Surgical anatomy of periprostatic fasciae

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Surgical anatomy of periprostatic fasciae

• Arnauld VILLERS
• Department of Urology
• Lille-France

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Lille II University Hospital
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Anatomy a difficult science

• A book Chapter was written on this surgical
  anatomy together with Bob Myers and I
• Textbook Kirby, R, Partin, A, Feneley, M,
  Parsons, JK (eds) Prostate Cancer Principles
  and Practic
• Title Anatomic Considerations in Radical
  Prostatectomy
• Authors Robert P. Myers and Arnauld Villers

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RP specimen prostate is surrounded by
periprostatic fascia
Anterior aspect
Posterior aspect
base
base
sv
PSVF
bn
LPF
apex
apex
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RP specimen PSVF is separated in vitro from
glandular prostate tissue on right side
SV
Intact PSVF covering PZ and SV
Glandular PZ with stromal Pseudo-capsule teared
of
apex
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RP specimen PSVF is separated from glandular
prostate tissue on left side
PSVF separated from prostate during apical
dissection and Inter prostato rectal plane
developement
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PSVF separated from glandular right SV and base
side
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PZ cancer, stromal capsule, periprostatic fasciae
Fat
C
Visceral fascia (lateral)
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RP specimen Thin layer of visceral Fascia left
on the prostatic Pseudo capsule