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Availability of a sponge stick for intravaginal manipulation during dissection and Babcock forceps for retraction of the uterus are notable additions to the instruments required for radical cystectomy in men.

Refer to the Chapter 48 for further details on preoperative planning for radical cystectomy. To permit access to the vagina, the lower extremities are placed in a frog-legged position with the knees wellsupported.

Alternatively, the patient may be placed into a low dorsal lithotomy position. The skin is prepped from the nipples to the midthigh, including a thorough vaginal prep.

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