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Pelvic fascia extends to cover the organs within the pelvis. It is attached to the fascia that runs along the pelvic floor along the tendinous arch. The fascia which covers pelvic organs can be divided according to the organs that are covered: The front is known as the "vesical layer". It forms the anterior and lateral ligaments of the bladder.
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 fascia contains elastic collagen fibers in a 'mesh-like' structure.
Additionally, people with congenitally weak connective tissue and fascia are at an increased risk for stress urinary incontinence and pelvic organ prolapse. [10] Recent literature demonstrates that defects in endopelvic fascia and compromised levator ani muscle function have been categorized as important etiologic factors in the development of ...
The uterus can be divided anatomically into four regions: the fundus – the uppermost rounded portion of the uterus above the openings of the fallopian tubes, [4] the body, the cervix, and the cervical canal. The cervix protrudes into the vagina. The uterus is held in position within the pelvis by ligaments, which are part of the endopelvic ...
Uterine prolapse (uterus into vagina) Vaginal vault prolapse (roof of vagina) - after hysterectomy; Pelvic floor dysfunction can result after treatment for gynecological cancers. [9] Damage to the pelvic floor not only contributes to urinary incontinence but can lead to pelvic organ prolapse. Pelvic organ prolapse occurs in women when pelvic ...
In females, the uterus, fallopian tubes, ovaries and upper vagina occupy the area between the other viscera. [1] [2] The rectum is located at the back of the pelvis, in the curve of the sacrum and coccyx; the bladder is in front, behind the pubic symphysis. The pelvic cavity also contains major arteries, veins, muscles, and nerves.
At the level of a line extending from the lower part of the pubic symphysis to the spine of the ischium is a thickened whitish band in this upper layer of the diaphragmatic part of the pelvic fascia. It is termed the tendinous arch or white line of the pelvic fascia , and marks the line of attachment of the special fascia (pars endopelvina ...
The pelvic floor (pelvic diaphragm) can be divided into 4 compartments: Anterior or urinary (bladder, bladder neck, and urethra), Middle or genital (vagina and uterus in women, prostate in men), Posterior (anus, anal canal, sigmoid, and rectum), and Peritoneal (endopelvic fascia and perineal membrane). [40]