Anatomy of accessory pudendal arteries in laparoscopic radical prostatectomy Journal Article

  


Authors: Secin, F. P.; Karanikolas, N.; Touijer, A. K.; Salamanca, J. I. M.; Vickers, A. J.; Guillonneau, B.
Article Title: Anatomy of accessory pudendal arteries in laparoscopic radical prostatectomy
Abstract: Purpose: The incidence of accessory pudendal arteries (APAs) varies from 4% to 70% depending on the means used to identify them. We provide a detailed laparoscopic anatomical description of their appearance, location and identification rate based on our series of radical prostatectomies. Materials and Methods: The distribution of APAs was prospectively recorded in 285 consecutive patients between October 2002 and November 2004. We defined an APA as any artery located within the periprostatic region running parallel to the dorsal vascular complex and extending caudal toward the anterior perineum, other than cavernous arteries, corona mortis and satellite arteries to the superficial and deep vascular complex. Results: We identified 92 APAs in 72 of 285 patients (25%). Two distinct varieties of APAs were identified. In 10% of patients an APA coursed along the lateral aspect of the prostate, termed lateral APA, and in 13% an APA emerged through the levator ani fibers near the apical region of the prostate, termed apical APA. Five patients (1.7%) were found to have apical and lateral APAs. Conclusions: APAs are more frequent than previously reported in the surgical literature. To our knowledge apical APAs have never been reported previously. The visualization and accessibility advantages of laparoscopy may account for a higher intraoperative APA identification rate. Their roles in continence and potency remain to be determined. Copyright © 2005 by American Urological Association.
Keywords: controlled study; major clinical study; laparoscopy; laparoscopic surgery; prospective study; prospective studies; prostate cancer; prostatic neoplasms; prostate; prostatectomy; surgical anatomy; accessory pudendal artery; arteries; fascia; artery; levator ani muscle; anatomy and histology
Journal Title: Journal of Urology
Volume: 174
Issue: 2
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 2005-08-01
Start Page: 523
End Page: 526
Language: English
DOI: 10.1097/01.ju.0000165339.59532.66
PUBMED: 16006885
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-22144448539&partnerID=40&md5=a38133bc9e097654063de2f142ab476e
Notes: --- - "Cited By (since 1996): 20" - "Export Date: 24 October 2012" - "CODEN: JOURA" - "Source: Scopus"
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MSK Authors
  1. Fernando Pablo Secin
    54 Secin
  2. Bertrand Guillonneau
    137 Guillonneau
  3. Karim Abdelkrim Touijer
    257 Touijer
  4. Nicholas T Karanikolas
    19 Karanikolas
  5. Andrew J Vickers
    880 Vickers
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