Pelvic Floor Anatomy

The Pelvic Floor - Overview and Function[edit | edit source]

The pelvic floor is an area of muscle and connective tissue that spans the area underneath the pelvis, separating the pelvic cavity above from the perineal region below. It provides support to the pelvic viscera including the bladder, intestines and uterus (in females). It also assists with continence through control of the urinary and anal sphincters. It facilitates birth by resisting the descent of the presenting part, causing the fetus to rotate forwards to navigate through the pelvic girdle. Finally , it helps to maintain optimal intraabdominal pressure.

Osteology and Ligaments[edit | edit source]

Pelvic Floor Myology[edit | edit source]

Pelvic Floor

Pelvic diaphragm

  • Levator ani - pubococcygeus, puborectalis, iliococcygeus
  • Ischiococcygeus


Sphincter urethrae


Perineal membrane


Superficial genital muscles;

  • Bulbocavernosus (bulbospongiosus in men)
  • Ischiocavernosus
  • Superficial transverse perineal


Associated muscles;

  • Piriformis
  • Obturator internus
  • Adductors
  • Gluteals
  • Transverse abdominus
  • Multifidus
  • Respiratory diaphragm
Muscle Origin Insertion Action Nerve Supply
Levator Ani (Pubococcygeus)


Levator Ani (Puborectalis)


Levator Ani (Iliococcygeus)


Ischiococcygeus
Sphincter urethrae