PROCEDURE

You are expected to understand the pelvic anatomy of both sexes.

At points during the lab you will be instructed to swap with a nearby table to repeat male or female examination steps so that you have the opportunity to examine both sexes in detail. You can look back and forth with the table more often as the groups prefer.

Take a moment to review the laboratory map which indicates the nearby table with which to swap to view a donor of the opposite sex. (Laboratory Swap Map). 

There may not be an 1:1 ratio of male to female in your quadrant (i.e. some quadrants have nine tables), thus some tables will swap over to another quadrant or need to coordinate with a second group at one table.

Additionally, since hysterectomy (removal of the uterus) is a common surgical procedure you may have to visit several tables to find a donor with an intact uterus or the central lab table where there are several additional excised female reproductive system organs.

The instruction set for male or female will be longer or shorter at points during examination. So if your identified swap table isn't ready, be patient and don't pressure them, the converse timing mismatch will happen to your table at some point.

You might find it useful to perform review study until the other table is ready for a swap.

REVIEW (before lab) the organization of the human pelvis from your atlas and urogenital triangle boundaries from your atlas or on an articulated skeleton in the lab.
    (Figure418) (Netter337)
    FEMALE (Figure430)
    MALE (Figure431)

Bony pelvis - Identify the major bones of the pelvis; the ilium, ischium, and pubis. The left and right pubic bones come together at the midline with the fibrocartilaginous joint of the pubic symphysis.

Bony boundaries of the perineum - The perineum is the region between the thighs delimited by the skeletal boundaries of the urogenital and anal triangles. These boundaries are (a) anteriorly the pubic symphysis (b) laterally the ischial tuberosities, and (c) posteriorly the coccyx.

An imaginary line passing through the ischial tuberosities divides the perineum into the anal and urogenital triangles. The urogenital triangle is the support region for the external genitalia in both sexes.

The two triangles are not in the same plane but rather lie at an angle to one another with the anal triangle pointed posteriorly and the urogenital triangle anteriorly.


Select the male or female instruction set from the link below depending on the sex of your donor. 

 MALE                            FEMALE
Instructions                      instructions



This checklist covers both the male and female sections.

CHECKLIST

Skeletal Structures

Pelvic bone
    Superior pubic ramus
    Inferior pubic ramus
    Ischial tuberosity
    Ischial spine
    Pubic symphysis

Soft Structures

Urogenital triangle

Anal triangle

Female
    External genitalia
        Mons pubis
        Labia majora
        Labia minora
        Vestibule
        Clitoris
    Uterus
        Fundus of the uterus
        Body of the uterus
        Round ligament of the uterus
        Uterine tubes (oviduct/fallopian tubes)
            Infundibulum
            Fimbriae
    Broad ligament
        Mesosalpinx
        Mesovarium
        Mesometrium
    Ovary
    Proper ligament of the ovary
    Suspensory ligament of the ovary

Male
    Spermatic cord
        Ductus deferens
        Testicular artery
    Testes
        Scrotal ligament (gubernaculum)
        Tunica vaginalis
        Epididymis
        Tunica albuginea
        Seminiferous tubules
    Penis
        Crura
        Glans
        Penile urethra
        Corpus spongiosum
        Corpora cavernosa

Pudendal neurovascular bundle