title: Simplified technique for improving exposure of the apical prostate during radical retropubic prostatectomy.
abstract: We describe a rapid and easily learned technique that greatly assists in exposure of the apical prostate during radical retropubic prostatectomy. The technique is a modification of the previously reported "bunching" maneuver. A curved Kocher clamp is used to compress the dorsal vein complex and surrounding fascia into a tight midline bundle. Once transected, dissection of the prostatomembranous urethra, neurovascular bundles, and apical prostate is markedly facilitated.
authors.affiliation: Department of Surgery, University of Arizona Health Sciences Center, Tucson.
authors.forename: J I
authors.initials: JI
authors.lastname: Miller
authors.forename: T R
authors.initials: TR
authors.lastname: Larson
mesh_terms: D003250:Constriction; D006801:Humans; D008297:Male; D011467:Prostate / Q000601:surgery*; D011468:Prostatectomy / Q000379:methods*