Lecture 24: Male Pelvic Cavity Flashcards
The pelvic cavity is formed by the ___ bones, the __, and the ___
hip bones; sacrum; coccyx
___: supports and protects the pelvic viscera, transmits upper body weight to lower extremities, provides a stable base for lower limb function, and forms birth canal
Bony pelvis
Each hip bone is formed by three bones that are fused at puberty:
1) ??
2) ??
3) ??
1) Ilium
2) Ischium
3) Pubis
What are the two joints of the pelvis?
1) Pubic Symphysis
2) Sacroiliac Joint
Which joint of the pelvis is a relatively immobile fibrocartilaginous joint?
Which pelvic joint is a synovial joint form between right and left ilia and sacrum?
Pubic Symphysis
SI Joint
True or False: Minimal gliding rotational movements occur at the SI joint
True
What are the two ligaments of the pelvis?
1) Sacrotuberous Ligament
2) Sacrospinous Ligament
Which pelvic ligament attaches to the ischial tuberosity and sacrum?
Which pelvic ligament attaches to the ischial spine and the sacrum?
Sacrotuberous Ligament: attaches to ischial tuberosity + sacrum
Sacrospinous Ligament: attaches to ischial spine and sacrum (also deep to sacrotuberous ligament)
The sacrotuberous and sacrospinous ligaments transform the greater and lesser sciatic notches into the ____ and ____ sciatic foramina
greater; less
The superior pelvic aperture is also known as the ____
The inferior pelvic aperture is also known as the ___
pelvic inlet
pelvic outlet/birth canal
Pelvis major is known as the ____ while the pelvis minor is known as the ___
pelvis major = false pelvis
pelvis minor = true pelvis
___ delineates the pelvic inlet/superior pelvic aperture
Pelvic brim
True or False: Pelvis minor is inferior and contains PELVIC viscera, while Pelvic major is superior and contains ABDOMINAL viscera
True
The inferior pelvic aperture is delineated by the ____, ____, ____, and ____
ischial tuberosities, ischial spines, ischiopublic rami, and coccyx
True or False: Perineum is a diamond shaped area
True
_____: the investing fascias of the pelvic m. that line the pelvic cavity and are continuous with abdominal muscular fascia
Parietal Pelvic Fascia
____: peritoneum that invests abdominal organs and extends into the true pelvis, as well as partially invests pelvic organs, forming spaces and folds between them
Pelvic Peritoneum
True or False: Both males and females have spaces on either side of the rectum (pararectal fossa) an the urinary bladder (paravesical fossa)
True
Which sex has a pouch located between the rectum and seminal vesicles/urinary bladder (rectovesical) and a fold between the sacrum and prostate/bladder (sacrogenital)?
Male only
Fractures of the hip bone are considered ___ fractures
pelvic fractures
___ and ____ are muscles of the lateral pelvic wall
Piriformis m and Obturator internus m.
Which pelvic muscle of the lateral wall is the site of the sacral pelxus?
Piriformis muscle
True or False: Both the Obtruatory Internus m. and the Piriformis m. insert onto the femur
True
The obtruator internus m. is the tendon the exits the pelvis via the ___
The piriformis m. is the tendon that exits the pelvis via the ______
lesser sciatic foramen
greater sciatic foramen
The pelvic floor is formed by the ____
pelvic diaphragm (bowl shaped group of skeletal muscles that partially closes off the pelvic outlet and supports the abdominopelvic viscera)
True or False: The pelvic diaphragm partially closes off the pelvic out when intra-abdominal pressure is raised (as in coughing or straining)
True
___: pulls coccyx anteriorly and supports pelvic viscera; wags tails in other mammals
Coccygeus
____: elevates pelvic floor to resist/raise intra-abdominal pressure (Important for forced expiration, coughing, or vomiting)
Levator Ani
Where does the piriformis nerve exit the pelvis?
Greater Sciatic Foramen
____ transmits obturator n/a/v and connects the abdominopelvic region with medial part of thigh
Obturator Canal
True or False: The lesser sciatic foramen connects the gluteal region with the perineum
True
The tendon of obtruator internus m exits the pelvis via the _____foramen
Lesser Sciatic Foramen
____ Foramen connects the pelvic cavity with the gluteal region
Greater Sciatic Foramen
The superior gluteal n/a/v pass superior to the ___ m, inferior gluteal n/a/v
piriformis
Which nerve passes inferior to the piriformis m?
Pudenal n.
The ___ Plexus supplies sensory and motor innervation to the perineum, gluteal region, and lower extremities.
Many of these nerves exit the pelvis via: greater sciatic foramen
The Sacral Plexus
__ and __ form the lumbosacral trunk
L4 and L5
What four branches come off the sacral plexus?
