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Pelvic Anatomy

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1. Gross and Histologic Anatomy of the Pelvic Ureter: Clinical Applications to Pelvic Surgery. (Abstract)

Gross and Histologic Anatomy of the Pelvic Ureter: Clinical Applications to Pelvic Surgery. To further evaluate relationships of the pelvic ureter to clinically relevant structures and to characterize the anatomy, histology, and nerve density of the distal ureter.In this observational cadaveric study, 35 female cadavers were examined, 30 by gross dissections and five microscopically. Ureter length and segments of pelvic ureter were measured. Closest distances between the ureter and clinically (...) relevant points were recorded. The distal pelvic ureter and surrounding parametrium were evaluated microscopically. Nerve density was analyzed using automated quantification of peripheral nerve immunostaining. Average measurements of nerve density in the anterior and posterior quadrants surrounding the ureter were statistically compared using a two-tailed t test. Descriptive statistics were used for analyses with distances reported as mean±SD (range).Gross dissections revealed ureter length of 26.3±1.4

2019 Obstetrics and Gynecology

2. Interactive Pelvic Anatomy Model: A Tool for Teaching Basic Pelvic Anatomy. (Abstract)

to simulate the pelvic floor, perineum, and surrounding musculature as they attach to corresponding sites on a standard bony pelvis. Our design incorporates the relationship of the ureter and major blood vessels in the pelvis by using yarn and ribbon. By allowing the student to build the anatomy of the pelvis piece by piece, the model provides the student a hands-on illustration of anatomic relationships in three dimensions.At our institution, both learners and faculty have positively evaluated our model (...) Interactive Pelvic Anatomy Model: A Tool for Teaching Basic Pelvic Anatomy. A knowledge deficit of pelvic anatomy has been noted in obstetrics and gynecology residents. In this article, we introduce an innovative anatomic model that uses readily accessible and reusable materials to simulate and teach anatomic relationships in the female pelvis.Our anatomic model is a reusable and cost-effective modification of an existing pelvic model. We used felt fabric pieces with hook-and-loop fasteners

2017 Obstetrics and Gynecology

3. Female Pelvic Floor Immersive Simulation: A Randomized Trial to Test the Effectiveness of a Virtual Reality Anatomic Model on Resident Knowledge of Female Pelvic Anatomy. (Abstract)

Female Pelvic Floor Immersive Simulation: A Randomized Trial to Test the Effectiveness of a Virtual Reality Anatomic Model on Resident Knowledge of Female Pelvic Anatomy. To estimate the effect of a virtual reality (VR) anatomic model (VisCubeSX; VisBox, Inc., Saint Joseph, IL) on obstetrics and gynecology residents' knowledge of female pelvic floor anatomy compared with a traditional curriculum.Randomized controlled trial (Canadian Task Force classification I).Academic obstetrics (...) and gynecology resident training program.Traditional independent study curriculum versus traditional curriculum and VisCubeSX VR curriculum MEASUREMENTS AND MAIN RESULTS: Residents were randomized, stratified by year of training, in a 1:1 fashion to traditional independent study curriculum for pelvic anatomy versus traditional curriculum and the VisCubeSX VR anatomic model. Tests were administered to assess baseline and postintervention knowledge. A postintervention assessment of the VisCubeSX VR anatomic

2018 Journal of minimally invasive gynecology Controlled trial quality: uncertain

4. Changes in pelvic anatomy after long corrective fusion using iliac screws for adult spinal deformity. (Abstract)

Changes in pelvic anatomy after long corrective fusion using iliac screws for adult spinal deformity. Long fusion to the sacrum with iliac screws can decrease pelvic incidence (PI). Considering the physiological range of movement of the sacroiliac joint, this decrease may be relatively extreme. The purpose of the study was to determine changes in pelvic morphology after orthopedic surgery using long fusion with iliac screws, and examine the relationship between changes in PI and morphology.We (...) included data from 80 consecutive patients who underwent corrective surgery for adult spine deformity (72 female and 8 male; mean age: 71.1 years). We examined preoperative and early postoperative full-standing X-ray images and pelvic computed tomography of the patients and compared the following: (1) pre- and postoperative pelvic measurements including PI, (2) correlations between change of PI, iliac angle, and distance between posterior superior iliac spines (DPSIS).After surgery, PI decreased

