Anatomic identification of nerve-sparing radical hysterectomy: a step-by-step procedure.
The radical hysterectomy is often associated with severe bladder dysfunction and colorectal motility disorders. These issues may arise as a result of damage incurred to the motor and sensory autonomic nerve supply, both of sympathetic and parasympathetic origin, that innervate the uterus, vagina, urinary bladder, and rectum. In this article, we demonstrate a nerve-sparing radical hysterectomy using illustrations and step-by-step instructions.
Fujii
Shingo
S
National Hospital Organization, Kyoto Medical Center, Kyoto, Japan. sfu@kuhp.kyoto-u.ac.jp