{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:59:19Z","timestamp":1789210759974,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2003,2,14]],"date-time":"2003-02-14T00:00:00Z","timestamp":1045180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2003,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Because of its proximity to the urethra, the anterior part of the arcus tendineus fasciae pelvis (ATFP) may be used in urethrosuspension procedures for urinary stress incontinence. In this study, 10 embalmed female cadaver hemipelves were dissected and their gross anatomy described. In females, the ATFP is a condensation of the endopelvic fascia. The anterior attachment of the ATFP is to the caudal inner surface of the body of the pubic bone at a site averaging 4 mm lateral to the pubic symphysis and covering an average area of 53 mm<jats:sup>2<\/jats:sup>. Posteriorly, it attaches to the medial surface of the ischial spine. In nine of the 10 hemipelves the first anterior centimeters of the ATFP have a clear lateral fixation either to the lateral part of the levator ani muscle (<jats:italic>n<\/jats:italic> = 1), to the fascia covering the obturator internus muscle (<jats:italic>n<\/jats:italic> = 7), or to the obturator membrane (<jats:italic>n<\/jats:italic> = 1). Medially from the ATFP derives a 2\u20133\u2010cm long flat fibrous attachment to the posterolateral aspect of the urethra. In eight unembalmed cadavers, the ATFP gave way at a pulling force of 8.2 kg (range = 3.5\u201311.5 kg). The ATFP resists caudal movement of the proximal anterior vaginal wall and the urethra in the upright posture and, therefore, may be suitable for urethrosuspension procedures. Clin. Anat. 16:131\u2013137, 2003. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ca.10102","type":"journal-article","created":{"date-parts":[[2003,2,18]],"date-time":"2003-02-18T15:12:31Z","timestamp":1045581151000},"page":"131-137","source":"Crossref","is-referenced-by-count":37,"title":["Anatomy of the arcus tendineus fasciae pelvis in females"],"prefix":"10.1002","volume":"16","author":[{"given":"Maarten J.","family":"Pit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco C.","family":"De Ruiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"August A.B.","family":"Lycklama \u00c0 Nijeholt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Marani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaap","family":"Zwartendijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,2,14]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.1330750107"},{"key":"e_1_2_1_3_1","first-page":"367","volume-title":"An atlas of human anatomy","author":"Anson BJ","year":"1950"},{"key":"e_1_2_1_4_1","first-page":"277","article-title":"Histologic study of the pelvic connective tissue","volume":"97","author":"Berglas B","year":"1953","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1934.tb08799.x"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)36367-0"},{"key":"e_1_2_1_7_1","unstructured":"DeBlokS.1982. Thesis:Spatial architecture of musculo\u2010fibrous tissue in the female pelvic region. Amsterdam: Swets and Zeitlinger."},{"key":"e_1_2_1_8_1","first-page":"57","volume-title":"Neurobiology of incontinence","author":"DeLancey JOL","year":"1990"},{"key":"e_1_2_1_9_1","first-page":"765","article-title":"Histology of the connection between the vagina and levator ani muscles","volume":"35","author":"DeLancey JOL","year":"1990","journal-title":"J Reprod Med"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(94)70346-9"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-199408000-00003"},{"key":"e_1_2_1_12_1","series-title":"Atlas Urol Clin North Am","first-page":"1","author":"Dmochowski R","year":"1994"},{"key":"e_1_2_1_13_1","first-page":"39","volume-title":"Terminologia Anatomica","author":"Federative Committee on Anatomical Terminology","year":"1998"},{"key":"e_1_2_1_14_1","first-page":"174","volume-title":"Anatomisches Bildw\u00f6rterbuch der internationalen Nomenklatur","author":"Feneis H","year":"1974"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0378-3782(94)90143-0"},{"key":"e_1_2_1_16_1","first-page":"493","volume-title":"Anatomy: a regional study of human structure","author":"Gardner E","year":"1975"},{"key":"e_1_2_1_17_1","first-page":"142","volume-title":"Vaginale Inkontinenz\u2014und Deszensuschirurgie","author":"Lahodny J","year":"1991"},{"key":"e_1_2_1_18_1","first-page":"244","article-title":"Pelvic anatomy. I. Pelvic floor muscles","volume":"54","author":"Lawson JON","year":"1974","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_1_19_1","first-page":"252","volume-title":"A colour atlas of human anatomy","author":"McMinn RMH","year":"1977"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(36)91068-2"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1091700304"},{"key":"e_1_2_1_22_1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/S0094-0143(21)00987-3","article-title":"Current concepts of female pelvic anatomy and physiology","volume":"18","author":"Mostwin JL","year":"1991","journal-title":"Urol Clin North Am"},{"key":"e_1_2_1_23_1","series-title":"Ciba collection of medical illustrations: reproductive system","first-page":"94","author":"Netter FH","year":"1977"},{"key":"e_1_2_1_24_1","first-page":"200","article-title":"Tendinous vaginal support (T.V.S.) using the porcine small intestine submucosa (SIS): a promising anatomical approach for urinary stress incontinence. Video: 16th Congress of the European Association of Urology, Geneva","volume":"39","author":"Palma PCR","year":"2001","journal-title":"Eur Urol"},{"key":"e_1_2_1_25_1","unstructured":"PitMJ de RuiterMC Lycklama \u00e1 NijeholtAAB ZwartendijkJ.1998.The transvaginal arcus tendineus urethro\u2010suspension operation for urinary stress incontinence. The short term results. Poster. Jerusalem: International Continence Society 28th annual meeting abstract197."},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(15)32955-0"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1026536"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1091620308"},{"key":"e_1_2_1_29_1","first-page":"33","volume-title":"The anatomy of the female pelvis including a description of the placenta and its formation and the foetal circulation","author":"Smout CFV","year":"1943"},{"key":"e_1_2_1_30_1","first-page":"243","volume-title":"Das Becken","author":"Waldeyer W","year":"1899"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(96)00322-5"},{"key":"e_1_2_1_32_1","first-page":"604","volume-title":"Gray's anatomy","author":"Williams PL","year":"1989"},{"key":"e_1_2_1_33_1","first-page":"754","article-title":"The anatomic supports of the female urethra","volume":"32","author":"Zacharin RF","year":"1968","journal-title":"Obstet Gynecol"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.10102","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.10102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T20:53:27Z","timestamp":1700254407000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.10102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,2,14]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,3]]}},"alternative-id":["10.1002\/ca.10102"],"URL":"https:\/\/doi.org\/10.1002\/ca.10102","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,2,14]]}}}