How to Optimize Autonomic Nerve Preservation in Total Mesorectal Excision: Clinical Topography and Morphology of Pelvic Nerves and Fasciae

Abstract

The highest risk for pelvic nerve damage-apart from lesions of the superior hypogastric plexus itself-is anterolaterally of the rectum where the neurovascular bundle releases from the pelvic sidewall. Careful dissection helps to identify and protect these nerve structures. The retroprostatic Denonvilliers' fascia contains no important nerve structures.