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Advanced Technical

rectovesical pouch

Peritoneal reflection between the rectum and bladder in males, anatomically analogous to the pouch of Douglas in females.

Full Definition

The rectovesical pouch is the most dependent portion of the peritoneal cavity in males, formed by the peritoneal reflection between the rectum posteriorly and the bladder anteriorly. While this term is primarily relevant in male anatomy, it appears in gynecologic oncology literature when discussing anatomical relationships and surgical approaches, particularly in cases involving extensive pelvic disease or when describing peritoneal spread patterns. Understanding this anatomical landmark is important for gynecologic oncologists performing comprehensive staging procedures and when interpreting imaging studies that may show peritoneal disease extending beyond typical female pelvic anatomy.

Usage

Usage note: Primarily used when discussing male pelvic anatomy or extensive peritoneal disease patterns.

In Context

  • "The CT scan showed peritoneal implants extending into the rectovesical pouch, indicating extensive intra-abdominal disease." — Radiology report
  • "Careful inspection of the rectovesical pouch during staging laparoscopy revealed no evidence of metastatic disease." — Operative report

Don't confuse with

pouch of Douglas rectouterine pouch

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