898013160113141193243279
after2400389801315077115166197
removal2624389801313384173232280330352
of850404801315988
the971404801313594148
prostate,1152404801316194151192227278311363380
and15654048013150109170
in1768404801312381
this1882404801313594116156
case20714048013150100141195
our22994048013159118150
intention2482404801312382114166225257280339398
is2913404801312463
to320389801313490
reduce332289801313384145202250301
the365389801313492145
tension382789801313485143183204262320
of417789801315886
the429389801313492145
subsequent446889801314197157197250310367420478510
anasto‑5007898013150108157196231287322
mosis32031048013190148188210249
We35001048013191141
perform36701048013160114146178235267357
the4056104801313492145
actual4230104801315099135193242264
interruption4523104801312380112163195227285345378400457516
of5068104801315887
the5184104801313492145
urethra3203119801315890141174232264313
at3544119801315082
the3653119801313492145
apex38261198013150109163211
of4064119801315987
the4179119801313492145
prostate4351119801316193149189224274306357
with47351198013180102135193
an49561198013150108
effort5091119801315382112169201238
to3203134801313490
preserve3315134801316193145185238269322374
the3712134801313492145
puboprostatic38791348013161119179238298330386426461511543565613
ligaments4515134801312344103152241294352384426
as4963134801315090
much50751348013190147196254
as3203149801315089
possible,33121498013161120160199220279302355371
especially3704149801315393152205255276324346368415
their4140149801313391144166197
distal4357149801315981120154203225
fibres,4603149801312653112143195235253
which48761498013179138159207265
also5161149801315072110168
go32031648013160118
into3346164801312380112168
the3539164801313492145
external37091648013153101137188220278327349
bundle40831648013161119177236258311
By44361648013156104
subsequently4565164801314197157197250310367420478510532580
tak‑5170164801313484129159
ing3203179801312381140
this3373179801313492114153
area3556179801315082133181
into3767179801312381113169
a39661798013150
suture,4046179801314198131189220272289
we43651798013179131
carry4527179801314999130162214
out47711798013159117150
a49521798013149
certain50321798013149100131168218240297
reconstruction3203194801313284133189247287321353411460496518575634
of3857194801315987
the3964194801313492145
suspension4130194801314197136195249307346367425484
apparatus46341948013150109169219250300332390429
in5084194801312380
the5185194801313491144
neck32032098013159113163209
of3444209801315988
the3565209801313492146
bladder3744209801316184133193253307339
and41152098013151109169
there4316209801313593147179231
is4579209801312363
no46742098013160119
decrease48252098013160114164196248296336390
in5248209801312381
this3203224801313492114153
area3376224801315082133181
We35972248013190140
consider37582248013149105163203224283336367
this4146224801313492114153
front-upper4319224801312962119177209238297356417471502
reconstruc‑4842224801313284133189248287322353412460487
tion3203239801313558117177
to3414239801313492
be35392398013162118
more36902398013192152185238
physiological39622398013162122170211234293317377439461511562586
than4581239801313594145204
performing48182398013162118151184242276368391450511
a32032548013151
routine3287254801313391150184207266320
posterior36412548013161122163198251283306365398
support40722548013142100161222283316354
reconstruction4459254801313386136194253294329362421471508531590650
Our51622548013175135167
functional3203269801312990150200238261321381431455
results,3691269801313487129187210244288307
including4032269801312383133156215276299359420
economic44862698013154106163224284376399449
aspects,4969269801315192153209260298341360
have32032848013158106152203
not34252848013159116147
forced3591284801312985116162211270
us3881284801315796
to3996284801313388
change41042848013148104152209267319
our44422848013158114145
strategy4606284801314174105154185235294342
for4967284801312884115
more51022848013189146177227
than3203299801313492141199
1034262998013153100
years35512998013148100148179220
Conclusion:33533143013566128192243272336383411475539565
The39513148013152114168
video4153314801315074135189250
presents4436314801316295148190244304337380
one48493148013160120175
of5057314801316089
the5180314801313494149
possible32033298013162124166207230291316371
variants36083298013151103135159209269303346
of3988329801316090
urethrovesical4112329801316093147181241274333383437479501552603627
anastomosis47733298013151111162203239298390451493515556
during32033448013160117148171228288
robotic-assisted3515344801313289149208241263311338387426466487526561612672
radical4211344801313383142164212262284
prostatectomy4519344801316193149189224274306357406442498588634
KEY32043734014770134206
WORDS343737340147105189260345408
Prostate3203389801315584140179213261293343
cancer,3565389801314997154202252282295
prostatectomy3879389801316192147186220269300350399434489577623
robot,4521389801313288147205237255
uretrovesical4795389801315889139171202258305356395416463512534
anastomosis32034048013150108156196231287376435475496535
LITERATURA852448401475992157220291371428510580661
1.850464601335672
Doležel9414646013373133158212258312337
J,1297464601334061
Tvarůžek1377464601335498150185244290344394
J,1790464601334061
Staník1870464601335387139198223275
M,21644646013387110
et2293464601335591
al.240246460133537899
Časné25214648013162111150206258
zkušenosti2799464801314489146184236293350390423445
s32634648013141
roboticky3323464801313288147205237259306350401
asistovanou3743464801315089110148181236284333390447504
laparoskopickou4266464801312371130179209265304348404463485532577633690
radikální4975464801313281140161205255277333354
prostatektomií850479801316193149189224273306357402439495585606628
–15024798013155
