Histomorphological analysis of the urogenital diaphragm in elderly women: a cadaver study

The objective of this study was to describe the histomorphological structure of the urogenital diaphragm in elderly women using a modern morphometric procedure. Biopsies were taken from the posterior margin of the urogenital diaphragm of 22 female cadavers (mean age, 87 years) using a 60-mm punch. H...

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Veröffentlicht in:International Urogynecology Journal 2008-11, Vol.19 (11), p.1477-1481
Hauptverfasser: Betschart, C., Scheiner, D., Maake, C., Vich, M., Slomianka, L., Fink, D., Perucchini, D.
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container_end_page 1481
container_issue 11
container_start_page 1477
container_title International Urogynecology Journal
container_volume 19
creator Betschart, C.
Scheiner, D.
Maake, C.
Vich, M.
Slomianka, L.
Fink, D.
Perucchini, D.
description The objective of this study was to describe the histomorphological structure of the urogenital diaphragm in elderly women using a modern morphometric procedure. Biopsies were taken from the posterior margin of the urogenital diaphragm of 22 female cadavers (mean age, 87 years) using a 60-mm punch. Hematoxylin/eosin and Goldner sections were analyzed with the Cavalieri estimator. The mean thickness of the urogenital diaphragm was 5.5 mm. The main component was connective tissue. All biopsies contained smooth muscle. Eighteen biopsies contained more smooth muscle than striated muscle. In six of 22 biopsies, no striated muscle was found. The ratio of striated to smooth muscle to connective tissue was 1:2.3:13.3. Muscle fibers were dispersed in all parts of the urogenital diaphragm. The urogenital diaphragm of elderly women mainly consists of connective tissue. Smooth muscle was also found but to a lesser extent. The frequently used English term “perineal membrane” for the urogenital diaphragm is justified and well describes our findings in elderly women.
doi_str_mv 10.1007/s00192-008-0669-9
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subjects Aged
Aged, 80 and over
Aging
Biopsy
Cadaver
Connective Tissue - anatomy & histology
Female
Gynecology
Humans
Medicine
Medicine & Public Health
Muscle, Smooth - cytology
Muscle, Striated - cytology
Muscular system
Original Article
Perineum - anatomy & histology
Retrospective Studies
Urology
title Histomorphological analysis of the urogenital diaphragm in elderly women: a cadaver study
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