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Updated: Jun 29, 2026
05:47
Isolation and Characterization of the Murine Uterosacral Ligaments and Pelvic Floor Organs
Published on: March 3, 2023
Pelvic fasciae in urology
1Department of Urology, Guy's Hospital, London, UK.
Annals of the Royal College of Surgeons of England
|October 3, 2008
Summary
The prostate lacks a distinct capsule; surrounding fascial structures like Denonvilliers
Area of Science:
- Anatomy
- Urology
- Surgical Anatomy
Background:
- Existing literature presents confusion regarding periprostatic anatomical structures and nomenclature.
- Clarification is needed on the orientation of these structures, including neurovascular bundles and the prostatic capsule.
Purpose of the Study:
- To clarify the anatomy of pelvic fascia and periprostatic structures.
- To resolve nomenclature discrepancies and define the relationships of fascial layers.
Main Methods:
- A comprehensive review of published medical literature.
- A PubMed search was conducted using key anatomical terms related to pelvic fascia and prostate anatomy.
Main Results:
- The prostate does not possess a true capsule; the surrounding fibromuscular tissue is integral to the gland.
- Key fascial structures identified include prostatic fascia (anteriorly/anterolaterally) and Denonvilliers' fascia (posteriorly).
- Neurovascular structures are typically posterolateral but may not form a distinct bundle, with fibers extending along the prostate's lateral and posterior aspects.
Conclusions:
- The concept of a distinct prostatic capsule is inaccurate.
- Accurate identification and understanding of prostatic and periprostatic fascia are crucial for surgical procedures.
- The anatomical description of the detrusor apron and neurovascular bundle location is refined.
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