Learning Objectives

Female Pelvis

a. Describe the reflections of peritoneum on pelvic organs.

b. Describe the importance peritoneal recesses found in the pelvis.

c. Describe the surfaces of the urinary bladder and understand the organs which are in contact with the urinary bladder.

d. Describe the internal structure of the urinary bladder.

e. Define the neurological basis for urination.

f. Describe the pelvic course for the ureters.

g. Define the parts of the broad ligament.

h. List the structures which lie between the lamellae of the broad ligament.

i. Delineate the parts of the uterus and uterine tubes.

j. Define the normal position of the uterus and understand the terms retroversion and retroflexion.

k. Define the ligamentous supports for the uterus.

l. Distinguish between true and false pelvis and delineate organs which lie in each.

m. Understand the relationships of the vaginal fornices to surrounding structures.

n. Understand the normal position of the ovaries.

o. List structures which can be palpated during a female pelvic examination.

Moore et al, Fig. 3.8

Ovary

Fundus of uterus Urinary bladderUterine tube

Rectum

Plate 343

Plate 342

Vagina

Rectum

Rectouterinepouch

Cervix of uterus

Body of uterus

Urinary bladder

Vesicouterine pouch

Ovary

Uterine tube

Plate 342

Rectum

Ureter

Rectouterine pouchOvary

Round ligament of uterus

Vesicouterine pouch

Peritoneum (cut edge)

Plate 350

Colles’ fascia

Ischiocavernosus m.

Crus of clitoris

Bulbospongiosus m

Bulb of vestibule

Perineal membrane

Levator ani m.

Detrussor m.

Ureteric orifice

Vesical venous plexus

TRIGONE

Plate 344

Rectouterine pouch

Ovarian vessels insuspensory ligamentof ovary

MesosalpinxMesometrium

Plate 355

Ureter

Supravaginal part of cervix

Mesometrium of broadligament

Mesosalpinx of broad ligament

Mesovarium of broadligament

Ligament of ovary

Fundus of uterus

Body of uterus

Suspensatory ligament

Netter Plate 354

mesosalpinx

mesovarian

Plate 355

CERVIX

FUNDUS

Uterine part of uterine tube

Isthmus of uterine tube

Ampulla of uterine tube

Fimbriae

Infundibulumof uterine tube

Fornix of vagina

External os

Internal osTransverse cervicalligament

Myometrium

Endometrium

Snell; 23-14

APPEARANCE OF EXTERNAL OS

NULLIPAROUS VS PAROUS

Plate 344

Supravaginal part of cervix

Ureter

URINARYBLADDER

Uterine artery in transversecervical ligament

Plate 342

Vagina

Rectum

Rectouterinepouch

Cervix of uterus

Body of uterus

Urinary bladder

Vesicouterine pouch

Ovary

Uterine tube

Snell; 23-14

Normal Position of Uterus

Plate 374; 4th ed

Degrees of Retroversion

Normal

Plate 374; 4th ed

Normal

Normal

Normal

Retroflexion

Severe anteflexion

Retrocession

Plate 374; 4th ed

Plate 413; 4th ed

Moore et al; Fig. B 3.18