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Gross and Laparoscopic Anatomy of the Lower Urinary Tract and Pelvis

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Practical Urology: Essential Principles and Practice

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Abstract

An overview of the gross and laparoscopic anatomy of the lower urinary tract should summarize both long-standing anatomic knowledge and current scientific findings. In few fields has the anatomic understanding grown as much as in urology, especially concerning the anatomy of the lower urinary tract. Whereas the gross anatomy is already well known, now research is increasingly contributing to our understanding of the microscopic level.

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References

  1. Toellner R. Illustrated History of Medicine. Salzburg, Austria: Andreas & Andreas; 1986

    Google Scholar 

  2. Benninghoff D. Anatomy. München, Germany: Urban & Fischer Verlag; 2003

    Google Scholar 

  3. Netter FH. Atlas of Human Anatomy. Stuttgart, Germany/New York: Thieme; 1997

    Google Scholar 

  4. Otcenasek M, Baca V, Krofta L, et al. Endopelvic fascia in women: shape and relation to parietal pelvic structures. Obstet Gynecol. 2008;111:622-630

    Article  PubMed  Google Scholar 

  5. Shapiro E, Hartanto V, Perlman EJ, et al. Morphometric analysis of pediatric and nonhyperplastic prostate glands: evidence that BPH is not a unique stromal process. Prostate. 1997;33:177-182

    Article  PubMed  CAS  Google Scholar 

  6. Stolzenburg JU, Rabenalt R, Do M, et al. Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy. Eur Urol. 2008;53:931-940

    Article  PubMed  Google Scholar 

  7. Stolzenburg JU, Schwalenberg T, Horn LC, et al. Anatomical landmarks of radical prostatecomy. Eur Urol. 2007;51:629-639

    Article  PubMed  Google Scholar 

  8. Van Ophoven A, Roth S. The anatomy and embryological origins of the fascia of Denonvilliers: a medico-­historical debate. J Urol. 1997;157:3-9

    Article  PubMed  Google Scholar 

  9. Wimpissinger TF, Tschabitscher M, Feichtinger H, et al. Surgical anatomy of the puboprostatic complex with special reference to radical perineal prostatectomy. BJU Int. 2003;92:681-684

    Article  PubMed  CAS  Google Scholar 

  10. Young HH. The radical cure of cancer of the prostate. Surg Gynecol Obstet. 1937;64:472-484

    Google Scholar 

  11. Fritsch H, Lienemann A, Brenner E, et al. Clinical anatomy of the pelvic floor. Adv Anat Embryol Cell Biol. 2004;175(III-IX):1-64

    Article  Google Scholar 

  12. Nakajima F, Takenaka A, Uchiyama E, et al. Macroscopic and histotopographic study of the deep transverse perineal muscle (musculus transversus perinei profundus) in elderly Japanese. Ann Anat. 2007;189:65-74

    PubMed  Google Scholar 

  13. Oelrich TM. The striated urogenital sphincter muscle in the female. Anat Rec. 1983;205:223-232

    Article  PubMed  CAS  Google Scholar 

  14. Oelrich TM. The urethral sphincter muscle in the male. Am J Anat. 1980;158:229-246

    Article  PubMed  CAS  Google Scholar 

  15. Shafik A, Sibai OE, Shafik AA, et al. A novel concept for the surgical anatomy of the perineal body. Dis Colon Rectum. 2007;50:2120-2125

    Article  PubMed  Google Scholar 

  16. TA S, Delancey JO. Structure of the perineal membrane in females: gross and microscopic anatomy. Obstet Gynecol. 2008;111:686-693

    Article  Google Scholar 

  17. Wallner C, Dabhoiwala NF, Deruiter MC, et al. The anatomical components of urinary continence. Eur Urol. 2009;55(4):932-943

    Article  PubMed  Google Scholar 

  18. Schilling D, Horstmann M, Nagele U, et al. Cystectomy in women. BJU Int. 2008;102(9 Pt B):1289-1295

    Article  PubMed  Google Scholar 

  19. Baader B, Baader SL, Herrmann M, et al. Autonomic innervation of the female pelvis. Anatomic basis. Urologe A. 2004;43:133-140

    Article  PubMed  CAS  Google Scholar 

  20. Baader B, Herrmann M. Topography of the pelvic autonomic nervous system and its potential impact on surgical intervention in the pelvis. Clin Anat. 2003;16:119-130

    Article  PubMed  CAS  Google Scholar 

  21. Di Gangi Herms AM, Veit R, Reisenauer C, et al. Functional imaging of stress urinary incontinence. Neuroimage. 2006;29:267-275

