Objective:To report the treatment of a peculiar morphology of prostatic hyperplasia nodule-the extra-vesicle median lobe during robot-assisted radical prostatectomy.Method:Among the 339 cases of RARP performed by a single operator between July 2022 and June 2023, 238 cases with preserved surgical videos were reviewed, focusing on the bladder neck dissection and its subsequent dorsal prostate detachment procedures, and a total of 8 patients with typical extravesical median lobes were screened out for reviewing in combination with the patient's preoperative multiparametric magnetic resonance imaging data. In this article, we would focus on the analysis of one of the cases.Results:The extra-vesicle median lobe was usually located behind the urethra, and its anatomical location and texture were close to the contralateral vas deferens and seminal vesicles. During robot-assisted radical prostatectomy (RARP), it potentially misled the surgeon into the wrong anatomical plane. Due to the modification of the surgical plane, the operation time would probably be prolonged, which might impact the surgical determination of the surgeon.Conclusions:How to predict the existence of "the extra-vesicle median lobe" before and during operation and make timely adjustment of surgical strategies is a problem worth exploring by surgeons.

目的 检索前列腺癌术后尿失禁康复管理的相关证据,并对最佳证据进行总结.方法 系统检索国内外关于前列腺癌术后尿失禁康复管理的高质量证据,并对纳入文献进行质量评价,对符合质量标准的文献进行证据提取和汇总.结果 共纳入19篇文献,总结出包括尿失禁的风险告知、尿失禁的评估与诊断、尿失禁的非手术干预等5个方面的41条最佳证据.结论 研究所得关于前列腺癌术后尿失禁康复管理的最佳证据对我国尿失禁护理的实践具有借鉴作用,可为临床提供参考.