ABSTRACT
An anatomic 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 advantage of the perineal approach was avoidance of the dorsal venous complex, resulting in less bleeding and a quicker recovery. Nevertheless, the radical retropubic prostatectomy (RRP) was preferred by most urologists since they were generally more familiar with retropubic anatomy and this approach provided the opportunity to perform a simultaneous staging pelvic lymphadenectomy through the single lower midline incision.3