2019 European Spine Journal

5. Laparoscopic surgical anatomy for pelvic floor surgery. (Abstract)

floor surgery to revisit this integral clinical aspect of pelvic anatomy for performing a safe surgery. Pelvic organ prolapse repair, especially abdominal laparoscopic sacrocolpopexy, which is the gold standard of pelvic organ prolapse repair, presents a significant challenge to surgeons because the technique requires thorough and meticulous negotiation through abdomino-pelvic vascular structures and nerves supplying the pelvis, rectum, and ureters. The abdominal laparoscopic sacrocolpopexy surgery (...) Laparoscopic surgical anatomy for pelvic floor surgery. Understanding anatomy is one of the pillars for performing a safe, effective, and efficient surgery, but recently, it is reported that there has been a decline in teaching anatomy during the preclinical years of medical school. There is also evidence that by the time a medical student becomes a clinician, a considerable proportion of the basic anatomy knowledge is lost. Hence, it is crucial for surgeons performing or assisting in pelvic

2018 Best practice & research. Clinical obstetrics & gynaecology

6. Cervical cancer complicating pelvic organ prolapse, and use of a pessary to restore anatomy for optimal radiation: A case report Full Text available with Trip Pro

Cervical cancer complicating pelvic organ prolapse, and use of a pessary to restore anatomy for optimal radiation: A case report Cervical cancer is the most common gynecologic malignancy worldwide and the third most common gynecologic cancer in the USA. Improved screening methods such as liquid-based cytology accompanied by Human Papilloma Virus (HPV) co-testing have contributed to a declining incidence of cervical cancer. There are approximately 13,000 new cases per year in the United States (...) , accounting for 4200 deaths (Siegel et al., 2011). Pelvic organ prolapse increases with age, obesity and parity. In the absence of bothersome urinary, gastrointestinal or pressure symptoms, patients may choose conservative management options. The index patient was a 72 year old woman with a known history of pelvic organ prolapse who had been managed by her primary physician for 7 years until she developed new-onset vaginal bleeding. One month following worsening prolapse and increased vaginal bleeding she

2018 Gynecologic Oncology Reports

7. A study on uterine lymphatic anatomy for standardization of pelvic sentinel lymph node detection in endometrial cancer. (Abstract)

A study on uterine lymphatic anatomy for standardization of pelvic sentinel lymph node detection in endometrial cancer. To describe the anatomy of uterine lymphatic drainage following cervical or fundal tracer injection to enable standardization of a pelvic sentinel lymph node (SLN) concept in endometrial cancer (EC).A prospective consecutive study of women with EC was conducted. A fluorescent dye (Indocyanine green) was injected into the cervix (n=60) or the uterine fundus (n=30). A systematic (...) of at least one pelvic pathway following cervical and fundal injection occurred in 98% and 80% respectively (p=0.005). Bilateral display of both pelvic pathways occurred in 30% and 20% respectively (p=0.6) as the LPP was less often displayed. Nearly one third of the 19% node positive patients had metastases along the LPP. No false negative SLNs were identified.Based on uterine lymphatic anatomy a bilateral detection of at least one SLN in both the UPP and LPP should be aimed for. Absence of display

2017 Gynecologic Oncology

8. Three-dimensional Study on the Structural Destruction of Pelvic Anatomy in Cervical Cancer

Three-dimensional Study on the Structural Destruction of Pelvic Anatomy in Cervical Cancer Three-dimensional Study on the Structural Destruction of Pelvic Anatomy in Cervical Cancer - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Three-dimensional Study on the Structural Destruction of Pelvic Anatomy in Cervical Cancer The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03155529 Recruitment Status : Recruiting First Posted

2017 Clinical Trials

9. Lymphatic Anatomy of the Female Pelvis

Lymphatic Anatomy of the Female Pelvis Lymphatic Anatomy of the Female Pelvis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Lymphatic Anatomy of the Female Pelvis Lymphatic Anatomy of the Female Pelvis Aka: Lymphatic Anatomy of the Female Pelvis , Gynecologic Lymphatic Anatomy , Breast Lymphatic Anatomy , Lymphatic Drainage of the Female Pelvis , Lymphatic Drainage of the Breast II. Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Lymphatic Anatomy

2018 FP Notebook

10. Vascular Anatomy of the Female Pelvis

Vascular Anatomy of the Female Pelvis Vascular Anatomy of the Female Pelvis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vascular (...) Anatomy of the Female Pelvis Vascular Anatomy of the Female Pelvis Aka: Vascular Anatomy of the Female Pelvis , Gynecologic Vasular Anatomy II. Anatomy: Images Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Vascular Anatomy of the Female

