This Medical Video: The pelvic diaphragm is composed of muscle fibers of the levator
ani, the coccygeus, and associated connective tissue which span the
area underneath the pelvis. The pelvic diaphragm is a muscular
partition formed by the levatores ani and coccygei, with which may
be included the parietal pelvic fascia on their upper and lower
aspects. The pelvic floor separates the pelvic cavity above from the
perineal region (including perineum) below.
The right and left
levator ani lie almost horizontally in the floor of the pelvis,
separated by a narrow gap that transmits the urethra, vagina, and
anal canal. The levator ani is usually considered in three parts
pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus,
the main part of the levator, runs backward from the body of the
pubis toward the coccyx and may be damaged during parturition. Some
fibers are inserted into the prostate, urethra, and vagina. The
right and left puborectalis unite behind the anorectal junction to
form a muscular sling . Some regard them as a part of the sphincter
ani externus. The iliococcygeus, the most posterior part of the
levator ani, is often poorly developed.
The coccygeus, situated
behind the levator ani and frequently tendinous as much as muscular,
extends from the ischial spine to the lateral margin of the sacrum
and coccyx.
The pelvic cavity of the true pelvis has the pelvic
floor as its inferior border (and the pelvic brim as its superior
border.) The perineum has the pelvic floor as its superior
border.
Some sources do not consider “pelvic floor” and
“pelvic diaphragm” to be identical, with the “diaphragm”
consisting of only the levator ani and coccygeus, while the
“floor” also includes the perineal membrane and deep perineal
pouch.