Schultheiss Dirk
Urologische Belegabteilung, Evangelischen Krankenhaus Giessen.
Aktuelle Urol. 2008 Jul;39(4):267-70.
Denonvilliers' fascia is known to every urologist as one of the most important structures of the pelvis separating the posterior surface of the prostate and the bladder from the anterior aspect of the rectum. Charles-Pierre Denonvilliers (1808-1872) introduced this "Aponévrose prostato-péritonéale" for the first time in 1836 in Paris, without discussing its surgical importance. Already in 1820 the Scotsman Granville Sharp Pattison (1791-1851) had described this "Fascia of the prostate gland" as a structure to be preserved during perineal lithotomy, a frequently performed procedure in those days. According to Pattison the intraoperative damage of this fascia and subsequent urine extravasation with infection of the anterior rectum was the main reason for the high mortality of this operation at that time. Therefore, it is surprising that the eponym of this fascia is not related with the name of Pattison today.
德农维尔筋膜是每位泌尿外科医生都熟知的骨盆最重要结构之一，它将前列腺和膀胱的后表面与直肠的前表面分隔开来。查尔斯 - 皮埃尔·德农维尔（1808 - 1872）于1836年在巴黎首次引入了这种“前列腺腹膜腱膜”，但并未讨论其手术重要性。早在1820年，苏格兰人格兰维尔·夏普·帕蒂森（1791 - 1851）就已将这种“前列腺筋膜”描述为在会阴取石术中需保留的结构，这在当时是一种经常进行的手术。据帕蒂森所述，该筋膜在术中受损以及随后尿液外渗并伴有直肠前部感染是当时该手术死亡率高的主要原因。因此，令人惊讶的是，如今这个筋膜的名称并非与帕蒂森的名字相关。
