Female reproductive system anatomy Flashcards
In females, what are the 2 pouches formed by the peritoneum in the pelvic cavity?
Vesicouterine pouch
Rectouterine pouch
Which region of the peritoneal cavity is the most gravity dependent, meaning fluid/blood/pus will collect there when a patient is stood up?
Rectouterine pouch
Innervation to the proximal vagina is carried back to the CNS via which nerves?
What nerve roots innervate the proximal vagina?
Pelvic splanchnic nerves (parasympathetic)
S2 - S4
Innervation to the distal vagina is carried back to the CNS via which nerves?
What nerve roots innervate the distal vagina?
Pudendal nerve (somatic)
S2 - S4
How can the rectouterine pouch be accessed to take a fluid sample?
Through the posterior fornix
The angle of version lies between which 2 things?
Vagina + cervix
The angle of flexion lies between which 2 things?
Cervix + uterus
Which structure connects the ovary to the lateral pelvic wall?
Suspensory ligament of the ovary
Which nodes are the lymphatic drainage of the ovaries?
Para-aortic nodes
Ovarian cysts or pathologies can cause pain in which part of the thigh?
What nerve is compressed to cause this?
Medial thigh
Obturator nerve
Through which structure might cancer spread from the uterus to the inguinal lymph nodes?
Round ligament of uterus
Which section of the broad ligament surrounds the uterus?
Mesometrium
Which section of the broad ligament surrounds the fallopian tubes?
Mesosalpinx
Which section of the broad ligament surrounds the ovaries?
Mesovarium
What are the 3 ligaments of the tendinous arch?
Uterosacral ligament
Cardinal ligament
Pubocervical ligament
Which piece of fascia which surrounds the vagina connects it to the tendinous arch?
Paracolpium
What is a cystocele?
Bladder pushes against vaginal wall, causing it to herniate out of vagina
Which structure passes under the uterine artery?
When is it at risk of damage?
Ureter
Hysterectomy
Which nodes are the lymphatic drainage of the uterine body and cervix?
Internal + external iliac nodes
Which nodes are the lymphatic drainage of the distal vagina and perineum?
Superficial + deep inguinal nodes
What is the pelvic pain line?
Lowest point of peritoneal reflection over the pelvic organs
What are the 3 main branches of the pudendal nerve?
Inferior rectal nerve
Perineal nerve
Dorsal nerve of clitoris (penis)
What bony landmark can be used to anaesthetise the pudendal nerve?
Ischial spine
