Place the cadaver in the prone position. Identify the nerves and vessels traversing the ischiorectal (ischioanal) fossa.

  1. Identify the pudendal nerve and internal pudendal artery where these structures pass superficial to the sacrospinous ligament.
  2. Identify the inferior rectal nerve and artery, and external anal sphinchter and levator ani muscle (pelvic diaphragm). (G 5.61;N 382 and 391;Gl 22.22) Trace the pudendal nerve and internal pudendal artery branches as far anterior as possible (where they approach the labia majora).  (G 5.59A;N 391;Gl 22.22)
Important Relationship
Sacrotuberous Ligament
Pudendal Nerve
Sacrospinous Ligament
Inferior Rectal Nerve and Vessels
External Anal Sphincter and Pelvic Diaphragm
Superficial Transverse Perineus Muscle