The uterosacral complex: Ligament or neurovascular pathway? Anatomical and histological study of fetuses and adults

International Urogynecology Journal

Volumn 19, Issue 11, 2008, Pages 1565-1570

  Ramanah, Rajeev ^a   Parratte, Bernard ^a   Arbez Gindre, Francine ^a   Maillet, Robert ^a   Riethmuller, Didier ^a  

^a UNIVERSITÉ DE FRANCHE COMTÉ   (France)

Author keywords

Hypogastric plexus; Hysterectomy; Pelvic autonomous nerves; Pelvic organ prolapse; Uterosacral ligament

Indexed keywords

CELL ANTIBODY; EOSIN; HEMATOXYLIN; SMOOTH MUSCLE ANTIBODY;

ADIPOSE TISSUE; ADULT; ARTICLE; BLOOD VESSEL WALL; CADAVER; CONNECTIVE TISSUE; FEMALE; FETUS; HISTOLOGY; HUMAN; HUMAN TISSUE; IMMUNOHISTOCHEMISTRY; LIGAMENT; NERVE CELL; NERVE FIBER; NERVE PLEXUS; NEUROANATOMY; PELVIS FLOOR; PLASTIC SURGERY; PRIORITY JOURNAL; SMOOTH MUSCLE; SURGICAL ANATOMY; SYMPATHETIC NERVE; TISSUE SECTION; UTERINE BLOOD VESSEL; UTERUS;

EID: 53249122963     PISSN: 09373462     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00192-008-0692-x     Document Type: Article

References (24)

1. Blaisdell FE (1917) The anatomy of the sacro-uterine ligaments. Anat Rec 12:1-22
2. Jenkins VR (1997) Uterosacral ligament fixation for vaginal vault suspension in uterine and vaginal vault prolapse. Am J Obstet Gynecol 177:1337-1343
3. Shull BL, Bachofen C, Coates KW, Kuehl TJ (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 183:1365-1373
4. Dwyer PL, Fatton B (2008) Bilateral extraperitoneal uterosacral suspension: A new approach to correct posthysterectomy vaginal vault prolapse. Int Urogynecol J 19:283-292
5. Karram M, Goldwasser S, Kleeman S, Steele A, Vassallo B, Walsh P (2001) High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol 185:1339-1343
6. Gabriel B, Denschlag D, Gobel H, Fittkow C, Werner M, Gitsch G, Watermann D (2005) Uterosacral ligament in postmenopausal women with or without pelvic organ prolapse. Int Urogynecol J 16:475-479
7. Gabriel B, Watermann D, Hancke K, Gitsch G, Werner M, Tempfer C, Hausen A (2006) Increased expression of matrix metalloproteinase 2 in uterosacral ligaments is associated with pelvic organ prolapse. Int Urogynecol J 17:478-482
8. Reisenauer C, Shiozawa T, Oppitz M, Busch C, Kirschniak A, Fehm T, Drews U (2008) The role of smooth muscle in the pathogenesis of pelvic organ prolapse - an immunohistochemical and morphometric analysis of the cervical third of the uterosacral ligament. Int Urogynecol J 19:383-389
9. Campbell RM (1950) The anatomy and histology of the sacrouterine ligaments. Am J Obstet Gynecol 59:1-12
10. Butler-Manuel AS, Buttery DKL, A'Hern RP, Polak JM, Barton DPJ (2000) Pelvic nerve plexus trauma at radical hysterectomy and simple hysterectomy. Cancer 89(4):834-841
11. Maas CP, Trimbos JB, DeRuiter MC, Van De Velde CJH, Kenter GG (2003) Nerve sparing radical hysterectomy: Latest developments and historical perspective. Crit Rev Oncol Hematol 48:271-279
12. Cole EE, Leu PB, Gomelsky A, Revelo P, Shapell H, Scarpero HM, Dmochowski RR (2005) Histopathological evaluation of the uterosacral ligament: Is this a dependable structure for pelvic reconstruction. BJU 97:345-348
13. Buller JL, Thomson JR, Cundiff GW, Sullivan LK, Schon Ybarra MA, Bent AE (2001) Uterosacral ligament: Description of anatomic relationships to optimize surgical safety. Obstet Gynecol 97:873-879
14. Bergmark K, Avall-Lundqvist E, Dickman PW, Henningson L, Steineck G (1999) Vaginal changes and sexuality in women with a history of cervical cancer. New Engl J Med 340:1383-1389
15. Smith AN, Varma JS, Binnie NR, Papachrysostomo M (1990) Disordered colorectal motility following hysterectomy. Br J Surg 77:1361-1366
16. Forney JP (1980) Effect of radical hysterectomy on bladder physiology. Am J Obstet Gynecol 138:374-378
17. Olson A, Smith V, Bergstrom J, Colling J, Clark A (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501-506
18. McCall M (1957) Posterior culdoplasty: Surgical correction of enterocele during vaginal hysterectomy; a preliminary report. Obstet Gynecol 10:595-602
19. Siddique SA, Gutman RE, Schon Ybarra MA, Rojas F, Handa VL (2006) Relationship of the uterosacral ligament to the sacral plexus and to the pudendal nerve. Int Urogynecol J 17:642-645
20. Flynn MK, Weidner AC, Amundsen CL (2006) Sensory nerve injury after uterosacral ligament suspension. Am J Obst Gynecol 195:1869-1872
21. Wieslander CK, Roshanravan SM, Wai CY, Schaffer JI, Corton MM (2007) Uterosacral ligament suspension sutures: Anatomic relationships in unembalmed female cadavers. Am J Obstet Gynecol 197:672.e1-672.e6
22. Doyle JB (1955) Paracervical uterine denervation by transaction of the cervical plexus for the relief of dysmenorrhea. Am J Obstet Gynecol 70:1-16
23. Daniels J, Garry R, Khan KS (2000) Laparoscopic uterosacral nerve ablation: A survey of gynaecological practice in the UK. Gynecol Endosc 9:157-159
24. Vercellini P, Aimi G, Busacca M, Apolone G, Uglietti A, Crosignani PG (2003) Laparoscopic uterosacral ligament resection for dysmenorrhea associated with endometriosis: Results of a randomized, controlled trial. Fertil Steril 80:310-319