Endopelvic Fascia

fascia endopelvina

The endopelvic fascia is the condensed connective tissue filling the pelvic extraperitoneal space, investing the pelvic viscera and forming the ligamentous condensations (cardinal, uterosacral, pubocervical) that suspend them from the pelvic walls.

Region: Abdomen

Biomechanics

Function & Actions

Provides the primary supportive framework for the pelvic viscera, forms the named ligaments of the pelvis (cardinal, uterosacral), creates potential spaces relevant in pelvic surgery, and transmits autonomic nerve fibers to the bladder and rectum.

Clinical Relevance

Clinical Notes

The endopelvic fascia is the primary structure providing pelvic organ support — its failure produces pelvic organ prolapse. Paravaginal defects in the endopelvic fascia detach the anterior vaginal wall from the arcus tendineus fasciae pelvis (ATFP), producing lateral cystocele. Paravaginal defect repair reattaches the endopelvic fascia to the ATFP.

Pathology

Common Injuries & Conditions

Endopelvic Fascia Deficiency in Pelvic Organ Prolapse

Progressive failure of the endopelvic fascia suspensory system producing cystocele, rectocele, and uterine prolapse, managed by reconstructive pelvic floor surgery.

Paravaginal Defect Repair

Reattachment of the lateral endopelvic fascia to the arcus tendineus fasciae pelvis to correct a lateral (paravaginal) cystocele.