A hemostat is used to secure the Penrose drain. Foley catheter is then passed through this incision at the bladder neck. This foley passes into the bladder. Dissection is eventually carried around this coude' catheter and helps identify the bladder neck. Preservation of the integrity of the bladder neck.
Every effort is made to preserve the bladder neck.
Blunt and sharp dissection between the bladder neck and the prostate is begun, starting at the bladder neck and moving laterally. The lateral pedicles may be identifiable at this point and can be either tied or clipped. This maneuver further frees up the prostate from its attachment with the bladder. These maneuvers will better define the presence of the Foley catheter within the bladder neck. This dissection is then carried around the Foley catheter to expose the posterior bladder neck.