The Endo GIA stapler in the paravaginal dissection during radical cystectomy

INTRODUCTION: The articulated Endo GIA stapler has proven itself as an important addition to the technical armamentarium of radical cystectomy (RC) [1]. RC in female patients is technically more challenging than in males, especially when improved functional results and life quality issues, such as vaginal preservation and nerve sparing, are pursued. Additionally, the use of the endo stapler reduces bleeding in female cystectomy [1]. MATERIAL AND METHODS: Using the Endo GIA stapler, we performed the lateral vaginal dissection during RC (radical cystectomy) in 7 female patients with minimal blood loss and very good functional results. We were able to prevent vaginal tethering and preserve enough vaginal tissue for reconstruction over a 10 or 20 cc syringe. CONCLUSIONS: The articulated Endo GIA is a versatile and safe tool used to perform the often technically demanding lateral vaginal dissection during RC in female patients.