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An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System
Cadaveric dissections of the male pelvis are predominately conducted using either an anterior approach with the pelvis intact, or via pelvic hemi-section. The anterior approach leaves more tissue in-situ, but has limited visualization of retropubic structures, such as the prostate, seminal vesicles,...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278584/ https://www.ncbi.nlm.nih.gov/pubmed/37342738 http://dx.doi.org/10.7759/cureus.39257 |
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author | Foskey, Jesse Loomis, Mario |
author_facet | Foskey, Jesse Loomis, Mario |
author_sort | Foskey, Jesse |
collection | PubMed |
description | Cadaveric dissections of the male pelvis are predominately conducted using either an anterior approach with the pelvis intact, or via pelvic hemi-section. The anterior approach leaves more tissue in-situ, but has limited visualization of retropubic structures, such as the prostate, seminal vesicles, vas deferens, and urethra. Hemi-section of the pelvis provides increased visualization at the expense of transecting midline structures. This article describes a novel cadaveric dissection, which offers enhanced visualization of pelvic structures in-situ. Using a posterior approach, the pelvis was dissected in an "open-book" manner, which fully exposed the posterior aspects of the prostate, seminal vesicles, ureters, and vas deferens. The delicate neurovascular bundle supplying these structures remained undisturbed. The visualization provided by this dissection correlated well with a coronal MRI of the pelvic region. This open-book dissection provides a novel posterior vantage point of the male genitourinary system, which can help medical students and residents solidify their understanding of anatomical relationships within the pelvis. |
format | Online Article Text |
id | pubmed-10278584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102785842023-06-20 An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System Foskey, Jesse Loomis, Mario Cureus Urology Cadaveric dissections of the male pelvis are predominately conducted using either an anterior approach with the pelvis intact, or via pelvic hemi-section. The anterior approach leaves more tissue in-situ, but has limited visualization of retropubic structures, such as the prostate, seminal vesicles, vas deferens, and urethra. Hemi-section of the pelvis provides increased visualization at the expense of transecting midline structures. This article describes a novel cadaveric dissection, which offers enhanced visualization of pelvic structures in-situ. Using a posterior approach, the pelvis was dissected in an "open-book" manner, which fully exposed the posterior aspects of the prostate, seminal vesicles, ureters, and vas deferens. The delicate neurovascular bundle supplying these structures remained undisturbed. The visualization provided by this dissection correlated well with a coronal MRI of the pelvic region. This open-book dissection provides a novel posterior vantage point of the male genitourinary system, which can help medical students and residents solidify their understanding of anatomical relationships within the pelvis. Cureus 2023-05-20 /pmc/articles/PMC10278584/ /pubmed/37342738 http://dx.doi.org/10.7759/cureus.39257 Text en Copyright © 2023, Foskey et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Urology Foskey, Jesse Loomis, Mario An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System |
title | An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System |
title_full | An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System |
title_fullStr | An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System |
title_full_unstemmed | An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System |
title_short | An Open-Book Approach to Pelvic Dissection for the Male Genitourinary System |
title_sort | open-book approach to pelvic dissection for the male genitourinary system |
topic | Urology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278584/ https://www.ncbi.nlm.nih.gov/pubmed/37342738 http://dx.doi.org/10.7759/cureus.39257 |
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