| 1) Incision of the Endoplevic Fascia
The bladder is moved to expose the prostate. Fat overlying the prostate is removed and the tissue planes attached to it on either side are released (endoplevic fascia). This layer resides above the nerves that control erections and possibly urinary continence (neurovascular bundles).
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| 2) Suture Ligation of the Dorsal Venous Complex
The dorsal venous complex (large venous drainage vessels) above the prostate is ligated with a suture to allow for later incision to access the prostate.
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| 3) Division of anterior bladder neck.
Starting to separate bladder from prostate anteriorly.
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| 4) Division of posterior bladder neck.
Foley cetheter is used to retract prostate upward and then the posterior bladder neck is seperated from prostate.
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| 5) Dissection of the vas deferens and seminal vesicles.
Once the posterior bladder is separated from the prostate, the vas deferens and seminal vesicles are identified and dissected superiorly.
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| 6) Posterior dissection to separate rectum from prostate.
The plane between rectum and prostate posteriorly is developed.
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