The Surgical Anatomy of Needle Bladder Neck Suspension

Abstract

Needle bladder neck suspension stabilized the supportive fascia of the urethra, and vascular injury may be minimized by detailed knowledge of paraurethral anatomy.

Timing of urethral pressure pulses before and after continence surgery

“…*P < 0.05, continent vs. incontinent. urethra rests on a hammock-like structure consisting of the endopelvic fascia, vaginal wall, and levator ani muscles, against which the urethra is compressed during stress episodes [DeLancey, 1994;Fitzpatrick et al, 1996]. This anatomical support may be responsible for an adequate transmission of pressure from the abdomen to the urethra.…”