    Article  PubMed  CAS  Google Scholar 

  22. Ghoneim MA, Abol-Enein H. Lymphadenectomy with cystectomy: is it necessary and what is its extent? Eur Urol. 2004;46:457-461

    PubMed  Google Scholar 

  23. Sievert KD, Hennenlotter J, Laible I, et al. The periprostatic autonomic nerves-bundle or layer? Eur Urol. 2008;54(5):1109-1117

    Article  PubMed  Google Scholar 

  24. Corvin S, Schilling D, Eichhorn K, et al. Laparoscopic sentinel lymph node dissection – a novel technique for the staging of prostate cancer. Eur Urol. 2006;49: 280-285

    Article  PubMed  Google Scholar 

  25. Dorschner W, Biesold M, Schmidt F, et al. The dispute about the external sphincter and the urogenital diaphragm. J Urol. 1999;162:1942-1945

    Article  PubMed  CAS  Google Scholar 

  26. Eichelberg C, Erbersdobler A, Michl U, et al. Nerve distribution along the prostatic capsule. Eur Urol. 2007;51:105-110; discussion 110-101

    Article  PubMed  Google Scholar 

  27. Ganzer R, Blana A, Gaumann A, et al. Topographical anatomy of periprostatic and capsular nerves: quantification and computerised planimetry. Eur Urol. 2008;54:353-361

    Article  PubMed  Google Scholar 

  28. Gil-Vernet JM. Prostate cancer: anatomical and surgical considerations. Br J Urol. 1996;78:161-168

    PubMed  CAS  Google Scholar 

  29. Heidenreich A, Ohlmann CH, Polyakov S. Anatomical extent of pelvic lymphadenectomy in patients undergoing radical prostatectomy. Eur Urol. 2007;52:29-37

    Article  PubMed  Google Scholar 

  30. Kaiho Y, Nakagawa H, Saito H, et al. Nerves at the ventral prostatic capsule contribute to erectile function: initial electrophysiological assessment in humans. Eur Urol. 2009;55(1):148-155

    Article  PubMed  Google Scholar 

  31. Karam I, Droupy S, Abd-Alsamad I, et al. The precise location and nature of the nerves to the male human urethra: histological and immunohistochemical studies with three-dimensional reconstruction. Eur Urol. 2005; 48:858-864

    Article  PubMed  Google Scholar 

  32. McNeal JE. Regional morphology and pathology of the prostate. Am J Clin Pathol. 1968;49:347-357

    PubMed  CAS  Google Scholar 

  33. Mulhall JP, Secin FP, Guillonneau B. Artery sparing radical prostatectomy – myth or reality? J Urol. 2008; 179: 827-831

    Article  PubMed  Google Scholar 

  34. FP S, Touijer K, Mulhall J, et al. Anatomy and pre­ser­vation of accessory pudendal arteries in laparosco­pic radical prostatectomy. Eur Urol. 2007;51: ­1229-1235

    Article  Google Scholar 

  35. Villers A, Steg A, Boccon-Gibod L. Anatomy of the prostate: review of the different models. Eur Urol. 1991;20: 261-268

    PubMed  CAS  Google Scholar 

  36. Woods ME, Ouwenga M, Quek ML. The role of pelvic lymphadenectomy in the management of prostate and bladder cancer. ScientificWorld J. 2007;7:789-799

    Article  Google Scholar 

  37. Yucel S, Baskin LS. An anatomical description of the male and female urethral sphincter complex. J Urol. 2004;171:1890-1897

    Article  PubMed  Google Scholar 

  38. Colleselli K, Stenzl A, Eder R, et al. The female urethral sphincter: a morphological and topographical study. J Urol. 1998;160(1):49-54

    Article  PubMed  CAS  Google Scholar 

  39. Koraitim MM. The male urethral sphincter complex revisited: an anatomical concept and its physiological correlate. J Urol. 2008;179:1683-1689

    Article  PubMed  Google Scholar 

  40. Strasser H, Ninkovic M, Hess M, et al. Anatomic and functional studies of the male and female urethral sphincter. World J Urol. 2000;18:324-329

    Article  PubMed  CAS  Google Scholar 

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Amend, B., Stenzl, A. (2011). Gross and Laparoscopic Anatomy of the Lower Urinary Tract and Pelvis. In: Chapple, C., Steers, W. (eds) Practical Urology: Essential Principles and Practice. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-034-0_3

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  • DOI: https://doi.org/10.1007/978-1-84882-034-0_3

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-033-3

  • Online ISBN: 978-1-84882-034-0

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