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The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review

The female pelvis is a complex anatomical region comprising the pelvic organs, muscles, neurovascular supplies, and fasciae. The anatomy of the pelvic floor and its fascial components are currently poorly described and misunderstood. This systematic search and review aimed to explore and summarize t...

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Autores principales: Roch, Mélanie, Gaudreault, Nathaly, Cyr, Marie-Pierre, Venne, Gabriel, Bureau, Nathalie J., Morin, Mélanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8467746/
https://www.ncbi.nlm.nih.gov/pubmed/34575049
http://dx.doi.org/10.3390/life11090900
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author Roch, Mélanie
Gaudreault, Nathaly
Cyr, Marie-Pierre
Venne, Gabriel
Bureau, Nathalie J.
Morin, Mélanie
author_facet Roch, Mélanie
Gaudreault, Nathaly
Cyr, Marie-Pierre
Venne, Gabriel
Bureau, Nathalie J.
Morin, Mélanie
author_sort Roch, Mélanie
collection PubMed
description The female pelvis is a complex anatomical region comprising the pelvic organs, muscles, neurovascular supplies, and fasciae. The anatomy of the pelvic floor and its fascial components are currently poorly described and misunderstood. This systematic search and review aimed to explore and summarize the current state of knowledge on the fascial anatomy of the pelvic floor in women. Methods: A systematic search was performed using Medline and Scopus databases. A synthesis of the findings with a critical appraisal was subsequently carried out. The risk of bias was assessed with the Anatomical Quality Assurance Tool. Results: A total of 39 articles, involving 1192 women, were included in the review. Although the perineal membrane, tendinous arch of pelvic fascia, pubourethral ligaments, rectovaginal fascia, and perineal body were the most frequently described structures, uncertainties were identified in micro- and macro-anatomy. The risk of bias was scored as low in 16 studies (41%), unclear in 3 studies (8%), and high in 20 studies (51%). Conclusions: This review provides the best available evidence on the female anatomy of the pelvic floor fasciae. Future studies should be conducted to clarify the discrepancies highlighted and accurately describe the pelvic floor fasciae.
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spelling pubmed-84677462021-09-27 The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review Roch, Mélanie Gaudreault, Nathaly Cyr, Marie-Pierre Venne, Gabriel Bureau, Nathalie J. Morin, Mélanie Life (Basel) Systematic Review The female pelvis is a complex anatomical region comprising the pelvic organs, muscles, neurovascular supplies, and fasciae. The anatomy of the pelvic floor and its fascial components are currently poorly described and misunderstood. This systematic search and review aimed to explore and summarize the current state of knowledge on the fascial anatomy of the pelvic floor in women. Methods: A systematic search was performed using Medline and Scopus databases. A synthesis of the findings with a critical appraisal was subsequently carried out. The risk of bias was assessed with the Anatomical Quality Assurance Tool. Results: A total of 39 articles, involving 1192 women, were included in the review. Although the perineal membrane, tendinous arch of pelvic fascia, pubourethral ligaments, rectovaginal fascia, and perineal body were the most frequently described structures, uncertainties were identified in micro- and macro-anatomy. The risk of bias was scored as low in 16 studies (41%), unclear in 3 studies (8%), and high in 20 studies (51%). Conclusions: This review provides the best available evidence on the female anatomy of the pelvic floor fasciae. Future studies should be conducted to clarify the discrepancies highlighted and accurately describe the pelvic floor fasciae. MDPI 2021-08-30 /pmc/articles/PMC8467746/ /pubmed/34575049 http://dx.doi.org/10.3390/life11090900 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Roch, Mélanie
Gaudreault, Nathaly
Cyr, Marie-Pierre
Venne, Gabriel
Bureau, Nathalie J.
Morin, Mélanie
The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
title The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
title_full The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
title_fullStr The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
title_full_unstemmed The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
title_short The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
title_sort female pelvic floor fascia anatomy: a systematic search and review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8467746/
https://www.ncbi.nlm.nih.gov/pubmed/34575049
http://dx.doi.org/10.3390/life11090900
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