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

Iliopectineal Line

Sacrotuberous Ligament

Greater
Sciatic
Foramen

Sacrospinous Ligament

Lesser
Sciatic
Foramen

Sacrospinous
Ligament

Sacrotuberous Ligament
Pubic Arch

Pubic Symphysis

Ischial Tuberosity
Ant. Sup. Iliac Spine

Pubic symphysis

Pelvic
Outlet

Tip of Coccyx
Sacrotuberous
Ligament
Coccyx

Malevs.FemalePelvis
Female
Pelvic Inlet

Pelvic Outlet

Pelvic Cavity

Pelvic Arch

Male

MuscularWalls
Greater
Sciatic
Foramen

Piriformis
Muscle
Sacrotuberous
Ligament

Piriformis
Muscle

Sacrospinou
s Ligament

Sacrotuberous
Ligament

Gemellus
Superior &
Inferior
Greater Trochanter
Obturator Internus
Ischial Tuberosity

Lesser Trochanter

4.Identifythepelvicdiaphragmanditscomponents
Sphincter Vaginae (or
Levator Prostatae)

Pubic Symphysis

Urethra

Pubic Symphysis

Levator Prostatae or
Sphincter Vaginae

Vagina
Rectum

Puborectalis
Pubococcygeus

Puborectalis
Perineal
Body

Pubococcygeus

Obturator
Internus

Coccyx

Iliococcygeus
Coccygeus

Iliococcygeus
Sacrum

Superior View

Coccyx

Coccygeus

Inferior View

2.Identifythenormalpositionandanatomical
relationshipsofthepelvicviscera

Anteverted

Anteflexed

3.Identifytheextentoftheperitoneumanditsfolds
andreflectionsinthemaleandfemalepelvisand
theirrelationshiptothepelviccontents.
Rectovesicle pouch

Infraperitoneal
space

Most pelvic organs are infraperitoneal

Vesicouterine pouch

Rectouterine pouch

Ligamentssupportingpelvicorgans
Peritoneal ligaments

Pelvic visceral ligaments

Fundus

Bladder

Bladder

Lig. Of ovary

Round lig. of uterus

Pubocervical lig.

Uterine tube

Transverse
cervical lig.

Broad ligament
Suspensory lig.

Cervix
Sacrocervical lig.
Rectum

Ovarian art.

Lig. Of the ovary

Mesosalpinx
Fundus

Round
ligament
of the
uterus

Sacrocervical lig.

Uterine tube

Body

Round lig.
of the
uterus
Uterine art.

Cervix

Lig. Of the ovary

Bladder

Mesometrium
Ureter
Uterine art.

Pubocervical lig.

Rectum
Pelvic diaphragm
Transverse cervical lig.

5.Followtheflowofbloodintoanoutofthestructuresofthe
pelvisandperineum.
Celiac
Superior mesenteric
Renal
Ovarian
Common iliac
Ext. iliac

Int.
iliac

Inferior mesenteric
Superior rectal
Testicular

Inguinal
ligament

Median
Sacral
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.Identifythelymphaticdrainageofstructuresof
thepelvisandperienum.
Rules:

Para-aortic

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

External iliac

Superficial Inguinal

Internal iliac

7.Followthecoursetakenbyanovumthroughthefemale
reproductivetractandthepathwaytakenbyaspermatozoon
throughthemalereproductivetract.
Uterine tube

Fimbria

Ureter

Fundus

Ductus deferens

Inguinal
canal
Ovary

Uterine
cavity
Cervix

Body

Bladder
Ejaculatory
duct

Ampulla

Fornix
Vagina

Seminal vesicle
Prostate
Bulbourethral
gland
Urethra
Ductus deferens
Testis

Epidiymis

InnervationofPelvicOrgans