title: A technique for the management of a large median lobe in robot-assisted laparoscopic radical prostatectomy.
abstract: An enlarged median lobe is encountered 8% to 18% of the time during robot-assisted laparoscopic prostatectomy. A large intravesical lobe can obscure the anatomy of the bladder neck and generate a large bladder neck, necessitating reconstruction. In addition, it may increase the likelihood of ureteral injury, positive surgical margin, and residual prostate tissue. When encountering this anatomic variant, a clear surgical plan is required. We describe our approach to the large median lobe and highlight a specific technique that may be beneficial in managing this anatomic variant.
authors.affiliation: Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53792-7375, USA.
authors.forename: Sutchin R
authors.initials: SR
authors.lastname: Patel
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Kaplon
authors.forename: David
authors.initials: D
authors.lastname: Jarrard
mesh_terms: D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011467:Prostate / Q000473:pathology* / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D012371:Robotics / Q000379:methods*; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery