Attachment of the rectovaginal septum to the pelvic sidewall.

OBJECTIVE: To describe the lateral attachment of the rectovaginal fascia to the pelvic sidewall. STUDY DESIGN: A descriptive study was performed with use of 10 embalmed female cadaveric pelves, each sectioned in the midsagittal plane. The lateral attachments of the pubocervical fascia and the rectovaginal fascia to the pelvic sidewall were examined. RESULTS: The rectovaginal fascia attaches to the pelvic sidewall along a well-defined line. It extends from the perineal body toward the arcus tendineus fasciae pelvis with which it converges approximately midway between the pubis and the ischial spine to form a y configuration. This point of convergence occurs an average of 4.8 cm from the ischial spine, 3.75 cm from the pubic symphysis, and 4.15 cm from the posterior fourchette. CONCLUSION: The rectovaginal fascia supports the posterior compartment analogous to the pubocervical fascia in the anterior compartment. Moreover, landmarks are identified that will aid suture placement during repair of posterior compartment defects.

A comparison of time, temperature, and refreezing variables on frozen sperm motility recovery.

OBJECTIVE: To compare motility recovery among methods of thawing semen in serial freeze-thaw processes. DESIGN: A comparison of treatments. SETTING: Semen cryobank laboratory. PARTICIPANTS: Semen samples from an existing cryobank. INTERVENTIONS: Portions of each of 35 ejaculates were thawed serially in either a 37 degrees C water bath for 10 minutes or at room temperature for 30 minutes. Motility was estimated, and the samples were immediately refrozen. Thaws were performed initially (T1), at 24 hours (T2), and at 1 week (T3). MAIN OUTCOME MEASURE: Percent motility. RESULTS: The initial motility of all samples averaged 73.2%. Serial thaws at 37 degrees C yielded mean motility recoveries of 34.0%, 21.8%, and 8.3% for T1, T2, and T3, respectively. Those at room temperature were 22.4%, 7.9%, and 1.3%. Motilities progressively decreased from initial to final thaw regardless of temperature. Semen thawed at 37 degrees C had a higher motility recovery at all thaw times compared with samples thawed at room temperature. CONCLUSIONS: For sperm frozen rapidly in liquid nitrogen and for sperm subjected to multiple freeze-thaw processes, motility recovery is improved if thaw is carried out at 37 degrees C versus room temperature.