Vesical Fascia

fascia vesicalis

The vesical fascia is the visceral peritoneal reflection and the surrounding condensed connective tissue enclosing the urinary bladder, continuous with the umbilicovesical fascia superiorly and the pubocervical or puboprostatic fascia inferiorly.

Anatomical Data

Boundaries & Contents

Location	Pelvis, surrounding the urinary bladder
Boundaries	Visceral layer of the pelvic fascia around the bladder Continuous above with the umbilicovesical fascia Continuous below with the puboprostatic or pubovesical ligaments Separated from the pubis in front by the retropubic space
Contents	Vesical venous plexus and branches of the vesical arteries Autonomic nerves to the bladder

Biomechanics

Function & Actions

Encloses the bladder and carries its vessels and nerves, while allowing the bladder to expand as it fills.

Clinical Relevance

Clinical Notes

In radical cystectomy, the correct surgical plane follows the vesical fascia, too superficial risks entering the bladder or leaving tumour, too deep may injure the rectum or uterus. In pelvic organ prolapse repair, the vesical fascia is plicated to support the anterior vaginal wall.

Pathology

Common Injuries & Conditions

Vesical Fascia Plane in Radical Cystectomy

Dissection within the vesical fascia plane during cystectomy maintains the correct tissue plane, complete oncological resection, and protection of adjacent structures.

Vesical Fascia Defect in Anterior Compartment Prolapse

Defect in the vesical fascia allowing bladder descent through the anterior vaginal wall (cystocele), repaired by anterior colporrhaphy or mesh augmentation.

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