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The urethra is gently separated from the lateral and
posterior portions of the striated sphincter without
mobilization. The right angle clamp is positioned
behind the urethra but anterior to the striated
sphincter. The neurovascular bundles cannot be
damaged by this maneuver because they are posterior to the striated sphincter. The anterior surface of
the urethra is divided. The Foley catheter is brought
through the incision, cross-clamped, and divided.
The balloon on the Foley catheter is released from
the malleable blade to provide proper traction on the
prostate and the posterior wall of the urethra is
divided.
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