Perineal Prostatectomy
Objective
In case of:
• Malignancy of prostate
• Excision of the prostate gland through the perineum.
Procedures
1. Curvilinear incision is made in the perineum.
2. For malignancy the entire gland, its capsule, the seminal vesicle, and distal portion of the vasa are excised.
3. Care is taken to avoid injury to the rectum.
4. A urethrovesical anastomosis is performed after a transurethral Foley catheter is placed.
5. The wound is drained and the incision is closed.
Instruments
• General set
• Hemoclip appliers (assorted) (Fig. 11.11)
• Perineal prostatectomy retractors; lateral, anterior, bifurcated (e.g. Young) (Fig. 11.15).
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