Division of Cranial Pedicles and Seminal Vesicle Dissection

Both lateral pedicles are divided stepwise starting to divide the superficial portions of pedicle and then the deeper portions using two or three lockable 10-mm Hem-O-Lok clips to secure it. In case of a nonnerve-sparing technique, the clips are placed proximally, while in the nerve-sparing technique they are placed close to the base of the prostate. After division of both proximal pedicles each vas deferens is transected. Finally, the seminal vesicles are completely isolated and divided after clipping their vasculature. In the nervesparing technique, the dissection of the tips of the seminal vesicles is performed carefully to avoid injuries in the neurovascular bundles. The specimen is then entrapped in the self-opening extraction bag.

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