Radical retropubic prostatectomy. Improved anastomosis and urinary continence

P. C. Walsh, D. M. Quinlan, R. A. Morton, M. S. Steiner

Research output: Contribution to journalArticlepeer-review

Abstract

The striated urethral sphincter is the predominant muscular structure divided posteriorly during the apical dissection in radical prostatectomy. The authors have long realized the value of this maneuver in obtaining excellent apical surgical margins and in identifying the correct plane on the anterior surface of the rectum. Recently, they also have recognized the importance of incorporating this musculature into the vesicourethral anastomosis to fix the bladder neck and thus re-establish anatomic continuity. Identification of the striated urethral sphincter ranks in importance with elucidation of the anatomy of the dorsal vein complex and the anatomic identification of the neurovascular bundle in improving the patient's quality of life postoperatively.

Original languageEnglish (US)
Pages (from-to)679-684
Number of pages6
JournalUrologic Clinics of North America
Volume17
Issue number3
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Urology

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