Abstract
To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot-assisted laparoscopic prostatectomy (RALP). Balloon of a Foley catheter inflated in the bulbar urethra. Fourth arm cranial traction via suture in the tip of the catheter. DVC oversewn under direct vision. Oversew of DVC with minimal patient-side surgical assistance. About a 50% reduction in apical positive margin rate. A useful, ergonomic method of oversewing the DVC during RALP.
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