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Related to Space of Retzius: urachus, Pouch of Douglas, Space of Disse
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A) Developed space of Retzius and prostate defatted anteriorly and laterally; B) Transverse capsulotomy; C) Exposure of urethral fibres at bladder neck; D) Completed dissection of prostate adenoma; E) Closure of bladder neck mucosa to urethral mucosal; F) Closure of the prostatic capsule with running suture.
Primary bladder carcinoma has a large intravesical component compared with urachal carcinomas that have a large extra-vesical component and a tendency to spread extraperitoneally into the space of Retzius and the umbilical region.
The urachus and umbilical arteries are in the space of Retzius, which is an extraperitoneal fascial plane.

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