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By Prof. Dr. Helga Fritsch, Dr. Andreas Lienemann, Dr. Erich Brenner, Dr. Barbara Ludwikowski (auth.)

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Extra resources for Clinical Anatomy of the Pelvic Floor

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2001). According to their studies, the external urethral sphincter is composed of both a striated and a smooth muscular part and thus forms an urethral sphincter complex similar to what we have pointed out for the anal sphincter complex. There is no doubt about the function of the external urethral sphincter that is part of the urinary continence system. Furthermore, it is generally accepted that, similar to the anal sphincter complex, there are different fiber types within the striated part of the external urethral sphincter (Ho et al.

Subperitoneally, the middle compartment and its organs abut the anterior compartment ventrally. This area is predominated by the dense connective tissue bridge intimately connecting the ventral vaginal wall with the dorsal urethral wall (Fig. 12B; see also anterior compartment). Dorsomedially, the middle compartment abuts the posterior compartment. The border between these compartments is demarcated by the rectovaginal fascia (see also posterior compartment), that is composed of dense connective tissue, elastic fi- 29 Fig.

D Axial section (5 mm) of an adult female with the pubovesical ligaments (white dots). 5 hiatus a fibrous bridge connects the fasciae of the levator ani muscles of both sides. To summarize: the fibrous structures of the anterior compartment build up a hammock-like (DeLancey 1994) construction for bladder, prostate, and urethra. These findings can most clearly be shown in fetuses and are matching but not so evident in the adult. It is important to know that there is absolutely no kind of a lateral bony fixation for bladder, prostate, or urethra.

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