Pelvic fascia

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Pelvic fascia
Gray402.png
Coronal section of pelvis, showing arrangement of fasciæ. Viewed from behind.
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Median sagittal section of pelvis, showing arrangement of fasciæ.
Details
Identifiers
Latin fascia pelvis
TA98 A04.5.03.001
TA2 2430
FMA 19725
Anatomical terminology

The pelvic fasciae are the fascia of the pelvis and can be divided into:

Contents

Structure

Fascia of pelvic organs

Pelvic fascia extends to cover the organs within the pelvis.

It is attached to the fascia that runs along the pelvic floor along the tendinous arch. The fascia which covers pelvic organs can be divided according to the organs that are covered:

Fascia of the pelvic floor

Superior

The part of the pelvic fascia on the pelvic floor covers both surfaces of the levatores ani muscle.

The layer covering the upper surface of the pelvic diaphragm follows, above, the line of origin of the Levator ani and is therefore somewhat variable. In front it is attached to the back of the pubic symphysis about 2 cm above its lower border.

It can then be traced laterally across the back of the superior ramus of the pubis for a distance of about 1.25 cm, when it reaches the obturator fascia.

It is attached to this fascia along a line which pursues a somewhat irregular course to the spine of the ischium.

The irregularity of this line is because the origin of the Levator ani, which in lower forms is from the pelvic brim, is in man lower down, on the obturator fascia.

Tendinous fibers of origin of the muscle are therefore often found extending up toward, and in some cases reaching, the pelvic brim, and on these the fascia is carried.

Inferior

The diaphragmatic part of the pelvic fascia covers both surfaces of the levatores ani. The inferior layer is known as the anal fascia. It is attached above to the obturator fascia along the line of origin of the Levator ani, while below it is continuous with the superior fascia of the urogenital diaphragm, and with the fascia on the sphincter ani internus.

Additional images

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The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female. Defects or injuries to these support structures in the pelvic floor leads to pelvic organ prolapse. Anatomical and congenital variations of vaginal support structures can predispose a woman to further dysfunction and prolapse later in life. The urethra is part of the anterior wall of the vagina and damage to the support structures there can lead to incontinence and urinary retention.

References

PD-icon.svgThis article incorporates text in the public domain from page 420 of the 20th edition of Gray's Anatomy (1918)