Step 7 Incision of the Anterior Surface of the Prostate

This is performed at least 5 mm distal to the bladder neck to ensure adequate surgical margins. This incision is completed posteriorly in order to allow the bladder to be separated completely. It is important to perform this incision along the prostatic adenoma, making sure that the bladder neck is completely resected (Fig. 3).

FIGURE3 ■ Prostate capsule after simple prostatectomy performed laparoscopically; it is cut 5 mm below the bladder neck. This allows the prostate capsule to be spared with the seminal vesicles and vas deferens, without controlling the deep dorsal vein plexus. Lateral view, the dotted line shows the resection area.

FIGURE3 ■ Prostate capsule after simple prostatectomy performed laparoscopically; it is cut 5 mm below the bladder neck. This allows the prostate capsule to be spared with the seminal vesicles and vas deferens, without controlling the deep dorsal vein plexus. Lateral view, the dotted line shows the resection area.

FIGURE 4 ■ Transverse view. The prostate capsule after the simple prostatectomy performed laparoscopically; it is cut below the bladder neck. This allows the preservation of the neurovascular bundles.
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