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Once the bladder neck has been incised anteriorly,
the Foley catheter is deflated and used for traction.
The plane between the bladder neck and seminal
vesicles is easily identified because the lateral pedicles have already been divided.
This plane is developed and the bladder neck is divided on the anterior
surface of the seminal vesicles. An Alice clamp is
placed on the posterior bladder neck exposing the
vasa deferens in the midline. The vasa deferens are
clipped and divided. Next the seminal vesicles are
mobilized, arterial branches are clipped and divided,
and the specimen is removed.
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