Once the neurovascular bundles have been released
on both sides, the attachment of Denonvilliers'fascia
to the rectum is divided in the midline, maintaining
all layers of Denonvilliers'fascia on the prostate.
At this point, a prominent arterial branch running
from the neurovascular bundle to the posterior surface of the prostate is identified. By dividing this
posterior branch, the neurovascular bundle falls
posteriorly, reducing the chance for injury during
division of the lateral pedicies. The lateral pedicies
are next divided on the lateral surface of the seminal
vesicles without ligation. Obvious arterial bleeders
are simply controlled with hemoclips once the lateral pedicle has been completely divided.