Hemostatic agents and tissue sealants should not be viewed as a replacement for sound surgical judgment or technique but rather as complementary adjuncts to improve surgical outcome. Fibrin sealant offers an effective adjunct for hemostasis, reinforcement of urinary tract seal, and adhesion of tissue planes. Numerous reports in virtually all surgical disciplines have confirmed the reliable enhancement of wound healing promoted by fibrin sealant. Gelatin matrix thrombin solution provides exceptional hemostatic properties for complex surgical wounds, such as partial nephrectomy. Future development of novel biotherapeutic materials continue to provide urologists with safe, reliable agents for managing challenging urogenital injuries and complications.
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