Revision sheet

Simple prostatectomy (Millin retropubic)

9 steps, each one the authored title and caption from the interactive animation, with the frame captured from that step. Read it before the case, or print it and work through the steps in order.

Teaching only, not for diagnosis or treatment decisions. The text on this sheet is the animation's own step copy, reproduced verbatim.

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UrOops3D · UroRef · © Nity G

  1. 01

    Who

    Simple prostatectomy (Millin retropubic). Step 1: Who. Captured frame from the interactive animation.
    • The gland over eighty or a hundred grams, the bladder with a stone or a diverticulum, the man the scope could not finish.
    • Laser enucleation does the same job through the urethra where it is available.
  2. 02

    Open retropubic, transvesical or robotic

    Simple prostatectomy (Millin retropubic). Step 2: Open retropubic, transvesical or robotic. Captured frame from the interactive animation.
    • Retropubic (Millin) through the capsule, the operation shown here; transvesical (Freyer) through the bladder for the big median lobe or the stone; robotic through either.
    • Cross-match, a catheter, and the warning about retrograde ejaculation and bleeding.
  3. 03

    Exposure and the dorsal venous complex

    Simple prostatectomy (Millin retropubic). Step 3: Exposure and the dorsal venous complex. Captured frame from the interactive animation.
    • Extraperitoneal, the fat swept off the anterior prostate and bladder neck, a self-retaining retractor set.
    • The dorsal venous complex stitched above and below the line of the capsulotomy first.
  4. 04

    The capsulotomy

    Simple prostatectomy (Millin retropubic). Step 4: The capsulotomy. Captured frame from the interactive animation.
    • Transverse, a centimetre below the bladder neck, through the capsule into the adenoma, the lips held on stay sutures.
    • The plane is found when the adenoma shows: pale, lobulated, distinct from the thin capsule around it.
  5. 05

    The enucleation plane

    Simple prostatectomy (Millin retropubic). Step 5: The enucleation plane. Captured frame from the interactive animation.
    • A finger in the plane, sweeping the adenoma off the capsule laterally and posteriorly, each lobe in turn.
    • Stay in the plane: outside it is the capsule and the venous plexus.
  6. 06

    The apex and the sphincter

    Simple prostatectomy (Millin retropubic). Step 6: The apex and the sphincter. Captured frame from the interactive animation.
    • At the apex the adenoma is pinched off the urethra, not torn: the sphincter lies just beyond.
    • The urethral mucosa divided sharply under vision and the adenoma delivered.
  7. 07

    Haemostasis and trigonisation

    Simple prostatectomy (Millin retropubic). Step 7: Haemostasis and trigonisation. Captured frame from the interactive animation.
    • The bed packed, then figure-of-eight sutures at five and seven o'clock at the neck where the arteries enter, and the posterior neck advanced into the bed so the fossa is covered and the neck does not contract.
  8. 08

    Capsule closure, catheter, drain

    Simple prostatectomy (Millin retropubic). Step 8: Capsule closure, catheter, drain. Captured frame from the interactive animation.
    • A three-way catheter with its balloon in the bladder, not the fossa; the capsule closed with a running suture over it; a drain in the retropubic space; irrigation started on the table.
  9. 09

    After

    Simple prostatectomy (Millin retropubic). Step 9: After. Captured frame from the interactive animation.
    • Irrigation until clear, the catheter five to seven days, the drain out when dry.
    • The stream is transformed; leakage settles over weeks; the neck watched for the contracture that comes to a few.

Derived from pelvis/SimpleProstatectomyScene.tsx at build time: every step title and caption above is the authored ProcedureDef text, reproduced verbatim, and this page shares its readable-points renderer with the animation itself. 9 of 9 steps have a captured frame.

Text fingerprint 3a762cbe49820a6a. A caption edit without a re-capture fails the production check, so the sheet and the animation cannot drift apart silently.