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Female and Male Pelvic Anatomy Objectives Describe the anatomy and function of the pelvic floor and its related viscera. Identify specific muscular structures on an anatomical model of the pelvis. Explain the relationship between the pelvic floor and sacral ligaments and sacral mechanics. Sacrum Ilium Ischium Coccyx Bony Pelvis Pubis Pubic Symphysis Posterior Wall Sacrum Coccyx Ilium Lateral Wall Pelvic Inlet Ischium Pubis Boundaries Anterior Wall Pubic Symphysis Pelvic Outlet Ligaments of the Pelvis Ligaments of the Pelvis Oval and Round Inlet Oval Foramen Small Acetabulum Wide Arch Large Outlet Heart Shaped Inlet Large Acetabulum Round Foramen Narrow Arch Small Outlet Female External Genitalia Labia Minora Vestibule Labia Majora Superficial Urogenital & Anal Triangles Ischiocavernosus Bulbospongiosus Transverse Perineal Muscle Superficial Pouch Pudendal nerve Urogenital Diaphragm (Deep Pouch) Urethrovaginal Sphincter Deep Transverse Perinea Deep Transverse Perinea • Sphincter urethrae • Compressor urethrae FEMALE LEVATOR ANI Puborectalis Coccygeus (Ischio) Iliococcygeus Pubococcygeus Coccygeus (Ischio) MALE LEVATOR ANI Obturator Internus Iliococcygeus Puborectalis Rectum Pubococcygeus Urethra Pubococcygeus Puborectalis Iliococcygeus Coccygeus (Ischio) MALE LEVATOR ANI FEMALE LEVATOR ANI Obturator Internus Pubovaginalis Pubococcygeus Perineal Body Puborectalis Coccygeus (Ischio) Iliococcygeus Gluteus Maximus Anterior Posterior L4 & L5 S1 S2 Obturator Nerve S3 S4 Nerves to the Levator Ani S5 Sacral Roots Pelvic Innervation Pudendal nerve Obturator nerve Common Iliac External Iliac Art. Internal Iliac Art. Superior Glut Art Inferior Glut Art Pudendal Art. Female Pelvic Viscera Male Pelvic Viscera Prostate Cancer Pelvic Floor Muscle Examination Female Pelvic Floor Examination Male Pelvic Floor Examination Palpation Tone Tenderness Atrophy Swelling Lab Review with model and anatomy grid