Urology
Volume 73, Issue 2 , Pages 251-257 , February 2009

Understanding Anatomy of “Hilus” of Detrusor Nerves to Avoid Bladder Dysfunction After Pelvic Surgery: Demonstration Using Fetal and Adult Cadavers

  • Atsushi Takenaka

      Affiliations

    • Division of Urology, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe, Japan
    • Corresponding Author InformationReprint requests: Atsushi Takenaka, M.D., Ph.D., Division of Urology, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017 Japan
    • ,
  • Hideo Soga

      Affiliations

    • Division of Urology, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe, Japan
    • ,
  • Gen Murakami

      Affiliations

    • Iwamizawa Kojinnkai Hospital, Sapporo, Japan
    • ,
  • Hitoshi Niikura

      Affiliations

    • Department of Gynecology and Obstetrics, Tohoku University Graduate School of Medicine, Sendai, Japan
    • ,
  • Haruyuki Tatsumi

      Affiliations

    • Department of Basic Medical Science, Sapporo Medical University Graduate School of Medicine, Sapporo, Japan
    • ,
  • Nobuo Yaegashi

      Affiliations

    • Department of Gynecology and Obstetrics, Tohoku University Graduate School of Medicine, Sendai, Japan
    • ,
  • Kazushi Tanaka

      Affiliations

    • Division of Urology, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe, Japan
    • ,
  • Masato Fujisawa

      Affiliations

    • Division of Urology, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe, Japan

Received 4 August 2008 ,Accepted 16 September 2008.

References 

  1. Brooks JD. Anatomy of the lower urinary tract and male genitalia. In:  Wein AJ,  Kavoussi LR,  Novick AC, et al. editor. 9th ed.. Campbell-Walsh Urology. Vol. 1:Philadelphia: Saunders; 2007;p. 38–77
  2. Leissner J, Allhoff EP, Wolff W, et al. The pelvic plexus and antireflux surgery: topographical findings and clinical consequences. J Urol. 2001;165:1652
  3. Yucel S, Baskin LS. Neuroanatomy of the ureterovesical junction: clinical implications. J Urol. 2003;170:945
  4. Fung LC, McLorie GA, Jain U, et al. Voiding efficiency after ureteral reimplantation: a comparison of extravesical and intravesical techniques. J Urol. 1995;153:1972–1975
  5. Barrieras D, Lapointe S, Reddy PP, et al. Urinary retention after bilateral extravesical ureteral reimplantation: does dissection distal to the ureteral orifice have a role?. J Urol. 1999;162:1197–1200
  6. Lipski BA, Mitchell ME, Burns MW. Voiding dysfunction after bilateral extravesical ureteral reimplantation. J Urol. 1998;159:1019–1021
  7. Ralph G, Tamussino K, Lichtenegger W. Urodynamics following radical abdominal hysterectomy for cervical cancer. Arch Gynecol Obstet. 1988;243:215–220
  8. Sakuragi N, Toda Y, Kudo M, et al. A systemic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function. Int J Gynecol Cancer. 2005;15:389–397
  9. Niikura H, Katahira A, Utsunomiya H, et al. Surgical anatomy of intrapelvic fasciae and vesico-uterine ligament in nerve-sparing radical hysterectomy with fresh cadaver dissections. Tohoku J Exp Med. 2007;212:403–414
  10. Katahira A, Niikura H, Ito K, et al. Vesicouterine ligament contains abundant autonomic nerve ganglion cells: the distribution in histology concerning nerve-sparing radical hysterectomy. Int J Gynecol Cancer. 2008;18:193–198
  11. Atala A, Keating MA. Vesicoureteral reflux and megaureter. In:  Walsh PC,  Retik AB,  Vaughan ED editor. 8th ed.. Campbell's Urology. Vol. 3:Philadelphia: Saunders; 2002;p. 2053–2116
  12. Katahira A, Niikura H, Haiho Y, et al. Intraoperative electrical stimulation of the pelvic splanchnic nerves during nerve-sparing radical hysterectomy. Gynecol Oncol. 2005;98:462–466

PII: S0090-4295(08)01661-0

doi: 10.1016/j.urology.2008.09.039

Urology
Volume 73, Issue 2 , Pages 251-257 , February 2009

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