Open Cystoprostatectomy
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Open Cystoprostatectomy

The Open Cystoprostatectomy course will teach you:

  • To remove the bladder together with the prostate, seminal vesicles and regional lymph nodes, in order to resect all cancer-bearing tissue from the pelvis

Special attention is paid to the following hazards you may encounter during the Open Cystoprostatectomy:

  • Injury to branches of the genitofemoral nerve
  • Frozen section for pathologic examination of distal end of the ureter
  • Prostate injury
  • Cavernous nerve injury
  • Rectum perforation
  • Hypogastric nerve injury
  • Poorly vascularized ileum
  • Adequate diameter of opening in ileum for ureter

With the following tips you might perform the Open Cystoprostatectomy even better:

  • Insertion of rectum canule to facilitate identification of the plane between the rectum and prostate
  • Blunt and sharp dissection of rectus abdominis muscle
  • Nodal package development
  • Usage of catheter for manipulation
  • Usage of transillumination to identify mesenteric vasculature
  • Placement of splint catheters in sterile glove

After studying the Open Cystoprostatectomy  course you are familiar with the most common complications:

  • Rectum perforation
  • Leakage and/or stenosis of ureteroileal anastomosis
  • Ileal anastomotic leakage
  • Erectile dysfunction
  • Acidosis and Vitamine B12 deficiency

You might also be interested in:

Transurethral Resection of the Prostate (TURP)

Step by step

Preparation

Patient positioning

The patient is placed in a supine position. Position can be modified to a lithotomy position if urethrectomy is indicated.

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