Anatomical knowledge of the anterior adjacent structure of the male terminal rectum

doi:10.3877/cma.j.issn.2095-3224.2020.02.015

Abstract

Abstract:

In abdominal and urological surgery, the histological, anatomical and physiological characteristics of the anterior adjacent structures of the terminal rectum in males were always important factors in the surgical operation. This area is narrow in space, deep in position, has many organizational structures, and lacks clear boundaries. Anatomical research is still controversial. Among them, the perineal body (PB) and deep transverse perineal muscles (DTPM), rectourethralis muscle (RUM) the three muscles is the typical anatomical structure. In this paper, the histological, anatomical and physiological functions of the related structures were reviewed in order to provide reference for clinical operation.

Key words: Male, Rectum, Perineal body, Deep transverse perineal muscle, Rectourethralis muscle

Liqiang Liu, Junlong Su, Jian Qiu. Anatomical knowledge of the anterior adjacent structure of the male terminal rectum[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(02): 196-200.

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References 42

[1]	Kraima AC, West NP, Treanor D, et al. The anatomy of the perineal body in relation to abdominoperineal excision for low rectal cancer [J]. Colorectal Dis, 2016, 18(7): 688-695.
[2]	Shafik A, Sibai OE, Shafik AA, et al. A novel concept for the surgical anatomy of the perineal body [J]. Dis Colon Rectum, 2007, 50(12): 2120-2125.
[3]	Shafik A, Ahmed I, Shafik AA, et al. Surgical anatomy of the perineal muscles and their role in perineal disorders [J]. Anat Sci Int, 2005, 80(3): 167-171.
[4]	Sebe P, Oswald J, Fritsch H, et al. An embryological study of fetal development of the rectourethralis muscle--does it really exist? [J]. J Urol, 2005, 173(2): 583-586.
[5]	Oh C, Kark AE. Anatomy of the perineal body [J]. Diseases of the Colon & Rectum, 1973, 16(6): 444-454.
[6]	Fritsch H, Lienemann A, Brenner E, et al. Clinical anatomy of the pelvic floor [J]. Acta Chirurgica Iugoslavica, 2006, 53(2): 11-13.
[7]	孙涛, 傅卫, 白洋, 等. 超低位直肠前切除术中会阴前平面的应用解剖研究 [J] .中华普通外科杂志, 2010, 25(8): 639-641.
[8]	Shafik A. Physioanatomic entirety of external anal sphincter with bulbocavernosus muscle [J]. Arch Androl, 1999, 42(1): 45-54.
[9]	Kureel SN, Gupta A, Gupta RK. Surgical anatomy of urogenital diaphragm and course of its vessels in exstrophy-epispadias [J]. Urology, 2011, 78(1): 159-163.
[10]	姚华强, 钟世镇, 何恢绪, 等.经会阴修复重建男性尿道的应用解剖[J].中国修复重建外科杂志, 2004, 18(4): 285-287
[11]	Muro S, Tsukada Y, Harada M, et al. Spatial distribution of smooth muscle tissue in the male pelvic floor with special reference to the lateral extent of the rectourethralis muscle: Application to prostatectomy and proctectomy [J]. Clin Anat, 2018, 31(8): 1167-1176.
[12]	Peikert K, Platzek I, Bessede T, et al. The male bulbospongiosus muscle and its relation to the external anal sphincter [J]. J Urol, 2015, 193(4): 1433-1440.
[13]	Plochocki JH, Rodriguez-Sosa JR, Adrian B, et al. A functional and clinical reinterpretation of human perineal neuromuscular anatomy: Application to sexual function and continence [J]. Clin Anat, 2016, 29(8): 1053-1058.
[14]	夏武宪, 林秋凤, 张雁儒. 阴茎血管及会阴浅层肌与阴茎勃起相关的应用解剖学[J]. 解剖学杂志, 2007, 30(3): 358-360.
[15]	Shafik A, El-Sibai O, Shafik AA, et al. Effect of straining on perineal muscles and their role in perineal support: identification of the straining-perineal reflex[J]. J Surg Res, 2003, 112(2): 162-167.
[16]	崔龙, 邰浩清. 肛管直肠角形成和维持的解剖机制及其临床应用[J]. 中华小儿外科杂志, 2000, 21(5): 298-301.
[17]	Wu Y, Dabhoiwala NF, Hagoort J, et al. Architecture of structures in the urogenital triangle of young adult males; comparison with females [J]. J Anat, 2018, 233(4): 447-459.
[18]	Siccardi MA, Bordoni B. Anatomy, abdomen and pelvis, perineal body [J]. Stat Pearls, 2018, Dec 20.
[19]	Lee JM, Kim NK. Essential anatomy of the anorectum for colorectal surgeons focused on the gross anatomy and histologic findings[J]. Ann Coloproctol, 2018, 34(2): 59-71.
