» Articles » PMID: 34707906

Review: Pelvic Nerves - from Anatomy and Physiology to Clinical Applications

Overview
Journal Transl Neurosci
Specialty Neurology
Date 2021 Oct 28
PMID 34707906
Citations 19
Authors
Affiliations
Soon will be listed here.
Abstract

A prerequisite for nerve-sparing pelvic surgery is a thorough understanding of the topographic anatomy of the fine and intricate pelvic nerve networks, and their connections to the central nervous system. Insights into the functions of pelvic nerves will help to interpret disease symptoms correctly and improve treatment. In this article, we review the anatomy and physiology of autonomic pelvic nerves, including their topography and putative functions. The aim is to achieve a better understanding of the mechanisms of pelvic pain and functional disorders, as well as improve their diagnosis and treatment. The information will also serve as a basis for counseling patients with chronic illnesses. A profound understanding of pelvic neuroanatomy will permit complex surgery in the pelvis without relevant nerve injury.

Citing Articles

Adhesion Prevention in Gynecologic Surgery: Guidance and Clinical Experience.

Alkatout I, De Wilde R, Herrmann J, Klapdor R, Meinhold-Heerlein I, Meszaros J J Clin Med. 2025; 13(24.

PMID: 39768440 PMC: 11678543. DOI: 10.3390/jcm13247517.


The mechanism of action of neuromodulation in the treatment of overactive bladder.

Krhut J, Kobbero H, Kanaan R, Fode M, Poulsen M, Zvara P Nat Rev Urol. 2024; .

PMID: 39653756 DOI: 10.1038/s41585-024-00967-8.


Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis.

Li C, Liu N, Huang Z, Wei Z, Li K, Hou W BMC Gastroenterol. 2024; 24(1):367.

PMID: 39402442 PMC: 11472438. DOI: 10.1186/s12876-024-03435-0.


Dissection of the Sympathetic Nerves Around the Mesorectum at the Abdominopelvic Border.

Badea T, Dogaru I, Filipoiu Z, Gheoca Mutu D, Filipoiu F Cureus. 2024; 16(9):e69091.

PMID: 39391403 PMC: 11466058. DOI: 10.7759/cureus.69091.


Intraoperative pelvic neuromonitoring based on bioimpedance signals: a new method analyzed on 30 patients.

Kalev G, Schuler R, Langer A, Goos M, Konschake M, Schiedeck T Langenbecks Arch Surg. 2024; 409(1):237.

PMID: 39096391 PMC: 11297903. DOI: 10.1007/s00423-024-03403-y.


References
1.
Prieto D . Physiological regulation of penile arteries and veins. Int J Impot Res. 2007; 20(1):17-29. DOI: 10.1038/sj.ijir.3901581. View

2.
Edwards E . Operative anatomy of the lumbar sympathetic chain. Angiology. 1951; 2(3):184-98. DOI: 10.1177/000331975100200304. View

3.
Krassioukov A, Elliott S . Neural Control and Physiology of Sexual Function: Effect of Spinal Cord Injury. Top Spinal Cord Inj Rehabil. 2018; 23(1):1-10. PMC: 5340504. DOI: 10.1310/sci2301-1. View

4.
Nyangoh Timoh K, Bessede T, Lebacle C, Zaitouna M, Martinovic J, Diallo D . Levator ani muscle innervation: Anatomical study in human fetus. Neurourol Urodyn. 2016; 36(6):1464-1471. DOI: 10.1002/nau.23145. View

5.
Gandhi K, Verma V, Chavan S, Joshi S, Joshi S . The morphology of lumbar sympathetic trunk in humans: a cadaveric study. Folia Morphol (Warsz). 2013; 72(3):217-22. DOI: 10.5603/fm.2013.0036. View