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).
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.
It is important to make sure that dissection of the endopelvic fascia
is performed sharply until a relatively avascular and areolar space is created; at this time, blunt dissection with the surgeon's finger can be easily accomplished.
A randomized comparison of tension-free vaginal tape and endopelvic fascia
plication in women with genital prolapse and occult stress urinary incontinence.
4) The defects described earlier were probably within the endopelvic fascia
lateral to the bladder and vagina.
A clearly defined edge of endopelvic fascia
in the region of greatest observed displacement was selected.
The dissection was then carried down to the level of the endopelvic fascia
along the hypogastric artery and its lateral branches.
First, he does not open the endopelvic fascia
during surgery, allowing him to spare the tiny nerve bundles that control sexual function.
The prostate could not be dissected sharply from the endopelvic fascia
The technique does not require opening the endopelvic fascia
or cutting the dorsal vein complex, which requires no suture and results in less damage to the neurovascular bundle.
The kit contains both synthetic (polypropylene) tape--which is placed from ischial spine to ischial spine to recreate cardinal ligaments for physiologic apical support--and a porcine dermis graft component, which is positioned from the vaginal apex to the perineum to recreate the endopelvic fascia
of the rectovaginal septum.
After removing the mesh, the endopelvic fascia
was incised and the thigh abscesses were penetrated through the incision site.