[Cingulum vesicae--bladder anchoring in the pelvis].

The fascia endopelvina, extending into the bladder along the entire circumference between the corpus and fundus vesicae, represents the cingulum vesicae. Dense connective tissue forms a permanent link, adjacent to the cingulum vesicae, between the bladder on the one hand and the lateral pelvic wall and anterior surface of the uterus on the other; in this way the bladder is held in the pelvis at a particular point. The ventral portion of the cingulum (ligamenta pubourethralia posteriora and ligamentum pubourethrale intermedium) is especially important, as it provides an anchor of the vesical cervix as a mark of continence. Laterodorsally the anchor circle is completed via the ligamenta vesicouterina and the septum supravaginale. From a functional anatomic standpoint every precise surgical technique for incontinence must take the cingulum vesicae and the adjacent structures into consideration. Therefore, elevation of the cingulum vesicae and the vesical cervix should be taken into account in the therapeutic plan for incontinence.