+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Contribution of imaging to the understanding of the female pelvic fasciae



Contribution of imaging to the understanding of the female pelvic fasciae



Surgical and Radiologic Anatomy 14(2): 147-154



According to the ultrasound and MRI findings, supported by planned dissections, the female perineum is organised around the musculofascial system converging towards the fibrous structure of the central perineal tendon (CPT). Behind the CPT the fascial layers form part of a fibrous assembly extending from the ventral surface of the sacrum to the anal complex, prolonging the direction of the sacral concavity downwards and forwards. On the other hand, in front of the CPT the fasciae fuse to form two aponeurotic bands circumscribing the urogenital fossa. The fascial system is reinforced cranially by the structures of the hypogastric sheath and the uterosacral ligaments. The weak point of the urogenital fossa is partly filled by the urethral-clitoridal-vulvar complex. The perineum so formed plays a cardinal role in stabilising the pelvic viscera. Stress is placed on the firmness of the posterior perineum, a key element in pelvic stability. The posterior perineum is often involved in pathological conditions and a good acquaintance with these structures is essential in defining therapeutic indications.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 039679527

Download citation: RISBibTeXText

PMID: 1641740

DOI: 10.1007/bf01794892


Related references

Understanding Patient Preference in Female Pelvic Imaging: Transvaginal Ultrasound and MRI. Academic Radiology 25(4): 439-444, 2018

The contribution of magnetic resonance imaging of the pelvic floor to the understanding of urinary incontinence. British Journal of Urology 72(5): 715-718, 1993

Contribution to the anatomical-morphological study of the pelvic floor in the asymptomatic female: the use of MRI imaging. Archivos Espanoles de Urologia 59(7): 675-689, 2006

Evaluation of the female pelvic floor in pelvic organ prolapse using 3.0-Tesla diffusion tensor imaging and fibre tractography. European Radiology 22(12): 2806-2813, 2012

Pelvic fasciae in urology. Annals of the Royal College of Surgeons of England 90(8): 633-637, 2008

Pelvic Muscles and Fasciae. Journal of Anatomy and Physiology 42(Pt 1): 107-111, 1907

Observations on the pelvic fasciae. Anat Rec 142(2): 273, 1962

Urology imaging: imaging of female pelvic prolapse. Progres en Urologie 13(5): 1117-1126, 2003

On the laminate composition of the endo pelvic fasciae. Journal of the Japan Society of Coloproctology 35(4): 419, 1982

Electromyography and manometry of the pelvic colon--a contribution to the understanding of its function. European Journal of Gastroenterology and Hepatology 8(5): 453-459, 1996

The Pelvic And Perineal Fasciae And Their Neural And Vascular Relationships. Anatomical Record 149: 707-720, 1964

Fasciae and subperitoneal fascial spaces of the male pelvic cavity. Bulletin of the School of Medicine 36(2): 60-85, 1951

The capsule lecture as a learning aid pelvic and uro genital diaphragms and fasciae. Anatomical Record 169(2): 463, 1971

A Contribution to the Normal Anatomy of the Female Pelvic Floor. Transactions. Edinburgh Obstetrical Society 14: 48-62, 1889

Pro: a critical contribution to better understanding of possible functional disorders of the genital, bladder and pelvic floor system. Archives of Gynecology and Obstetrics 257(1-4): 359-362, 1995