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====== Anatomy ====== *'''<span style="color:#ff0000">Anatomy of the Retropubic Midurethral Sling''' ** '''The left and right dorsal nerves of the clitoris (DNCs) run along the inferior surface of the ischiopubic rami''' and cross under the pubic bone approximately 1.4 cm from the midline ** '''<span style="color:#ff0000">The obturator vessels are the closest major vascular structures to a retropubic MUS''' * '''<span style="color:#ff0000">Anatomy of the Transobturator Midurethral Sling''' ** '''The transobturator technique is unique because (when done correctly) it avoids entry into the true pelvis and the levator group.''' *** '''Muscle’s traversed by this technique include the obturator internus muscle, obturator membrane, and obturator externus muscle as it goes through the obturator foramen, and the adductor muscles (adductor magnus, adductor brevis, and gracilis), lateral to the obturator foramen''' **** '''<span style="color:#ff0000">Errant sling placement through the adductor longus tendon can result in substantial pain.''' ** '''The obturator vessels are lateral and superior to the area of insertion of the device.''' ** '''The dorsal nerve of the clitoris is separated from the trajectory of the device by ≥1-2 cm'''
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