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https://hdl.handle.net/11499/4314
Title: | A cadaveric histological investigation of the prostate with three-dimensional reconstruction for better results in continence and erectile function after radical prostatectomy | Authors: | Özdemir, Mehmet Bülent Eskiçorapçı, Saadet Yılmaz Baydar, D.E. Cumhur, M. Önderoglu, S. Özen, H. |
Keywords: | article bladder neck cadaver computer model continence histology human human tissue image reconstruction medical student penis erection priority journal prostatectomy seminal vesicle skeletal muscle stroma surgeon surgical anatomy surgical training three dimensional imaging urethra Aged Cadaver Carcinoma Humans Image Processing, Computer-Assisted Imaging, Three-Dimensional Impotence Male Middle Aged Prostatectomy Prostatic Neoplasms Urinary Incontinence |
Abstract: | In this study our aim is to increase the understanding of the prostate and related organs anatomy for better continence and erectile function results after urological surgery. Prostate and related organs were dissected from seven cadavers. After dissection, 165 serial sections with 300 µm thickness were derived at a 100 µm interval. The histological images were examined and imported to the computer. Three-dimensional (3D) remodeling had been performed. The findings were evaluated into three categories: macroscopic, microscopic and 3D reconstruction. Striated muscle fibers had been detected at the anterior fibromuscular stroma in histological sections. In 3D remodeling, urethra seemed to be a complete functional unit, beginning from the trigone up to the membranous urethra. The neurovascular bundles run under the pelvic fascia on both sides and go through to the bladder neck at 5 and 7 o'clock. Computer remodeling demonstrated that neurovascular structures had a close association with the bladder neck and the seminal vesicle. Computer program made it possible to rotate all 3D-reconstructed figures by 360° and examine them from all possible angles. All reconstructed structures can be examined together at the same time or one by one. Surgeons must pay special attention to the continence area described as a single unit, beginning from trigone to the membranous urethra, during the surgery. Meticulous dissection of the neurovascular bundles, especially close to the seminal vesicles and bladder neck, during the radical prostatectomy is necessary. These reconstructions can be used for the educational purpose of medical students as well as the urology surgeons. | URI: | https://hdl.handle.net/11499/4314 https://doi.org/10.1038/sj.pcan.4500917 |
ISSN: | 1365-7852 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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