Initial release of the lateral pelvic fascia.
Initial incision of the lateral pelvic fascia before division of the dorsal vein complex allows posterior displacement of the neurovascular bundles and development of the proper prostatorectal plane. This technique may decrease positive surgical margins while preserving the neurovascular bundles. This technique also completely preserves the posterior attachments to the urethra, allowing preservation of maximal urethral length.
Klein
E A
EA
Department of Urology, Cleveland Clinic Foundation, OH 44195, USA.
D000071938:Fasciotomy; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D010388:Pelvis / Q000033:anatomy & histology / Q000601:surgery*; D011467:Prostate / Q000098:blood supply / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D014521:Urethra / Q000601:surgery