Thus, the urethra is severed from the prostate. Dissecting the anterior surface of the prostate. Downward traction on the straight prostatic tractor identifies the anterior surface of the prostate. Anterior attachments on the prostate such as the pubo-prostatic ligaments are identified and can be transected, cauterized, or ligated. Stay close to the prostate during the maneuver to stay away from the dorsal venous complex.
Dissection is carried anteriorly until the prostato-vesicle junction is reached.
Continue blunt dissection with the peanut dissector around the anterior and lateral surface of the junction to delineate the limits of the prostate and the bladder neck. Step X. Placing Penrose for retraction purposes. After the prostato-vesicle junction is identified, the prostatic retractor is rotated so that the blades can be palpated at the anterior bladder neck. A number 15 or 11 knife blade on a long handle is used to make a small incision in the anterior bladder neck over the blade of the straight prostatic tractor. The straight tractor is closed and removed.