week 11 Flashcards
What are the pelvic organs
- Lower urinary tract organs:
bladder, urethra - Reproductive organs: female- uterus, vagina, male - prostate
- Lower GIT organs: rectum, anal canal
Anterior compartment of pelvic organs
Bladder, urethra
middle compartment of pelvic organs
Uterus, vagina/ prostate
posterior compartment of pelvic organs
Rectum, anal canal
Functions of the pelvic floor
- Helps support the pelvic ( & abdominal ) viscera
- Contributes to increases in intra-abdominal pressure and then helps to maintain intra-abdominal pressure
- Act as sphincters for the passageways through the pelvis- urethra, vagina, anus
- Assist in childbirth- form a ‘gutter’ for the head of the foetus
Pelvic floor muscles
- Levator ani
- Iliococcygeus
- Pubococcygeus
- Puborectalis
- Coccygeus
- Pubocervical fascia:
between bladder/urethra & vagina
Rectovaginal or Rectovesical/Rectoprostatic fascia:
- between rectum & either vagina (female) or bladder plus prostate (male)
Uterosacral ligaments function
suspends & supports the uterus and cervix in position
The Perineum made up of
Urogenital and anal triangles
* Skeletal muscle and fascia
* Perineal body
Urogenital triangle:
- Ischiocavernosus
- Bulbospongiosus
- Superficial transverse perineal
- Deep transverse perineal
anal triangle:
External anal sphincter
functions of perineal muscles
- Provide added closure to vagina & anus
- Support & fix the perineal body
- Maintain erection of penis/ clitoris
The Perineal Body
- Irregular fibromuscular mass
- Located in the midline between the anus and the vagina/ bulb of the penis
- Site of convergence for both muscle and fascia which form the pelvic floor
Nerve supply to pelvic floor
Nerve to Levator ani – with slight input from the Pudendal nerve