2018 FP Notebook

11. Pelvic Anatomy

, Pelvis II. Anatomy Inguinal Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Pelvis Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Perineum Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pelvic (...) Anatomy." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Pelvis (C0030797) Definition (FMA) Subdivision of abdomen, which is demarcated from the abdomen proper by the plane of the superior pelvic aperture, and from the perineum by the inferior surface of the pelvic diaphragm; together with the abdomen proper, it constitutes the abdomen. Examples: There is only one pelvis. Definition (MSH) The space or compartment

2018 FP Notebook

12. Neurologic Anatomy of the Male Pelvis

Anatomy of the Male Pelvis Neurologic Anatomy of the Male Pelvis Aka: Neurologic Anatomy of the Male Pelvis , Male Pelvic Neuroanatomy II. Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Neurologic Anatomy of the Male Pelvis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Anatomy (...) Neurologic Anatomy of the Male Pelvis Neurologic Anatomy of the Male Pelvis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Neurologic

2018 FP Notebook

13. Vascular Anatomy of the Male Pelvis

Vascular Anatomy of the Male Pelvis Vascular Anatomy of the Male Pelvis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vascular (...) Anatomy of the Male Pelvis Vascular Anatomy of the Male Pelvis Aka: Vascular Anatomy of the Male Pelvis II. Anatomy: Artery Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) III. Anatomy: Vein Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images

2018 FP Notebook

14. Appropriate Use Criteria: Imaging of the Abdomen and Pelvis

Description and Application of the Guidelines 5 Administrative Guidelines 6 Ordering of Multiple Studies 6 Simultaneous Ordering of Multiple Studies 6 Repeated Imaging 6 Pre-Test Requirements 7 History 7 Imaging of the Abdomen and Pelvis 8 General Information/Overview 8 Scope 8 Technology Considerations 8 Definitions 9 Clinical Indications 11 General Abdominal and Pelvic Indications 11 Congenital and developmental conditions 11 Infectious and inflammatory conditions – not otherwise referenced 11 Trauma 12 (...) Lymphadenopathy 29 Pelvic floor disorders associated with urinary or bowel incontinence 29 Prostate cancer 29 Retroperitoneal conditions 30 Splenic hematoma 30 Splenomegaly 30 Sports hernia (athletic pubalgia) 30 Undescended testicle (cryptorchidism) 31 Imaging of the Abdomen and Pelvis Copyright © 2019. AIM Specialty Health. All Rights Reserved. 4 Nonspecific Signs and Symptoms 31 Abdominal pain 31 Azotemia 32 Lower extremity edema 32 Fever of unknown origin 32 Pelvic pain 32 Weight loss 33 Exclusions 33

2019 AIM Specialty Health

15. Chronic Pelvic Pain

colpopexy: management of postoperative pudendal nerve entrapment. Obstet Gynecol, 1996. 88: 713. 218. Fisher, H.W., et al. Nerve injury locations during retropubic sling procedures. Int Urogynecol J, 2011. 22: 439. 219. Moszkowicz, D., et al. Where does pelvic nerve injury occur during rectal surgery for cancer? Colorectal Dis, 2011. 13: 1326. 220. Ashton-Miller, J.A., et al. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci, 2007. 1101: 266. 221. Amarenco, G., et al. [Perineal neuropathy (...) : 1179. 276. Davis, S.N., et al. Use of pelvic floor ultrasound to assess pelvic floor muscle function in urological chronic pelvic pain syndrome in men. J Sex Med, 2011. 8: 3173. 277. Anderson, R.U., et al. Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome. J Urol, 2009. 182: 2753. 278. Sanses, T.V., et al. The Pelvis and Beyond: Musculoskeletal Tender Points in Women With Chronic Pelvic Pain. Clin J Pain, 2016. 32: 659. 279. Yang, C.C., et

2019 European Association of Urology

16. Essential Anatomy of the Anorectum for Colorectal Surgeons Focused on the Gross Anatomy and Histologic Findings Full Text available with Trip Pro

fascial plane. With the development of pelvic structure anatomy, we can understand better how we can remove the tumor and the surrounding metastatic lymph nodes without damaging the neural structure. However, because the anorectal anatomy is not yet fully understood, we hope that additional studies of anatomy will enable anorectal surgery to be performed based on complete anatomical knowledge. (...) Essential Anatomy of the Anorectum for Colorectal Surgeons Focused on the Gross Anatomy and Histologic Findings The anorectum is a region with a very complex structure, and surgery for benign or malignant disease of the anorectum is impossible without accurate anatomical knowledge. The conjoined longitudinal muscle consists of smooth muscle from the longitudinal muscle of the rectum and the striate muscle from the levator ani and helps maintain continence; the rectourethralis muscle

