Urology
Expert Perspectives
Personalizing Kidney Stone Treatment to Prevent Recurrence
With a prevention-first approach, Dr. Esteban Emiliani Sanz sees kidney stones as a window into patient health.
NYU Langone Health: A Leader in Urology
Ranked #2 (tied)
in Urology
Top 5
in NIH funding (Source: Blue Ridge)
Pioneers in MRI
to evaluate prostate cancer
Complex Case Spotlight
Four Steps in Shared Decision-Making for Prostate Cancer
Figure 3a. The Taneja ‘triangle’ dissection for antegrade nerve sparing. Prior to prostate pedicle division, the medial posterior base of the prostate is exposed between layers of Denonvillier’s fascia, thus establishing the interfascial nerve sparing plane (Figure 3a), adjusted according to level of concern for extraprostatic disease. The triangle is thus bordered by the prostate base ventrally, the neurovascular bundle and overlying fascia dorsally, and the prostate pedicle cranially (Figure 3b). Source: NYU Langone Health
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Figure 3b. The Taneja ‘triangle’ dissection for antegrade nerve sparing. Prior to prostate pedicle division, the medial posterior base of the prostate is exposed between layers of Denonvillier’s fascia, thus establishing the interfascial nerve sparing plane (Figure 3a), adjusted according to level of concern for extraprostatic disease. The triangle is thus bordered by the prostate base ventrally, the neurovascular bundle and overlying fascia dorsally, and the prostate pedicle cranially (Figure 3b). Source: NYU Langone Health
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Figure 4. The Taneja ‘triangle’ dissection for antegrade nerve sparing. The triangle is again bordered by the prostate base ventrally, the neurovascular bundle and overlying fascia dorsally, and the prostate pedicle cranially. Source: NYU Langone Health
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Figure 5. In preservation of the anterior fascia, the detrusor overlying the anterior bladder neck is scored to mark the edge of the anterior fascial ‘hood’, at a point well away from the gland. Source: NYU Langone Health
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Figure 6a. In creating the anterior fascial ‘hood’, the prostate is release from the preserved anterior and lateral fascia by incising detrusor fibers remaining on the fascial preservation. In doing so, the anterior prostate is demonstrated (Figure 6a) and the prostate is sequentially drawn out from underneath the hood until the apex is exposed (Figure 6b). Source: NYU Langone Health
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Figure 6b. In creating the anterior fascial ‘hood’, the prostate is release from the preserved anterior and lateral fascia by incising detrusor fibers remaining on the fascial preservation. In doing so, the anterior prostate is demonstrated (Figure 6a) and the prostate is sequentially drawn out from underneath the hood until the apex is exposed (Figure 6b). Source: NYU Langone Health
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Figure 7. Elongation of the urethra is made possible by wide release of the apex underlying the anterior fascial ‘hood’. Source: NYU Langone Health
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Figure 8. The urethral anastomosis, supported by posterior plication, sits well above the pelvic floor, protruding cranial to the preserved anterior fascia. Source: NYU Langone Health
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Figure 9. The preserved anterior fascia is sewn to the cut edge of the anterior bladder detrusor apron, thereby recapitulating the anterior bladder support. Source: NYU Langone Health
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