Accessory Pudendal Arteries

Accessory pudendal arteries are frequent; their role and importance however are debatable. An accessory pudendal artery coming in laterally from the inferior vesical arteries is easily recognized laparoscopically. It is certain that in some patients they represent the only arterial supply to the corpora cavernosa and therefore every effort at sparing them should be taken.

But other accessory pudendal arteries encountered at the apex may be branches of the obturator arteries.

The impact of these apical arteries on potency and continence is unclear and for that reason they should all be preserved though a delicate dissection.

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