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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