Anatomy and neurocontrol of the pelvic floor

Abstract

Neural control of pelvic organs is affected by a unique coordination of somatic and autonomic motor nervous systems. Sensory information and feedback is supplied by both visceral and somatic sensory fibers. The anatomical features of the pelvic floor and perineal muscles, and their innervation are described. Altogether more detailed information is known in humans on the peripheral innervation as compared to the central nervous system centers and connections of pelvic organ neurocontrol. Controversies in regional neuroanatomy are explained. Reports on individual variability and asymmetry - the former particularly with methods revealing structures, and the latter with functional methods - are interesting but need further validation. Copyright © 2004 S. Karger AG, Basel.