Specific Measures Taken To Prevent Complications

The transverse cystotomy incision should not be extended onto the prostate capsule, but must remain limited to the bladder wall exclusively. The adequate plane for incision may be identified by laparoscopic sense of touch over the surface of the prostate and the bladder using a laparoscopic forceps to appreciate the different consistency of the two tissues; the edge of the prostate is easily recognized moving the catheter inside the lumen of the prostatic urethra and the bladder.

Special attention should be directed to avoid any comprise of the ureteral orifices. Any source of bleeding in the prostate bed should be definitively controlled with the J-hook, the harmonic scalpel, or a hemostatic stitch.

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