{
    "abstract": "Benign prostatic hyperplasia (BPH) affects a significant proportion of aging males, often requiring surgical intervention when conservative treatments fail.\nThis case report details the management of a 58-year-old male with severe lower urinary tract symptoms and a markedly enlarged prostate, presenting with bladder stones and persistent obstruction despite medication. The patient underwent an open simple prostatectomy but developed bladder neck contracture and recurrent urinary retention, necessitating a suprapubic cystostomy. Following this, a robotic-assisted approach was chosen to address the complex contracture. The surgical strategy involved a vertical posterior bladder incision, after guide wire was visualized a bladder stone was removed, resection of inflammatory tissue, and a novel 360-degree running suture with 3-0 thread for bladder neck reconstruction. This approach was followed by closure with a double-layer running suture using 3-0 V-Lock material. The patient showed significant improvement in urinary flow and symptom resolution postoperatively, with no residual contracture detected on follow-up imaging.\nThis report highlights the effectiveness of the robotic-assisted technique and the innovative use of the 360-degree running suture for managing challenging bladder neck contractures, marking a novel application in surgical practice.",
    "authors": [
        {
            "affiliation": "Nossa Senhora da Concei\u00e7\u00e3o Hospital, Porto Alegre, Brazil.\nMoinhos de Vento Hospital, Porto Alegre, Brazil.",
            "firstname": "Daniel Melecchi",
            "initials": "DM",
            "lastname": "de Oliveira Freitas"
        },
        {
            "affiliation": "Nossa Senhora da Concei\u00e7\u00e3o Hospital, Porto Alegre, Brazil.\nMoinhos de Vento Hospital, Porto Alegre, Brazil.",
            "firstname": "Vagner Menegotto",
            "initials": "VM",
            "lastname": "Comin"
        },
        {
            "affiliation": "Nossa Senhora da Concei\u00e7\u00e3o Hospital, Porto Alegre, Brazil.",
            "firstname": "Eduardo",
            "initials": "E",
            "lastname": "Rodrigues"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 by SLS, Society of Laparoscopic & Robotic Surgeons.",
    "doi": "10.4293/CRSLS.2024.00041",
    "journal": "CRSLS : MIS case reports from SLS",
    "keywords": [
        "BPH",
        "Bladder neck contracture",
        "Robotic",
        "Simple prostatectomy"
    ],
    "methods": null,
    "publication_date": "2025-01-20",
    "pubmed_id": "39830602\n0\n16985902\n32333992\n38714780\n31619032\n31892653\n38506927",
    "results": null,
    "title": "360-Degree Running Suture Technique in Robotic-Assisted Surgery for Bladder Neck Contracture.",
    "xml": "<Element 'PubmedArticle' at 0x788504772b60>"
}