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The rectovesical pouch is a space between the rectum and the bladder in men. [1] It lies above the seminal vesicles . [ 2 ] It is lined by peritoneum and at its base is the rectoprostatic fascia (Denonvillier's fascia).
The rectouterine pouch, being the lowest part of the peritoneal cavity in a woman at supine position, is a common site for the spread of pathology such as ascites, tumour, endometriosis, pus, etc. As it is the furthest point of the abdominopelvic cavity in women, it is a site where infection and fluids typically collect.
The deep perineal pouch is bordered inferiorly by the perineal membrane, also known as the inferior fascia of the urogenital diaphragm. It is bordered superiorly by the superior fascia of the urogenital diaphragm. [1] The deep pouch is now described as the region between the perineal membrane and the pelvic diaphragm. [2]
The pararectal fossa (or pararectal pouch) is an inferior-ward extension of the peritoneum on either side of the rectum. It is formed by a (sacrogenital) fold of peritoneum extending inferior-ward from the posterolateral pelvic wall. It represents a lateral extension of the rectouterine pouch in the female, and of rectovesical pouch in the male ...
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.
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The increased depth of the Douglas' pouch brings it in close anatomical contact with the posterior vaginal wall. Therefore, intestinal loops may apply pressure to this wall, causing a condition known as enterocele , which presents as an outpouching on the posterior vaginal wall.