Abstract Purpose We describe a new method of using a Foley catheter to assist vesicourethral anastomosis during radical retropubic prostatectomy. Materials and Methods A total of 81 patients underwent radical retropubic prostatectomy with this technique. Followup ranged from 4 to 48 months. Peri-catheter urethrograms were performed at 3 weeks. Patients were evaluated specifically for bladder neck contracture, urinary continence and prolonged catheterization. Results Bladder neck contracture occurred in 4.9 percent of the patients and 87.6 percent were completely continent of urine. Only 1 patient required extended postoperative catheterization. Conclusions Use of a Foley catheter for vesicourethral anastomosis is consistent and simple, and provided good surgical results in our experience.