FIG. 2.

Bladder neck preservation technique using lateral bladder neck dissection. The picture shows the left side of the lateral bladder neck dissection. The lateral bladder neck dissection technique requires precise identification of the detrusor muscle fibers at the critical junction of the lateral bladder neck, prostate base, and the fat pad of Whitmore. Meticulous dissection is performed just medially to the fat pad of Whitmore encountering adipose tissue and the lateral border of the bladder neck while appreciating the ventrolateral and dorsal longitudinal muscles until the dissection reaches the prostate base and the anterior surface of the seminal vesicle.