625 Early Prostatic Artery Control During Multiport Radical Prostatectomy

Dr. Daniele Amparore

Postoperative erectile dysfunction remains a significant challenge following robotic-assisted radical prostatectomy (RARP), despite advances in surgical techniques aimed at preserving neurovascular bundles (NVBs). Excessive bleeding during prostate dissection can compromise NVB integrity, limiting functional recovery. To address this, we developed the early prostatic artery control technique, which reduces arterial inflow to the cranial prostate before dissection while maintaining NVB vascularization. This clipless and energy-free approach allows precise, bloodless NVB dissection, minimizing intraoperative trauma. The innovation lies in preemptively managing the prostatic arteries outside the prostatic lodge, enabling safer, more controlled surgery and improving postoperative sexual potency without compromising oncological outcomes.
Procedure Innovation, Urologic Surgery, RARP, Robot Assisted Radical Prostatectomy, NVB integrity.

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