A modification of the Young procedure for radical perineal prostatectomy

A modification of the Young procedure for total perineal prostatectomy is described herein. The modification consists of an anterior and posterior paraurethral mattress suture that approximates the distal urethra and the bladder neck without constricting or interfering with the function of the sphincter muscle. None of the 55 patients with early prostatic carcinoma who have undergone this procedure has had incontinence.