Abstract
The approach to the bladder neck (BN) is the first critical step of antegrade laparoscopic radical prostatectomy. Its identification can be difficult in some cases, and a mistake at this point of the surgery can compromise the rest of the operation, influencing the next steps of dissection as well as the anastomosis.
References
Poore RE, McCullough DL, Jarow JP. Puboprostatic ligament sparing improves urinary continence after radical retropubic prostatectomy. Urology. 1998;51:67–72.
Ahlering TE, Eichel L, Edwards RA, Lee DI, Skarecky DW. Robotic radical prostatectomy: a technique to reduce pT2 positive margins. Urology. 2004;64:1224–8.
Deliveliotis C, Protogerou V, Alargof E, Varkarakis J. Radical prostatectomy: bladder neck preservation and puboprostatic ligament sparing: effects on continence and positive margins. Urology. 2002;60:855–8.
Katz R, Salomon L, Hoznek A, de la Taille A, Antiphon P, Abbou CC. Positive surgical margins in laparoscopic radical prostatectomy: the impact of apical dissection, bladder neck remodelling and nerve preservation. J Urol. 2003;169:2049–52.
Walsh PC, Retik AB, Darracott Vaughan E, Wein AJ. Campbell’s urology. 8th ed. St. Louis: Elesevier; 2003. Chap. 2.
Secin FP, Karanikolas N, Gopalan A, Bianco FJ, Shayegan B, Touijer K, Olgac S, Myers RP, Dalbagni G, Guillonneau B. The anterior layer of Denonvilliers’ fascia: a common misconception in the laparoscopic prostatectomy literature. J Urol. 2007;177:521–5.
Stolzenburg JU, Schwalenberg T, Horn LC, Neuhaus J, Constantinides C, Liatsikos EN. Anatomical landmarks of radical prostatectomy. Eur Urol. 2007;51:629–39.
Wimpissinger TF, Tschabitscher M, Feichtinger H, Stackl W. Surgical anatomy of the puboprostatic complex with special reference to radical perineal prostatectomy. BJU Int. 2003;92:681–4.
Young HH. The cure of cancer of the prostate by radical perineal prostatectomy (prostato-seminal vesiculectomy): history, literature and statistics of Young’s operation. J Urol. 1945;53:188–256.
Steiner MS. The puboprostatic ligament and the male urethral suspensory mechanism: an anatomic study. Urology. 1994;44:530–4.
Albers DD, Faulkner KK, Cheatham WN, Elledge EF, Coalson RE. Surgical anatomy of the pubovesical (puboprostatic) ligaments. J Urol. 1973;109:388–92.
Myers RP. Detrusor apron, associated vascular plexus, and avascular plane: relevance to radical retropubic prostatectomy – anatomic and surgical commentary. Urology. 2002;59:472–9.
Rassweiler J, Schulze M, Teber D, Seemann O, Frede T. Laparoscopic radical prostatectomy: functional and oncological outcomes. Curr Opin Urol. 2004;14:75–82.
Young HH. The radical cure of cancer of the prostate. Surg Gynecol Obstet. 1937;64:472–84.
Presti JC Jr, Schmidt RA, Narayan PA, Carroll PR, Tanagho EA. Pathophysiology of urinary incontinence after radical prostatectomy. J Urol. 1990;143:975–8.
Hoznek A, Antiphon P, Borkowski T, Gettman MT, Katz R, Salomon L, et al. Assessment of surgical technique and perioperative morbidity associated with extraperitoneal versus transperitoneal laparoscopic radical prostatectomy. Urology. 2003;61:617–22.
Rassweiler J, Sentker L, Seemann O, Hatzinger M, Rumpelt HJ. Laparoscopic radical prostatectomy with the Heilbronn technique: an analysis of the first 180 cases. J Urol. 2001;166:2101–8.
Stolzenburg JU, Liatsikos EN, Rabenalt R, Do M, Sakelaropoulos G, Horn LC, Truss MC. Nerve sparing endoscopic extraperitoneal radical prostatectomy: effect of puboprostatic ligament preservation on early continence and positive margins. Eur Urol. 2006;49:103–12.
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Piechaud, T., Annino, F. (2018). Bladder Neck Dissection During Robotic Radical Prostatectomy. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-65864-3_27
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