Improving bladder neck division in radical retropubic prostatectomy by prior dissection of the seminal vesicles and vasa deferentia

Objective: To develop a convenient technique for dividing the bladder neck during radical retropubic prostatectomy. Method: Before opening the bladder , we created a plane that separates the anterior surface of the seminal ves icles from the posterior wall of the bladder and ran an umbilical tape thro ugh the plane. The posterior bladder neck wall was later divided using this tape as a guide mark. Results and Conclusion: The posterior bladder neck w as divided in a single, easy, and swift maneuver (less than 2 min) in 350 p atients with no subsequent complications.