SURGICAL ANATOMY OF THE PROSTATE & PELVIC FLOOR FOR THE PERFORMANCE OF RADICAL PROS­TATECTOMY & RADICAL CYSTECTOMY: CRITICAL POINTS FOR ACHIEVING THE TRIFECTA OF ONCOLOGIC SAFETY, URINARY CONTROL, AND ERECTILE FUNCTION


Authors: R. P. Myers
Authors‘ workplace: Mayo Clinic, Department of Urology, Rochester
Published in: Urol List 2009; 7(4): 16-19

Overview

Surgical anatomy of the prostate is very complex in part because prostates come in different sizes and shapes, and variable apical configuration that directly affects the ability to achieve a negative surgical margin, transect the urethra in such a way as to maximize functional residual urethral length for urinary continence, and the position of the traversing neurovascular bundles (Figure). The presence or absence of benign prostatic hyperplasia confounds the situation. Other confounding factors include abdominal obesity and adverse pelvimetry.

Key words:
prostate, surgical anatomy, radical prostatectomy, erectile function, urinary kontinence


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