Anatomic radical cystoprostatectomy

Abstract

Radical cystoprostatectomy is considered one of the most difficult urologic operations. The nerve-sparing modifications that have allowed preservation of potency have resulted from an improved understanding of pelvic anatomy. This knowledge is not only important for preservation of potency; it also allows the entire operation to be done more precisely with increased exposure and decreased perioperative morbidity. Although many of the steps described above may seem routine to the urologist who does this operation frequently, we hope that this step-by-step guide proves useful to the practicing urologist who does only a few each year and to the resident who is learning the procedure.