Lateral to the median umbilical ligament, after detecting the lateral border of bladder, the medial umbilical ligament (obliterated umbilical artery) can be identified and it divides the paravesical
space into two parts (medial and lateral).
Finalmente, se separan el tejido paravesical
y la vejiga de la vagina, para cortar la vagina 4-5 cm y tener un margen adecuado (43).
Subjectively, one advantage of the RPCF is that it seems to assist in gaining hemostasis after difficult dissections in the paravesical
space, whereas the PC sling often causes bleeding during the dissection.
and pararectal spaces were then developed.
The complications with the use of synthetic mesh occur due to its placement adjacent to the bladder and rectum involving extensive paravesical
and pararectal dissection includes the passage of needles blindly through the obturator foramen or the ischiorectal fossa which in turn increase the potential for immediate complications like excessive bleeding, perforation of the bladder, rectum and blood vessels.
CT has a high sensitivity and specificity for the elimination of vesicocolic fistula, intraabdominal abscess, or neoplasm and observing of intramural or paravesical
An abdominal ultrasound scan performed at the age of 16 months revealed a 31 x 32 mm paravesical
solid pelvic mass, with minimal intralesional vascularity; no intraabdominal free fluid or lymphadenopathies were seen.
Hourglass deformity of urinary bladder (arrows) was seen as a result of the compression of two extraperitoneal paravesical
soft tissue bulky masses (asterisks) (Figure 1(a)).
Infection progressed to severe sepsis and because the patient was assessed to be in no adequate condition for repeated surgery, interventional drainage of a paravesical
abscess was performed.
The internal hernia in turn can be prevesical, paravesical
, lateral or intravesical.
Computed tomography of the abdomen and pelvis revealed a non-enhancing cystic mass of spontaneously high density in the right paravesical
area (Figures 1A and 1B).
Boruszak rightly highlights the importance of teaching gynecologists to access the retroperitoneum, paravesical
, and pararectal spaces in order to improve patient outcomes.