2018 Annals of coloproctology

17. The Utility of and Indications for Routine Pelvic Examination

are needed. Potential Benefits of the Screening Pelvic Examination for Asymptomatic Women Based on expert opinion, potential benefits of the pelvic examination include early detection of treatable gynecologic conditions before symptoms occurring (eg, vulvar or vaginal cancer), as well as incidental findings such as dermatologic changes and foreign bodies. Additionally, screening pelvic examinations in the context of a well-woman visit ( ) may allow gynecologists to explain a patient’s anatomy, reassure (...) The Utility of and Indications for Routine Pelvic Examination The Utility of and Indications for Routine Pelvic Examination - ACOG Menu ▼ The Utility of and Indications for Routine Pelvic Examination Page Navigation ▼ Number 754 Committee on Gynecologic Practice This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice in collaboration with committee members Catherine Cansino, MD, MPH and Lubna Chohan, MD. This information

2018 American College of Obstetricians and Gynecologists

18. Chronic Pelvic Pain

colpopexy: management of postoperative pudendal nerve entrapment. Obstet Gynecol, 1996. 88: 713. 218. Fisher, H.W., et al. Nerve injury locations during retropubic sling procedures. Int Urogynecol J, 2011. 22: 439. 219. Moszkowicz, D., et al. Where does pelvic nerve injury occur during rectal surgery for cancer? Colorectal Dis, 2011. 13: 1326. 220. Ashton-Miller, J.A., et al. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci, 2007. 1101: 266. 221. Amarenco, G., et al. [Perineal neuropathy (...) : 1179. 276. Davis, S.N., et al. Use of pelvic floor ultrasound to assess pelvic floor muscle function in urological chronic pelvic pain syndrome in men. J Sex Med, 2011. 8: 3173. 277. Anderson, R.U., et al. Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome. J Urol, 2009. 182: 2753. 278. Sanses, T.V., et al. The Pelvis and Beyond: Musculoskeletal Tender Points in Women With Chronic Pelvic Pain. Clin J Pain, 2016. 32: 659. 279. Yang, C.C., et

2018 European Association of Urology

19. Appropriate Use Criteria: Imaging of the Abdomen & Pelvis

. AIM Specialty Health. All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Administrative Guidelines 4 Ordering of Multiple Studies 4 Pre-test Requirements 5 Abdominal & Pelvic Imaging 6 CT of the Abdomen 6 MRI of the Abdomen 15 MRCP of the Abdomen 20 CTA/MRA of the Abdomen 22 CTA Abdominal Aorta and Bilateral Illiofemoral Lower Extremity Run-off 26 CT of the Pelvis 28 MRI of the Pelvis 35 Fetal MRI 41 CTA/MRA of the Pelvis 43 CT of the Abdomen & Pelvis (...) Appropriate Use Criteria: Imaging of the Abdomen & Pelvis Clinical Appropriateness Guidelines: Advanced Imaging Appropriate Use Criteria: Imaging of the Abdomen & Pelvis Effective Date: March 12, 2018 Proprietary Date of Origin: 03/30/2005 Last revised: 11/01/2016 Last reviewed: 11/27/2017 Copyright © 2018. AIM Specialty Health. All Rights Reserved 8600 W Bryn Mawr Avenue South Tower - Suite 800 Chicago, IL 60631 P . 773.864.4600 www.aimspecialtyhealth.comTable of Contents | Copyright © 2018

2018 AIM Specialty Health

20. Postmenopausal Subacute or Chronic Pelvic Pain

Postmenopausal Subacute or Chronic Pelvic Pain New 2018 ACR Appropriateness Criteria ® 1 Postmenopausal Subacute or Chronic Pelvic Pain American College of Radiology ACR Appropriateness Criteria ® Postmenopausal Subacute or Chronic Pelvic Pain Variant 1: Postmenopausal subacute or chronic pelvic pain, localized to the deep pelvis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US pelvis transvaginal Usually Appropriate O US duplex Doppler pelvis Usually Appropriate (...) Not Appropriate ???? CT pelvis without IV contrast Usually Not Appropriate ??? Radiography abdomen and pelvis Usually Not Appropriate ??? Variant 2: Postmenopausal subacute or chronic pelvic pain, clinically suspected pathologies in perineum, vulva, or vagina. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US duplex Doppler pelvis Usually Appropriate O US pelvis transabdominal Usually Appropriate O US pelvis transvaginal Usually Appropriate O MRI pelvis without and with IV

2018 American College of Radiology

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