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Systematic Review

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

1
Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Faculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada
2
Anatomy and Cell Biology, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3A 0C7, Canada
3
Centre Hospitalier de l’Université de Montréal, Department of Radiology, Radio-Oncology, Nuclear Medicine, Faculty of Medicine, Université de Montréal, Montreal, QC H3T 1J4, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Zeev Weiner
Life 2021, 11(9), 900; https://doi.org/10.3390/life11090900
Received: 27 July 2021 / Revised: 20 August 2021 / Accepted: 26 August 2021 / Published: 30 August 2021
(This article belongs to the Special Issue Fasciae from a Molecular and Biomechanical Perspective)
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. View Full-Text
Keywords: anatomy; connective tissue; fascia; pelvic floor; systematic review; women anatomy; connective tissue; fascia; pelvic floor; systematic review; women
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MDPI and ACS Style

Roch, M.; Gaudreault, N.; Cyr, M.-P.; Venne, G.; Bureau, N.J.; Morin, M. The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review. Life 2021, 11, 900. https://doi.org/10.3390/life11090900

AMA Style

Roch M, Gaudreault N, Cyr M-P, Venne G, Bureau NJ, Morin M. The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review. Life. 2021; 11(9):900. https://doi.org/10.3390/life11090900

Chicago/Turabian Style

Roch, Mélanie, Nathaly Gaudreault, Marie-Pierre Cyr, Gabriel Venne, Nathalie J. Bureau, and Mélanie Morin. 2021. "The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review" Life 11, no. 9: 900. https://doi.org/10.3390/life11090900

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