Fascia and ligamentous supports

Fascia and ligamentous supports

/uni25CF At the posterolateral bladder neck, condensations of fascia pass forward medially and laterally to the ureter to join with the prostatic fascia; this fascia needs to be divided during cystectomy . /uni25CF The puboprostatic ligaments are well-defined condensa - tions of the anterior endopelvic fascia; they stretch from the front of the prostate to the periosteum of the pubis and lie lateral to the dorsal vein complex. /uni25CF The urachus and obliterated hypogastric arteries, together with the folds of peritoneum overlying them, are called the median and lateral umbilical ligaments. /uni25CF Condensations of fascia also occur around the superior and inferior vascular pedicles. /uni25CF The pelvic floor organs are supported by the pelvic floor muscles, which predominantly consist of the levator ani group of muscles. The muscles are covered by endopel - vic fascia, which attaches the vagina to the pelvic sidewall and is thickened laterally as the arcus tendineus fascia pel - vis (ATFP). The ATFP lies medial to the obturator inter - n us and is an important landmark into which sutures are placed for pelvic or gan prolapse surgery .