Ischioanal fossa is a paired wedge-shaped space located on each side of the
anal canal. Each ischioanal fossa is separated from the other by Anococcygeal Body Boundaries Roof: Levator Ani muscle Floor: Deep transverse perineal fascia Medial wall: External Anal sphincters, Levator Ani muscle Lateral wall: Ischial tuberosity, Obturator internus muscle, Obturator fascia Apex: Intersection of Levator ani and Obturator internus muscle Base: Anteriorly- posterior border of perineal body, Urogenital diaphragm Posteriorly- Sacrotuberous ligament, gluteus maximus muscle Contents 1. Ischioanal fat pad 2. Pudendal canal 3. Pudendal Nerve 4. Posterior scrotal nerve and vessels 5. Perineal branch of S4 6. Perforating Cutaneous Nerve 7. Lymphatic trunks