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

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1. Identify the bony walls and ligamentous
landmarks of the pelvis.
Sacrotuberous Ligament
Greater Sciatic Foramen
Sacrospinous Ligament
Lesser Sciatic Foramen
Sacrospinous Ligament
Sacrotuberous Ligament
Coccyx
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Male vs. Female Pelvis
3
Muscular Walls
Obturator Internus
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4. Identify the pelvic diaphragm and its
components
Pubic Symphysis
Levator Prostatae or Sphincter Vaginae
Sphincter Vaginae (or Levator Prostatae)
Urethra
Pubic Symphysis
Vagina
Puborectalis
Rectum
Pubococcygeus
Puborectalis
Perineal Body
Pubococcygeus
Obturator Internus
Coccyx
Iliococcygeus
Coccygeus
Iliococcygeus
Coccygeus
Coccyx
Sacrum
Inferior View
Superior View
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2. Identify the normal position and anatomical
relationships of the pelvic viscera
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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

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Ligaments supporting pelvic organs
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5. Follow the flow of blood into an out of the
structures of the pelvis and perineum.
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.
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6. Identify the lymphatic drainage of structures
of the pelvis and perienum.

• Rules
• 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

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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.
Fimbria
Uterine tube
Fundus
Ovary
Uterine cavity
Body
Cervix
Fornix
Vagina
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Innervation of Pelvic Organs