*3.2.2 Dissection of the vesicouterine space*

Sectioning the anterior fold of the broad ligament allows for dissecting the vesicouterine space. The junction of the peritoneum between the bladder and uterus looks like a white line. The incision of the peritoneum must be performed caudal to this line (**Figures 15** and **16**).

In the case of previous cesarean sections, this limit is hard to see, and entering into the cervico-vesical space is difficult. Dissection will be made step by step searching the contact with the manipulator cup. After entering the vesico-cervico-vaginal space the limit between the bladder and vagina is cervicovaginal fascia visible as a white connective structure. The assistant grasps the bladder at the midline by anterior and superior traction and dissection is carried out in the midline. Laterally the bladder pillars must be coagulated and cut bilaterally.

**Figure 15.** *Dissection of vesicouterine space.*

**Figure 16.** *Right bladder pillar.*
