vesicouterine fold
Peritoneal reflection between the bladder and anterior uterine surface. Important anatomical landmark for safe bladder dissection.
Full Definition
The vesicouterine fold is a peritoneal reflection that extends from the posterior superior surface of the bladder to the anterior aspect of the lower uterine segment and cervix. This anatomical landmark defines the location where the bladder can be safely separated from the uterus during hysterectomy procedures. Incision of this fold allows access to the vesicouterine space, enabling mobilization of the bladder away from the cervix and upper vagina. Proper identification of this structure is crucial for preventing bladder injury during both open and minimally invasive procedures.
Usage
Usage note: Distinguish from vesicouterine pouch, which refers to the space rather than the peritoneal fold itself.
In Context
- "The vesicouterine fold was incised sharply to begin bladder mobilization." — operative technique
- "Care was taken to identify the vesicouterine fold before advancing the bladder dissection." — surgical procedure note