URJUrologia Journal0391-56031724-6075SAGE PublicationsSage UK: London, England10.1177/0391560321100116810.1177_03915603211001168Original ArticlesEndourologyTrans-urethral bladder suture in female patients: Not a tour de force but a quick and realistic answer to complex situationshttps://orcid.org/0000-0003-0440-2720GeorgiadesFanourios12KouriefsChryssanthos13MakanjuolaJonathan4https://orcid.org/0000-0002-2884-5772GrangePhilippe4Urology Department, Ygia Polyclinic Hospital, Limassol, CyprusCambridge University Hospitals NHS Foundation Trust, Cambridge, UKSt George’s, University of London at the University of Nicosia, Nicosia, CyprusUrology Department, Kings College Hospital NHS Foundation Trust, London, UKFanourios Georgiades, Department of Surgery, Cambridge University Hospitals NHS Foundation Trust, Level 9E, Addenbrooke’s Hospital, Hills Road, Cambridge CB2 0QQ, UK. Email: fanourios.georgiades@nhs.net16320218922312348720201622021© The Author(s) 20212021SAGE Publicationshttps://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).Introduction:

Trans-urethral bladder surgery has gained popularity in the fields of electro-resection and laser lithotripsy, with endoscopic suturing being overlooked. Bladder defect closure using a pure trans-urethral suturing technique can provide a quick and effective solution in situations where conventional management options are not feasible.

Methods:

Here we describe this innovative novel technique developed by our group that was used to treat two different cases with bladder perforation at two different institutions. We used a 5 mm laparoscopic port with gas insufflation and a laparoscopic needle holder trans-urethrally to achieve defect closure with a monofilament 2/0 monocryl mattress suture on a small 22 mm needle.

Results:

The defects were successfully closed without any intraoperative complications. Average operative time for the technique was 18 min with minimal blood loss. Bladder closure was sustained at a median follow-up of 2 years for one of these cases.

Conclusions:

We claim that transurethral bladder suturing is quick, safe in expert hands and provides an effective option where the clinical condition/situation of the patient warrants a minimally invasive surgery approach.

Trans-urethral bladder surgeryendoscopic surgerycystorrhaphytransurethral bladder suturetypesetterts1