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Men of African descent are known to have a narrower and steeper pelvis that is associated with a higher risk of positive surgical margins after radical retropubic prostatectomy. We describe the additional challenge posed when a very prominent posterior pubic symphyseal protuberance is present in the pelvis of a Black man during this operation and how to overcome it.

international journal of surgery case reports

Surgical access for radical retropubic prostatectomy in the phenotypically narrow and steep black male’s pelvis is exacerbated by a posterior pubic symphyseal protuberance