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The ureterovesical junction.

S Juskiewenski, P Vaysse, J Moscovici

    Anatomia Clinica
    |January 1, 1984
    PubMed
    Summary
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    The ureterovesical junction

    Area of Science:

    • Anatomy
    • Urology

    Background:

    • The ureterovesical junction (UVJ) is critical for preventing urine reflux.
    • Understanding its detailed structure is essential for diagnosing and treating related pathologies.

    Purpose of the Study:

    • To elucidate the detailed anatomical structure of the terminal ureter, ureteral hiatus, and ureteral sheath.
    • To correlate anatomical findings with potential functional implications at the UVJ.

    Main Methods:

    • Dissection of 50 post-mortem specimens.
    • Serial sectioning for detailed histological examination.

    Main Results:

    • Demonstrated continuity between the terminal ureter and trigone, with abundant longitudinal fibroelastic and muscle fibers.
    • Described the ureteral hiatus, noting the detrusor muscle's extension to the ureteral orifice, leaving a small submucosal ureter.

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  • Reviewed ureteral sheath descriptions, identifying a fibroconjunctive sheath in the juxtavesical segment and adventitia in the transparietal segment.
  • Conclusions:

    • The balance of fibroelastic and muscle fibers in the intramural ureter influences its compliance and can lead to functional obstruction.
    • The anatomical arrangement at the ureteral orifice contributes to juxtaureteral diverticula and transhiatal bladder mucosa herniation.
    • A distinct fibromuscular sheath is not clearly identifiable in the transparietal ureter.