1) Sciatic n
2) Pudenal n
3) Superior Gluteal n.
4) Inferior Gluteal n
Which branch of the sacral plexus provides motor innervation to BOTH the gluteus minimus and medius muscles?
A. Sciatic Nerve
B. Superior Gluteal Nerve
C. Inferior Gluteal Nerve
D. Pudenal Nerve
B. Superior Gluteal Nerve
Which branch of the sacral plexus provides motor innervation to the gluetus maximus ONLY?
A. Sciatic Nerve
B. Superior Gluteal Nerve
C. Inferior Gluteal Nerve
D. Pudenal Nerve
C. Inferior Gluteal Nerve
____ nerve provides motor and sensory function to lower extremity; has two components (tibial and common fibular)
A. Sciatic Nerve
B. Superior Gluteal Nerve
C. Inferior Gluteal Nerve
D. Pudenal Nerve
A. Sciatic Nerve
Which artery/vein delivers the majority of blood to the pelvis?
A. Internal Iliac a/v
B. Common Iliac a/v
C. External Iliac a/v
A. Internal Iliac a/v
What are the three posterior division branches of the internal iliac a/v?
1) Iliolumbar a
2) Lateral sacral a
3) Superior gluteal a
Which posterior division branch of the internal iliac a/v passes posteriorly between the lumbosacral trunk and S1 ventral ramus, superior to piriformis muscle?
A. Iliolumbar a.
B. Lateral sacral a.
C. Superior gluteal a.
C. Superior gluteal a.
What are the five anterior division branches of the Internal Iliac a/v?
1) Umbilical a.
2) Inferior vesical a.
3) Middle rectal a
4) Obtruator a
5) Internal Pudendal a
6) Inferior Gluteal a
7) Vaginal a
Which anterior division of the Internal Iliac a/v supplies the bladder and ureter in males? In females?
Males: Inferior vesical a
Females: Uterine a.
True or False: The obturator a. supplies the medial compartment of the thigh
True
Which anterior division of the internal iliac a/v travels with the pudendal n to supply the perineum?
Internal Pudendal a.
Are the following Internal or External Genital Organs?
- Testis
- Epididymis
- Ductus Deferens
- Prostate Gland
- Seminal Vesicles
- Ejaculatory Duct
Internal
The testis is suspended in the scrotum by the ____
spermatic cords
___ is the source of male hormones (testosterone, mostly) and site of spermatogenesis
Testis
Where are sperm made?
Seminiferous Tubules
True or False: The testis is supplied by the testicular a/v
True
The right testicular v. drains into the ____
The left testicular v. drains into the ____
Right testicular v. = IVC
Left testicular v. = Left Renal Vein
Which part of the epididymis is continuous with the ductus deferens?
Tail
___ stores sperm until its mature
Epididymis
___: muscular tube that transport sperm from testis to urethra during ejaculation
Ductus Deferns
What are the main structures located within the spermatic cord?
1) Ductus deferens
2) Testicular a.
3) Pampiniform plexus of veins
The ductus deferens narrows and joints the duct of the ___ to form the ___ duct
1) seminal gland
2) ejaculatory duct
During a ___, part of the ductus deferens is excised through an incision in the superior part of the scrotum
vascetomy
___: contribute an viscous fluid, rich in fructose (to nourish sperm) and prostaglandin fluid (to help stimulate uterine contractions)
Seminal vesicles
The short duct of the seminal vesicle joints the ampulla of the ductus deferens to form the _____duct
ejaculatory duct
____: slender tube that arises by the union of the duct of a seminal gland with the ductus deferens
Ejaculatory ducts
True or False: The ductus deferens courses through the prostate gland to open into the prostatic urethra
False - the EJACULATORY DUCTS course through tissue of the prostate gland to open into the prostatic urethra
What is the larges accessory organ of the male reproductive tract?
Prostate gland
The prostate gland contacts with bladder and surrounds the ____
prostatic urethra
The prostate gland has autonomic innervation via the _____plexus
prostatic plexus
The prostate gland and seminal vesicles are supplied by branches of the _____a
internal iliac a.
Venous blood drains to the prostatic and then to the _____ plexus
internal vertebral venous plexus
True or False: The prostate gland contributes a thin, milky fluid rich in substances that enhance sperm motility and enzymes that clot and liquify semen
True
The body of the penis is formed by which three cylindrical erectile bodies?
What are they bound together by?
1) Corpora Cavernosa
2) Corpus Spongiosum
3) Prepuce (foreskin)
Bound together by Buck’s fascia (dense CT sheath)