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Sagittal pelvic outlet diameter Same, but may require minor side-to-side scrolling to visualize both end points. The closest bony points of the sacrococcygeal joint and the pubic bone next to the symphysis. This is also called the obstetric anteroposterior diameter of the pelvic outlet, to distinguish from the anatomic one which includes the ...
A cul-de-sac hernia (also termed a peritoneocele) is a herniation of peritoneal folds into the rectovaginal septum (in females), [2] or the rectovesical septum (in males). The herniated structure is the recto-uterine pouch (pouch of Douglas) in females, [2] or the rectovesical pouch in males.
A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract , such as pain, bleeding, discharge, urinary incontinence , or trauma (e.g. sexual assault).
The lower portion is the pelvic cavity, and it contains the urinary bladder, the rest of the large intestine (the lower portion), and the internal reproductive organs. [2] [3] There is no membrane that separates out the abdominal cavity from the pelvic cavity, so the terms abdominal pelvis and peritoneal cavity are sometimes used.
The vagina is attached to the pelvic walls by endopelvic fascia. The peritoneum is the external layer of skin that covers the fascia. This tissue provides additional support to the pelvic floor. The endopelvic fascia is one continuous sheet of tissue and varies in thickness. It permits some shifting of the pelvic structures.
The coccygeus muscle completes the pelvic floor, which is also called the pelvic diaphragm. It supports the viscera in the pelvic cavity, and surrounds the various structures that pass through it. The levator ani is the main pelvic floor muscle and contracts rhythmically during female orgasm, and painfully during vaginismus. [4]
The vesicouterine pouch is a fold of peritoneum over the uterus and the bladder, forming a pelvic recess. [1] It is continued over the intestinal surface and body of the uterus onto its vesical surface, which it covers as far as the junction of the body and cervix uteri, and then to the bladder.
[1] [2] Such bleeding could be visible or external, namely bleeding from the vagina, or it could be internal into the pelvic cavity or form a hematoma. Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive. Hemorrhage associated with a pregnant state or during delivery is an obstetrical hemorrhage.