It passes through the following structures in the following order: gracilis, adductor brevis muscle, obturator externus muscle, obturator membrane, and beneath or through the obturator internus muscle and periurethral endopelvic
connective tissue; it finally exits through the opened vagina.
A woman who has scarred, deficient endopelvic
fascia has a greater chance of a recurrence and is therefore a good candidate for a mesh procedure.
His unique approach to prostate removal, SMART Surgery, leaves the endopelvic
fascia and dorsal vein complex in tact, significantly reducing impact on the neurovascular bundle.
The anterior vaginal wall is opened, and the endopelvic
connective tissue is separated from the pubic ramus at the level of the bladder neck to the ischial spine, exposing the paravesical and pararectal space.
A randomized comparison of tension-free vaginal tape and endopelvic
fascia plication in women with genital prolapse and occult stress urinary incontinence.
A clearly defined edge of endopelvic
fascia in the region of greatest observed displacement was selected.
The idea is that stress incontinence can occur when the endopelvic
fascia that is tightly wound around the urethra loosens.
was used to divide the posterior and lateral bladder pedicles to the level of the puboprostatic ligaments and the lateral prostatic pedicles, after the dissection of the endopelvic
First, he does not open the endopelvic
fascia during surgery, allowing him to spare the tiny nerve bundles that control sexual function.
The minimally invasive procedure uses low-power, bipolar radio frequency energy to heat, shrink, and stabilize the endopelvic
tissue supporting the bladder neck and urethra.
These include perioperative factors, such as age and prostate volume, (5) and certain anatomic or surgical factors important in continence preservation (injury to the arterial supply and preservation of urethral support mechanisms, including the endopelvic
fascia and puboprostatic ligaments).
The technique is a fusion of Samadi's expertise in open, laparoscopic and robotic prostatectomy surgeries, and is unique in that there is no opening of the endopelvic
fascia, and the dorsal vein is not sutured until the end of the case.