ABSTRACT
An anatomical approach to radical perineal prostatectomy was described by Young in 1905.1 Forty years later, Millin described the retropubic approach for radical prostatectomy.2 The primary anatomical advantages of the perineal approach were avoidance of both a midline abdominal wall incision and the need to control the dorsal venous complex, which translated into less bleeding and a quicker recovery. Nevertheless, radical retropubic prostatectomy became the preferred approach by most urologists since they were generally more familiar with retropubic anatomy and the staging pelvic lymphadenectomy was readily performed through the lower midline incision.3