prvních1581479801316193146205226274332
1531937479801315499148
pacientů21104798013160110159181233291323380
Ces25314798013163114154
Urol2710479801316899156179
2009;29314798013154106161214232
13(2):3187479801315499125176202219
168–7734304798013154100154211258310
2.850494601335679
Broďák952494601335995155218270321
M,12954946013389113
Košina14304946013360118161186246298
J,1751494601334062
Balík18354946013360113138163216
M,20734946013389113
et2208494601335592
al.2322494601335379101
První2447494801315586139198219
zkušenosti2689494801314591149188241299357397432454
s31664948013141
novým32304948013159117166218308
jednostranně3561494801312476137194253293327359409467524577
ostnatým4161494801315999133192240273324414
stehem4598494801314176127185238327
V-Loc4948494801315687137194243
při5215494801316092115
laparoskopické850509801312372131181213269309354411471494542587639
radikální1513509801313382142164209260282339361
prostatektomii1898509801316193149189224274306357402439495585607628
Ces25695098013163114154
Urol27475098013169100156179
2012;29695098013153105153197215
16(3):32085098013153100128179204220
157–623452509801315499149198255305
3.850524601335678
Novák9515246013373133185237288
K,1263524601335985
Macek13715246013388141190244295
P,1689524601335968
Vraný1780524601336295148209258
M,20615246013389113
et2197524601335591
al.2312524601335378100
Endoskopická24375248013151109168226266311368428451499544595
extraperitoneální30565248013153101138169219279333364387420476535588636658716737
radikální3817524801313383142164209260282339361
prostatektomie4202524801316193149189224274306357402439495585607659
a48855248013150
její495952480131247698120
kom‑51035248013146103193226
plikace850539801316184105150201250301
–11755398013155
vlastní1254539801315073121161196254276
zkušenosti1554539801314490148187240298356396431453
z20315398013144
prvních2100539801316092145204226274331
30024565398013153105160
operací26415398013158118172204254302324
Ces30085398013162113154
Urol3186539801316899156179
2014;34075398013154106153200216
18(2):36475398013154101129180206223
119–273894539801315394139196244293
4.850554601335779
Student960554601335488148210265326361
V13525546013362
Jr,144555460133417693
Vidlar1570554601336188149175227263
A,1864554601336792
Grepl19875546013371107162224250
M,22685546013389113
et2412554601335592
al.2535554601335378101
Advanced26685548013164123172222280329380440
Reconstruction31405548013156109159215273313347379438486523545602661
of3833554801315987
Vesicourethral39525548013156106146168216272330361413446504536586608
Support45925548013151108168228287319356
(ARVUS)4981554801312992146202272319347
during8505698013159116147169226284
Robot-assisted11545698013155113172231263291339378417438477511561620
Radical17945698013155104163184232281303
Prostatectomy:2117569801315484140180214263294345393429484573619638
One-year27745698013174132184218266317365395
Functional31895698013151105162210246267324382430452
Outcomes36615698013173131164209265353406445
in4126569801312380
a42265698013149
Two-group42955698013151121178213274304360418476
Randomised47915698013155104161220277366387426478538
Controlled8505848013163119177209241297320342395455
Trial132958480131527699147169
Eur15415848013151106138
Urol1703584801316899156179
2017;19245848013154106153197210
71(5):21585848013154103124175201218
822–83024005848013154105157209264316368
5.850599601335778
Hora9605996013372133169223
M,12145996013390114
Stránský1359599601335590125179240283334390
P,1780599601335969
Ürge18805996013372107169224
T,2136599601335571
et2239599601335592
al.2363599601335379102
Laparoskopická24985998013150101161212243301341386444505528577622674
extraperitoneální32045998013154102139171222282337369391425482541595643666724746
radikální3982599801313384144166212263286344366
prostatektomie4380599801316194151191226276309361407444501591613666
nervy50795998013159113145198251
šetřící850614801314194127159181229251
–11256148013155
video1204614801315072132184243
Ces14896148013163114154
Urol16676148013169100156179
2017;18896148013154105153197210
21(4):21236148013153101122171197213
268–7123606148013154105159215263311
6.850629601335678
Hoření9476296013371131166220279304
E,1270629601335476
Čermák13656296013363115151241293343
M,17276296013388111
Chmelík18576296013363122212267292316369
F,2245629601335364
et2328629601335591
al.243862960133527799
Extraperitoneální2557629801315199135167216274328359381413469526579626648704726
robotická3302629801313288148206238259307351402
radikální3723629801313282140162206256278334356
prostatektomie4098629801316092148187221270301352397433488577598650
s47676298013141
bilaterálním4828629801316082103151183233264313335391413500
šetřením850644801314194127159210268289378
nervově‑cévních12526448013159112144197254302354388439490539598619667725
svazků2001644801314192141186232290
Ces23326448013163114154
Urol25106448013169100156179
2018;27326448013154105153199216
22(2):29736448013153106131182208225
84–632226448013154109166223
7.850659601335667
Hora9356596013371131166218
M,11716596013388111
Ferda13016596013353105140200252
J,1571659601334061
Pivovarčíková1651659601335781132190241292327374398450507558610
K,2279659601335984
et2382659601335490
al.249165960133527798
Dorzální26096598013170128159205254276332353
protuberance2982659801316091146178235293346377425482530580
pubické35816598013160117175197245289339
symfýzy3940659801314089177204256302352
jako4312659801312370115171
překážka4502659801316091141186236279324374
provedení4895659801316092147194245304356413434
radikální850674801313282142164209260282339361
prostatektomie1235674801316193149189224273306357402439495585607659
Ces19356748013163114154
Urol21136748013169100157180
2021;23356748013154105155202213
25(2):25726748013153106132183209226
137–92822674801315498147195248