Ischiorectal Fossa (fossa ischiorectalis)—The fossa is somewhat prismatic in shape, with its base directed to the surface of the perineum, and its apex at the line of meeting of the obturator and anal fasciæ. It is bounded medially by the Sphincter ani externus and the anal fascia; laterally, by the tuberosity of the ischium and the obturator fascia; anteriorly, by the fascia of Colles covering the Transversus perinæi superficialis, and by the inferior fascia of the urogenital diaphragm; posteriorly, by the Glutæus maximus and the sacrotuberous ligament. Crossing the space transversely are the inferior hemorrhoidal vessels and nerves; at the back part are the perineal and perforating cutaneous branches of the pudendal plexus; while from the forepart the posterior scrotal (or labial) vessels and nerves emerge. The internal pudendal vessels and pudendal nerve lie in Alcock's canal on the lateral wall. The fossa is filled with fatty tissue across which numerous fibrous bands extend from side to side.