title: Facilitated radical perineal prostatectomy with the Brooke Bookwalter retractor blade.
abstract: With the resurgent interest in radical perineal prostatectomy, a variety of enhancements have been made to the procedure. We describe herein the use of a retractor blade that allows full mobilization of the seminal vesicles and vasa prior to prostatic apical dissection, thus facilitating bladder neck-sparing radical prostatectomy. This retractor system dramatically improves visualization of the seminal vesicles and prostatic pedicles, allowing a single surgeon to perform this procedure easily.
authors.affiliation: Department of Surgery, Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas 78234-6200, USA.
authors.forename: I M
authors.initials: IM
authors.lastname: Thompson
authors.forename: T A
authors.initials: TA
authors.lastname: Rozanski
authors.forename: J P
authors.initials: JP
authors.lastname: Foley
authors.forename: M
authors.initials: M
authors.lastname: Harris
mesh_terms: D006801:Humans; D008297:Male; D010502:Perineum; D011468:Prostatectomy / Q000295:instrumentation* / Q000379:methods