PelvicFloorandContents
5
EndopelvicFasciaandPotentialSpaces
Plate343
Umbilical prevesical fascia
Medial umbilical ligament (occluded part of umbilical artery)
Urinary bladder and vesical fascia
Rectus abdominis muscle
Superior vesical artery in lateral ligament of bladder
Linea terminalis of pelvis
Femoral ring
Inferior epigastric artery
and
Pubic branch
Deep inguinal ring
Iliopubic tract
Transversalis
fascia
External
iliac
vessels
Deep
circumflex
iliac
vessels
Iliac
fascia
Ovarian
vessels in
suspensory
ligament
of ovary
Iliacus muscle
Ureter
Psoas major muscle
Internal iliac vessels
Inferior vesical
and vaginal arteries
Hypogastric (neurovascular) sheath
Middle rectal artery
Cervix of uterus and uterine fascia
Superior rectal artery (left branch)
Rectum and rectal fascia
Rectovaginal (potential) space
Presacral (potential) space (
spread open
)
Obturator
internus
fascia
Tendinous arch of
levator ani muscle
Tendinous arch of
pelvic fascia
Uterosacral ligament
Cardinal (transverse cervical or
Mackenrodt’s) ligament with uterine artery
Vaginorectal fascial fibers
Presacral fascia (
pulled away
)
Anterior sacrococcygeal ligament
Vesicocervical and vesicovaginal (potential) spaces
Median umbilical ligament (urachus)
Pubic symphysis
Inferior (arcuate) pubic ligament
Deep dorsal vein of clitoris
Retropubic (prevesical) space
Transverse perineal ligament (anterior
thickening of perineal membrane)
Medial pubovesical ligament
Lateral pubovesical ligament
Vesicocervical fascial fibers
Superior fascia of pelvic
diaphragm (superior
levator ani fascia)
Obturator canal and
obturator artery
Female: superior view (peritoneum and loose areolar tissue removed)
Median sacral artery
Tendinous arch
of pelvic fascia
(
reflected
laterally
)
