Section of the lateral pedicles

Prostate Nerve Bundles

The periprostatic fascia has two layers the outer layer, called levator fascia, and an inner layer, called prostatic fascia. The neurovascular bundles run between these two layers (Fig. 38.5). At this point they are in proximity with the Denonvillier's fascia. If nerve-sparing is to be undertaken, the two layers of Fig. 38.5. Nerve sparing. After incision of the levator fascia, the neurovascular bundle is released of the prostate. Fig. 38.5. Nerve sparing. After incision of the levator fascia,...

Theodor Billroth Prostatectomy 1867

The development of the perineal approach to the prostate may be traced back to the 'blind' perineal lithotomies performed to treat bladder stones through a median perineal incision as early as 400 BC. Theodor Billroth is credited with the first planned perineal prostatectomy for malignancy in 1867, when he enucleated a prostate cancer through a median perineal incision.7 Meanwhile, the origin of modern perineal prostatectomy for prostate cancer dates back to Hugh Hampton Young. In 1902 he...