Female and Male Pelvic Anatomy. Objectives Describe the anatomy and function of the pelvic floor...

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Female and Male Pelvic Anatomy

Objectives

Describe the anatomy and function of the pelvic floor and its related viscera.

Identify specific muscular structures on an anatomical model of the pelvis.

Explain the relationship between the pelvic floor and sacral ligaments and sacral mechanics.

Ilium

Ischium

Pubis

Sacrum

Coccyx

Pubic SymphysisBony Pelvis

SacrumCoccyx

Posterior Wall

PubisPubic Symphysis

Anterior Wall

Ilium

Ischium

Lateral Wall

PelvicInlet

PelvicOutletBoundaries

Ligaments of the Pelvis

Ligaments of the Pelvis

Oval and Round Inlet

Large OutletWide Arch

Oval Foramen

SmallAcetabulum

Heart Shaped Inlet

Small OutletNarrow Arch

RoundForamen

LargeAcetabulum

Female External Genitalia

Labia Minora

Labia Majora

Vestibule

TransversePerineal Muscle

Ischiocavernosus

Bulbospongiosus

Superficial Urogenital & Anal Triangles

Pudendal nerve

Superficial Pouch

Deep Transverse Perinea

Urethrovaginal Sphincter

Urogenital Diaphragm (Deep Pouch)

Deep Transverse Perinea

• Sphincter urethrae

• Compressor urethrae

FEMALE LEVATOR ANI

Coccygeus(Ischio)

Iliococcygeus

Pubococcygeus

Puborectalis

Coccygeus(Ischio)

Iliococcygeus

Pubococcygeus

Puborectalis

Rectum

Urethra

Obturator Internus

MALE LEVATOR ANI

Pubococcygeus

IliococcygeusPuborectalis

Coccygeus(Ischio)

MALE LEVATOR ANI

FEMALE LEVATOR ANI

Gluteus Maximus

Iliococcygeus

Coccygeus(Ischio)

Perineal BodyPuborectalis

Pubococcygeus

Obturator Internus

Pubovaginalis

L4 & L5

S5

S4

S3

S2

S1

Nerves to theLevator Ani

Sacral Roots

ObturatorNerve

Anterior Posterior

Obturator nerve

Pudendal nerve

Pelvic Innervation

External Iliac Art.

Common Iliac

Internal Iliac Art.

Superior Glut Art

Inferior Glut Art

PudendalArt.

Female Pelvic Viscera

Male Pelvic Viscera

Prostate Cancer

Pelvic Floor Muscle Examination

Female Pelvic Floor Examination

Male Pelvic Floor Examination

Palpation

Tone Tenderness Atrophy Swelling

Lab

Review with model and anatomy grid