1. Identify the bony walls and ligamentous landmarks of the pelvis.

Iliopectineal Line

Sacrotuberous Ligament Greater

Sciatic
Sacrospinous Ligament
Foramen

Lesser
Sciatic Sacrospinous
Foramen Ligament
Sacrotuberous Ligament

Pubic Arch Pubic Symphysis

Ischial Tuberosity

Ant. Sup. Iliac Spine

Pelvic
Pubic symphysis Outlet
Tip of Coccyx
Sacrotuberous
Ligament
Coccyx
Male vs. Female Pelvis
Female Male

Pelvic Inlet

Pelvic Outlet

Pelvic Cavity

Pelvic Arch
 Muscular Walls Greater
Sciatic
Foramen

Piriformis Piriformis
Muscle Muscle
Sacrospinous
Sacrotuberous
Ligament
Ligament

Sacrotuberous
Ligament

Gemellus
Superior &
Inferior

Greater Trochanter

Obturator Internus

Ischial Tuberosity
Lesser Trochanter
 4. Identify the pelvic diaphragm and its components
Sphincter Vaginae (or Pubic Symphysis Levator Prostatae or
Levator Prostatae) Urethra Pubic Symphysis Sphincter Vaginae
Vagina Puborectalis
Rectum
Pubococcygeus

Puborectalis
Perineal
Pubococcygeus Body
Obturator
Internus
Coccyx

Iliococcygeus

Coccygeus
Iliococcygeus

Sacrum Coccyx Coccygeus

Superior View Inferior View

 2. Identify the normal position and anatomical
relationships of the pelvic viscera

Anteverted Anteflexed
3. Identify the extent of the peritoneum and its folds
and reflections in the male and female pelvis and
their relationship to the pelvic contents.

Rectovesicle pouch Vesicouterine pouch Rectouterine pouch

Infraperitoneal
space

•Most pelvic organs are infraperitoneal

 Ligaments supporting pelvic organs
Peritoneal ligaments Pelvic visceral ligaments
Fundus
Bladder
Bladder
Lig. Of ovary
Round lig. of uterus Pubocervical lig.
Uterine tube
Transverse
Broad ligament cervical lig.

Cervix
Suspensory lig.

Sacrocervical lig.

Rectum

Ovarian art. Uterine tube Sacrocervical lig.

Lig. Of the ovary Mesosalpinx

Fundus Lig. Of the ovary Bladder

Round lig.
Round Body of the Mesometrium Rectum
ligament uterus
of the Ureter Pelvic diaphragm
Uterine art.
uterus Uterine art. Transverse cervical lig.
Pubocervical lig.
Cervix
 5. Follow the flow of blood into an out of the structures of the
pelvis and perineum.
Celiac
Superior mesenteric
Renal
Ovarian Inferior mesenteric

Superior rectal
Common iliac
Testicular
Ext. iliac

Int. Inguinal
iliac ligament

Median
Sacral

Femoral

Rules:
1. All pelvic organs are supplied by branches of the internal iliac artery except the
ovaries and the upper third of the rectum.
2. Venous drainage follows the arterial supply, including the portal tributary, the inferior
mesenteric vein.
3. Portal caval anastomses are found at the inferior rectal veins.
 6. Identify the lymphatic drainage of structures of the
pelvis and perienum.
Para-aortic Rules:

• Lymphatics drain
toward lymph nodes
along internal iliac
veins, except for the
External iliac ovary (para-aortic
nodes), and superior
portion of the rectum
(inferior mesenteric
nodes)

Superficial Inguinal • Perineum drains to

superficial inguinal
nodes

Internal iliac
 7. Follow the course taken by an ovum through the female
reproductive tract and the pathway taken by a spermatozoon
through the male reproductive tract.
Uterine tube Fimbria
Ureter
Fundus
Ductus deferens
Inguinal canal

Ovary
Uterine Bladder
cavity Body
Ejaculatory Ampulla
duct
Cervix
Fornix Seminal vesicle
Vagina
Prostate

Bulbourethral
gland
Urethra
Ductus deferens
Epidiymis
Testis
Innervation of Pelvic Organs