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The pubic symphysis is a nonsynovial amphiarthrodial joint. The width of the pubic symphysis at the front is 3–5 mm greater than its width at the back. This joint is connected by fibrocartilage and may contain a fluid-filled cavity; the center is avascular, possibly due to the nature of the compressive forces passing through this joint, which may lead to harmful vascular disease. [2]
The pubic bone is made up of a body, superior ramus, and inferior ramus (Latin: branch). The left and right coxal bones join at the pubic symphysis. It is covered by a layer of fat – the mons pubis. The pubis is the lower limit of the suprapubic region. In the female, the pubis is anterior to the urethral sponge.
The ligament attaches by its apex onto the symphysis pubis and linea alba, and by its base onto the dorsal and lateral aspects of the corpora cavernosa penis. [1]The midline lamina splits inferiorly/distally to attach onto each corpus cavernosus penis lateral to the groove of the deep dorsal vein of penis, whereas each lateral lamina attaches distally onto the lateral aspect of the ...
The lesser pelvis is bounded in front and below by the superior rami of the symphysis pubis; above and behind, by the sacrum and coccyx; and laterally, by a broad, smooth, quadrangular area of bone, corresponding to the inner surfaces of the body and superior ramus of the ischium, and the part of the ilium below the arcuate line. [1]
Although present in both men and women, the mons pubis tends to be larger in women. [1] [6] Its fatty tissue is sensitive to estrogen, causing a distinct mound to form with the onset of female puberty. [4] [6] [7] [8] This pushes the forward portion of the labia majora out and away from the pubic bone. The mound also becomes covered with pubic ...
The retropubic space is a surgical landmark that has surgical significance in several gynecological and urological procedures. Access to the space is achieved by separating the rectus abdominis muscle at the mid line, and bluntly dissecting the tissue in the direction of the symphysis pubis, until reaching the peritoneum.
They arise from the lower part of the pubic symphysis, and from the superior fascia of the urogenital diaphragm. The origin of the puborectalis fibers is at the posterior surface of the pubis while their insertion is at the midline sling posterior to the rectum. The muscle band is innervated by perineal branches of the S3 and S4 nerve roots.
The urogenital triangle is the area bound by a triangle with one vertex at the pubic symphysis and the two other vertices at the iliac tuberosities of the pelvic bone. Components [ edit ]