tme-pelvic dissection two phases dorsal mobilisation anterolateral dissection
Post on 24-Dec-2015
223 Views
Preview:
TRANSCRIPT
Below the aortic bifurcationPreserving superior hypogastric plexusPosterior dissectionPreserving left and right hypogastric nerveCutting rectosacral fascia (Waldeyer)
TME-Dorsal mobililsation
Bladder dysfunction:
Urinary retentionParasympathetic nerves - detrusor muscleSympathetic nerves - bladder neck, trigone and urethral area
Sexual dysfunction:
Impotence Parasympathetic nerves (nervi errigentes) - erectionSomatic nerves (pudendal n.) - penile rigidity
Ejaculatory dysfunctions Sympathetic nerves (from thoracolumbar region of spinal cord along the
sympathetic ganglia down hypogastric nerves to pelvic plexus)
Injuries to autonomic nerves in the pelvis
top related