Robot-Assisted Radical Prostatectomy for Large Glands and Median Lobe
Large prostates and median lobes can present challenging scenarios during robotic-assisted radical prostatectomy. They may complicate the performance of the bladder neck dissection. Median lobes may obscure identification of ureteral orifices and increase risk of ureteral injury and obstruction during urethrovesical anastomosis. Large prostates decrease the working space within the deep pelvis and may require reconstruction of the bladder neck. In this chapter, we discuss the management of large prostates, median lobes, and methods to reconstruct the large bladder neck.
KeywordsLarge prostate Median lobe Bladder neck reconstruction Prostatectomy Ureteral orifices Urethrovesical anastomosis Tennis racket closure
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