Pelvic lymph node dissection · Prevention · D66
The nerve in the fossa
Allow about two minutes for two rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.
The scenario
- Extended pelvic node dissection during radical cystectomy.
- The external iliac packet is off.
What you see
- The obturator fossa is open.
- Fatty nodal tissue fills it.
- A flat, glistening white band runs through the packet from lateral to medial, and a vessel runs beside it.

Teaching only · not for diagnosis or treatment decisions