An easy and safe approach to separating Denonvilliers' fascia from rectum during radical retropubic prostatectomy

Purpose: We describe a simple technique for excising Denonvilliers' fascia during nonnerve sparing radical retropubic prostatectomy. Materials and Methods: After incision of the perirectal fascia Denonvillier s' fascia is bluntly mobilized off of the rectum digitally and by using an aortic clamp. Results: This technique was used successfully in 200 consecutive cases of n onnerve sparing radical retropubic prostatectomy since 1994 with no rectal injuries. Conclusions: This procedure guarantees simple and complete excision of Deno nvilliers' fascia, which covers the posterior surface of the prostate durin g nonnerve sparing radical retropubic prostatectomy.