Surgical anatomy of the prostate

Abstract

This chapter on prostate surgical anatomy for radical prostatectomy describes anatomic points and practical surgical options of fascial dissection. Clear understanding of the periprostatic fascia helps in identifying the correct planes of surgical dissection and in communication between surgeons. Results are related to the identification of the multilayered prostatic fascia (PF), which permits definition of dissection planes for complete oncologic excision of the prostate and preservation of both the external urinary sphincter responsible for urinary continence and the autonomic nerves responsible for erectile function and urinary control.