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Surgery General d95a508e

During TURP, surgeon takes care to dissect above the verumontanum to prevent injury to:

A
Urethral crest
B
Trigone of bladder
C
External urethral sphincter
D
Prostatic utricle
High-Yield Explanation
Verumontanum is midline elevation on the posterior wall of the prostatic urethra. It acts as a surgical landmark. It lies immediately proximal to the external urethral sphincter. It thus serves as a distal landmark for prostatic resection in TURP to prevent injury to the external urethral sphincter. "The verumontanum serves as a significant landmark to stop resection because the external urethral sphincter lies just distal to it." - Reoperative Pelvic Surgery By Richard P. Billingham p225

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