[20]	Zhai LD, Liu J, Li YS, et al. The male rectourethralis and deep transverse perineal muscles and their relationship to adjacent structures examined with successive slices of celloidin-embedded pelvic viscera [J]. Eur Urol, 2011, 59(3): 415-421.
[21]	Murakami G, Nakajima F, Sato TJ, et al. Individual variations in aging of the male urethral rhabdosphincter in Japanese[J]. Clin Anat, 2002, 15(4): 241-252.
[22]	Guo M, Li D. Pelvic floor images: anatomy of the levator ani muscle [J]. Dis Colon Rectum, 2007, 50(10): 1647-1655.
[23]	Nakajima F, Takenaka A, Uchiyama E, et al. Macroscopic and histotopographic study of the deep transverse perineal muscle (musculus transversus perinei profundus) in elderly Japanese [J]. Ann Anat, 2007, 189(1): 65-74.
[24]	Yucel S, Baskin LS. Neuroanatomy of the male uretra and perineum [J]. BJU International, 2003, 92(6): 624-630.
[25]	朱保平, 胡礼泉. 国人阴茎血管神经的解剖及临床意义[J]. 中华实验外科杂志, 1997, 14(5): 308-309.
[26]	刘树伟, 李瑞锡. 局部解剖学[M]. 北京：人民卫生出版社, 2013.
[27]	Brooks JD, Eggener SE, Chao WM. Anatomy of the rectourethralis muscle [J]. European Urology, 2002, 41(1): 94-100.
[28]	翟丽东. Denonvilliers筋膜及其相关结构的实验研究[D]. 天津: 天津医科大学, 2009.
[29]	Shafik A, Shafik AA, Shafik I, et al. Study of the role of the transverse perineal muscles during rectal filling[J]. Int J Colorectal Dis, 2006, 21(7): 698-704.
[30]	赵博, 韩悦, 李云生, 等.男性尿生殖膈的MRI与解剖对照研究[J]. 中华泌尿外科杂志, 2012, 33(8): 614-617.
[31]	Soga H, Takenaka A, Murakami G, et al. Topographical relationship between urethral rhabdosphincter and rectourethralis muscle: a better understanding of the apical dissection and the posterior stitches in radical prostatectomy [J]. Int J Urol, 2008, 15(8): 729-732.
[32]	Porzionato A, Macchi V, Gardi M, et al. Histotopographic study of the rectourethralis muscle [J]. Clin Anat, 2005, 18(7): 510-517.
[33]	Uchimoto K, Murakami G, Kinugasa Y, et al. Rectourethralis muscle and pitfalls of anterior perineal dissection in abdominoperineal resection and intersphincteric resection for rectal cancer [J]. Anat Sci Int, 2007, 82(1): 8-15.
[34]	Aigner F, Zbar AP, Ludwikowski B, et al. The rectogenital septum: morphology, function, and clinical relevance [J]. Diseases of the Colon & Rectum, 2004, 47(2): 131-140.
[35]	Nakajima Y, Muro S, Nasu H, et al. Morphology of the region anterior to the anal canal in males: visualization of the anterior bundle of the longitudinal muscle by transanal ultrasonography [J]. Surg Radiol Anat, 2017, 39(9): 967-973.
[36]	Okada T, Hasegawa S, Nakamura T, et al. Precise three-dimensional morphology of the male anterior anorectum reconstructed from large serial histologic sections: a cadaveric study [J]. Dis Colon Rectum, 2019, 62(10): 1238-1247.
[37]	Hinata N, Murakami G, Miyake H, et al. Histological study of the cavernous nerve mesh outside the periprostatic region: anatomical basis for erectile function after nonnerve sparing radical prostatectomy [J]. J Urol, 2015, 193(3): 1052-1059.
[38]	Matsubara A, Murakami G, Arakawa T, et al. Topographic anatomy of the male perineal structures with special reference to perineal approaches for radical prostatectomy [J]. Int J Urol, 2003, 10(3): 141-148.
[39]	Arakawa T, Murakami G, Nakajima F, et al. Morphologies of the interfaces between the levator ani muscle and pelvic viscera, with special reference to muscle insertion into the anorectum in elderly Japanese [J]. Anat Sci Int, 2004, 79(2): 72-81.
[40]	Xu Z, Chapuis PH, Bokey L, et al. Denonvilliers′ fascia in men: a sheet plastination and confocal microscopy study of the prerectal space and the presence of an optimal anterior plane when mobilizing the rectum for cancer [J]. Colorectal Dis, 2017, 20(3): 236-242.
[41]	Tsukada Y, Ito M, Watanabe K, et al. Topographic anatomy of the anal sphincter complex and levator ani muscle as it relates to intersphincteric resection for very Low Rectal Disease [J]. Dis Colon Rectum, 2016, 59(5): 426-433.
[42]	Williams NS, Murphy J, Knowles CH. Anterior perineal planE for ultra-low anterior resection of the rectum (the APPEAR technique): a prospective clinical trial of a new procedure [J]. Ann Surg, 2008, 247(5): 750-758.

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