Among the elements which come together to confer continence in women, the nervous system plays an important leading role. The dissection of the pelvic organs can be carried out preserving the anatomical integrity of the nervous structures which constitute the pelvic plexus. Maintaining the integrity of the pelvic plexus has allowed us to successfully construct a continent orthotopic urinary derivation after cystectomy even in women. The anatomical and histological study of the female urethra has allowed the identification of the optimal level of urethral section to avoid oncological risks and conserve continence. The oncological problem is focused on the risk correlated to the localisation of urethral disease. The only consistent risk factor for the localisation at the urethra of urothelioma seems to be neoplastic localisation at the bladder neck. Knowledge of the neuro-anatomical features has made it possible to carry out the removal of the pelvic viscera, while conserving the nervous structures.
|Number of pages||3|
|Journal||Acta Urologica Italica|
|Publication status||Published - 1996|
- female orthotopic neobladder
- nerve sparing radical cystectomy
ASJC Scopus subject areas