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Updated: Aug 16, 2026

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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Technique of modern radical perineal prostatectomy
1Division of Urology, Marin General Hospital, San Rafael, California, USA.
Urology
|October 19, 2002
Abstract
Introduction:
The modern perineal approach to radical prostatectomy uses either nerve-sparing or extended radical modifications on each side. These modifications add optimal potency preservation and optimal cancer control to the benefits of a minimally invasive approach.
Technical Considerations:
Because of space constraints, this description emphasizes the anatomy and technique of the nerve-sparing and extended radical modifications.
Conclusions:
The modern perineal approach provides all the advantages of surgical removal of the cancerous prostate with the least morbidity.

