SciELO - Scientific Electronic Library Online

vol.31 issue4Expresion of E-cadherin and catenins in urothelial carcinomasVesicoureteral reflux in spinal cord injured patients: Treatment results and statistical analysis author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Actas Urológicas Españolas

Print version ISSN 0210-4806


PALMA, P. et al. Three dimensional anatomy and virtual surgery for transobturator approach. Actas Urol Esp [online]. 2007, vol.31, n.4, pp.361-365. ISSN 0210-4806.

Introduction: Stress Urinary Incontinence (SUI) may be managed by transobturator approach. We developed a threedimensional model, for understanding the surgical anatomy and manual training as well, in order to reduce the learning curve for pelvic surgeries. Objective: To demonstrate in synthetic models, the anatomical basis for the management of SUI and cystocele. Method: The anatomical model includes: pelvic bones, the main layers of the pelvic muscles, ligaments and fascias. The surgical devices were transobturator needles, synthetic slings and meshes for anterior vaginal wall repair. The workshop was carried out with an anatomical overview and hands-on training in this tridimentional models and finally surgery in animals. At the end, a questionnaire was applied to verify the impact of this tool in the learning process and trainee satisfaction. Results: As far as the anatomical concept, 90% (n=72) of the participants classified this model as very good and 10% (n=8) as good. As a tool for understanding the tridimentional pelvic floor anatomy applied to transobturator procedures there were 100% of approval. Conclusions: This synthetic model allows for understanding the pelvic floor tridimentional anatomy and surgical procedures as well. Further skill is got in the animal model reducing the learning curve for transobturator procedures.

Keywords : Stress urinary incontinence; Pelvic floor; Three-dimensional anatomy; Transobturator approach.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License