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  Global Journal of Surgery. Volume 2, Issue 1 (2011) pp. 18-23
  Review Article
Preservation of accessory pudendal arteries in robot-assisted laparoscopic radical prostatectomy
  Abdullah Erdem Canda*, Abidin Egemen Isgoren, Ziya Akbulut, Ali Fuat Atmaca, Ahmet Tunc Ozdemir, Mevlana Derya Balbay  
Ankara Atatürk Training and Research Hospital, 1st Urology Clinic, Ankara, Turkey
  Erectile dysfunction is a known complication that might occur following radical prostatectomy. Robot assisted laparoscopic radical prostatectomy (RALRP) is increasingly being performed in many centers. We reviewed preservation of APAs during performing RALRP. A review of the English literature was performed using PubMed/Medline concerning preservation of APAs during RALRP, their incidence, classification and role in erectile function. Erection is a neurovascular phenomenon under hormonal control. Accessory pudendal arteries (APAs) are reported to exist in 4-85% of the male population. Controversial reports exist regarding the role of APAs in erectile function. Although some publications suggest to preserve APAs during performing radical prostatectomy, others do not suggest that they had an impact on erectile function. Advantages of the surgical robotic system including providing three dimensional vision with magnification seem to provide the console surgeon to recognize and preserve APAs during the surgery. We recommend preserving APAs whenever possible in performing RALRP which might have an impact on the preservation of the erectile function in the postoperative course.
  Accessory pudendal artery; Robotic prostatectomy; Erectile function; Preservation  

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