1. Identify the bony walls and ligamentous landmarks of the pelvis.

Iliopectineal Line

Sacrotuberous Ligament Sacrospinous Ligament

Greater Sciatic Foramen

Lesser Sciatic Foramen Sacrotuberous Ligament Pubic Arch Ischial Tuberosity Ant. Sup. Iliac Spine

Sacrospinous Ligament

Pubic Symphysis

Pubic symphysis

Pelvic Outlet Tip of Coccyx Sacrotuberous Ligament Coccyx

Male vs. Female Pelvis

Female Male Pelvic Inlet

Pelvic Outlet

Pelvic Cavity

Pelvic Arch

Muscular Walls
Greater Sciatic Foramen Piriformis Muscle Sacrotuberous Ligament Piriformis Muscle

Sacrospinous Ligament

Sacrotuberous Ligament

Gemellus Superior & Inferior Greater Trochanter Obturator Internus Ischial Tuberosity Lesser Trochanter

4. Identify the pelvic diaphragm and its components

Sphincter Vaginae (or Levator Prostatae) Pubic Symphysis Urethra Pubic Symphysis Levator Prostatae or Sphincter Vaginae Puborectalis Pubococcygeus

Vagina Rectum
Puborectalis Pubococcygeus

Obturator Internus

Perineal Body

Coccyx

Iliococcygeus Coccygeus Iliococcygeus Coccyx Coccygeus

Sacrum

Superior View

Inferior View

2. Identify the normal position and anatomical relationships of the pelvic viscera

Anteverted

Anteflexed

3. Identify the extent of the peritoneum and its folds and reflections in the male and female pelvis and their relationship to the pelvic contents.
Rectovesicle pouch

Vesicouterine pouch

Rectouterine pouch

Infraperitoneal space

Most pelvic organs are infraperitoneal

Ligaments supporting pelvic organs

Peritoneal ligaments
Fundus Bladder Lig. Of ovary Round lig. of uterus Uterine tube Broad ligament

Pelvic visceral ligaments

Bladder Pubocervical lig. Transverse cervical lig.
Suspensory lig.

Cervix Sacrocervical lig. Rectum

Lig. Of the ovary

Fundus

Ovarian art.

Uterine tube Mesosalpinx Lig. Of the ovary

Sacrocervical lig. Bladder Rectum Pelvic diaphragm Transverse cervical lig.

Round ligament of the uterus

Body

Round lig. of the uterus Uterine art.

Mesometrium Ureter Uterine art.

Pubocervical lig.

Cervix

5. Follow the flow of blood into an out of the structures of the pelvis and perineum.
Celiac Superior mesenteric Renal Ovarian Common iliac Ext. iliac Inferior mesenteric Superior rectal Testicular

Int. iliac Median Sacral

Inguinal ligament

Femoral

Rules: 1. All pelvic organs are supplied by branches of the internal iliac artery except the ovaries and the upper third of the rectum. 2. Venous drainage follows the arterial supply, including the portal tributary, the inferior mesenteric vein. 3. Portal caval anastomses are found at the inferior rectal veins.

6. Identify the lymphatic drainage of structures of the pelvis and perienum.

Para-aortic

Rules:

External iliac

Lymphatics drain toward lymph nodes along internal iliac veins, except for the ovary (para-aortic nodes), and superior portion of the rectum (inferior mesenteric nodes) Perineum drains to superficial inguinal nodes

Superficial Inguinal

Internal iliac

7. Follow the course taken by an ovum through the female reproductive tract and the pathway taken by a spermatozoon through the male reproductive tract.
Uterine tube Fundus Ductus deferens Inguinal canal Fimbria Ureter

Ovary Uterine cavity Cervix Fornix Vagina Body Ejaculatory duct

Bladder
Ampulla Seminal vesicle Prostate Bulbourethral gland Urethra Ductus deferens Testis Epidiymis

Innervation of Pelvic Organs