By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD
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Additional info for Adult and Pediatric Urology (3-Volume Set)
Variation in the branching pattern of the internal iliac artery. A, D: The superior gluteal artery leaves the pelvis through the suprapiriform foramen as the terminal branch of the posterior trunk of the internal iliac artery. The internal pudendal artery and inferior gluteal artery pass through the intrapiriform foramen as the terminal branches of the anterior trunk (49%). B, C: The anterior trunk does not divide unit it has passed through the intrapiriform foramen (10%). 5%). 5%). 5%) leaving the true pelvis.
The membranous urethra is divided on the line shown. The posterior prostatic fascia is divided at its attachment, the rectourethral septum (the apex of the wedge-shaped perineal body), and the rectogenital space is opened.
57). The entrance of the ureter into the true pelvis is located anterior or slightly medial to the sacroiliac joint. There the ureter is related to the iliac vessels, crossing either the common iliac vessels or the external and internal iliac vessels, depending on the position of these vessels and the level of their bifurcation. 56 and Fig. 57). 56. Pelvic dissection in a male. The peritoneum has been partially removed. 57. Pelvic dissection in a female. The peritoneum has been partially removed.