Female Internal Genitalia Flashcards
Prolapse of the anterior wall of the vagina, allowing the bladder to buldge into the vagina
Cystocele
Recess arounf the protrunding cervix
Vaginal fornix (anterior, posterior, lateral parts)
Largest of the fornices, is commonly used for fluid samples or abcesses
Posterior fornix
Most inferior portion of the uterus
Cervix
2 main regions of the uterus
Muscular body, fibrous cervix
Parts of the body of the uterus
Fundus, uterine horns, isthmus
Superolateral regions of the uterus at the enterance of the uterine tube
Uterine horns
Narrow connections b/t the body and cervix of the uterus
Isthmus
3 layers of the uterus
Perimetrium, Myometrium, Endometrium
What type of tissue is in the perimetrium?
Serous layer with thin connective tissue
Tissue type of the myometrium
Smooth muscle
Tissue type of endometrium
Mucous coat adhered to myometrium
4 parts of the uterine tubes
Intramural, isthmus, ampulla, infundibulum
Short segment of uterine tube lying within the uterine wall and opens into the lumen of the uterine cavity
Intramural part of uterine tubes
Round and firm area of the uterine tubes that have thick muscular layers
Isthmus
Widest portion of the uterine tubes, longest portion, contains multiple mucosal folds and is typically the site of fertilization
Ampulla
Funnel shape distal end of the uterine tube that opens into the peritoneal cavity thru the ostium; finger like projections aid in capturing the oocyte
Infundubulum
Ligaments that are endopelvic fascial connections to support the vagina, cervix, and body of the uterus
Cervial ligaments
Components of the cervical ligaments
Pubocervical, uterosacral, transverse cervical (strongest) ligaments
From the medial pole of the ovary to the lateral wall of the uterus near the uterine horn
Ovarian ligament proper
Contained with the broad ligament; extends from the lateral cornu to enter the deep inguinal ring and end in labium majorum, travels lateral to the inferior epigastric vessels
Round ligament of the uterus
Double layer of peritoneum
extending from the uterus to the lateral pelvic wall and pelvic floor
Broad Ligament of the Uterus
Attaches to the lateral surface of the uterus
and constitutes the majority of the broad ligament. It lies
inferior to the mesosalpinx and mesovarium
Mesometrium
The part of the broad ligament enclosing the
uterine tube. Located along the superior edge of the broad
ligament
Mesosalpinx
Posterior extension of the broad ligament that
suspends the ovary
Mesovarium
Where do the ovarian veins drain into?
Pampiniform plexus forms the ovarian vein to the IVC or left renal vein
Lymph drainage of the fundus and superior body
Lumbar lymph nodes
Lymph drainage of the body
External Iliac lymph nodes
Lymph drainage of the cervix
Internal iliac lymph nodes and sacral lymph nodes
Innervation of inferior vagina
Somatic innervation, deep perineal nerve (branch of pudendal)
Innervation of vagina and uterus
Visceral, from uterovaginal nerve plexus from the inferior hypogastric plexus (both parasymp and symp)