Nerves of the pelvis Flashcards

1
Q

Where does the pudendal nerve arise from?

A

Ventral rami S2 S3 S4

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2
Q

What are the branches of the pudendal nerve?

A

inferior rectal nerve
perineal nerves
dorsal nerve of penis/clitoris

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3
Q

Action of pudendal nerve

A

Sensation of labia clitoris penis scrotum anal canal
afferent sensation for erection
Motor function of external anal and urethral sphincters

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4
Q

Course of the pudendal nerve

A

ventral rami S2 S3 S4 > lesser sciatic foramen > greater sciatic foramen > joins internal pudenal artery and vein in pudendal canal and branches to form inferior rectal nerve, perineal nerve and dorsal nerve of penis/clitoris

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5
Q

Where does the perineal nerve arise from?

A

Pudendal nerve (ventral rami S2 3 4)

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6
Q

What are the branches of the perineal nerve?

A

superficial and deep

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7
Q

What does the perineal nerve supply?

A

superficial - supplies the posterior scrotal/labial nerves
deep perineal - supplies muscles - superficial transverse perineal muscle, bulbospongiosus, ischiocavernosus, and corpus cavernosus and Sphincter urethræ.

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8
Q

What does the inferior rectal nerve supply?

A

motor supply - external anal sphincter

sensation - anal canal to pectinate line

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9
Q

Where does the inferior rectal nerve arise from?

A

ventral rami S 2 3 4 > pudendal nerve > inferior rectal nerve

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10
Q

Where does the ilioinguinal nerve arise from?

A

from L1 anterior ramus

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11
Q

What does the ilioinguinal nerve innervate?

A

sensation for medial thigh
anterior labia and clitoris
anterior scrotum and root of the penis

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12
Q

What route does the ilioinguinal nerve take?

A

L1 - iliohypogatric> ilioinguinal > inguinal canal

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13
Q

Innervation of the anal sphincter

A

S4
internal anal - splachnic nerves
external anal - inferior rectal nerve + perineal nerve

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14
Q

Origin of anterior labial and anterior scrotal nerves

A

ilioinguinal nerve

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15
Q

Origin of posterior labial and posterior scrotal nerves

A

s2-4> pudendal nerve>perineal nerve> posterior labial/scrotal nerves

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16
Q

Is urination mediated by parasympathetic or sympathetic fibers?

A

peeing = parasympathetic

17
Q

Bladder neck closure and relaxation of bladder mediated by parasympathetic or sympathetic fibers?

A

storage = sympathetic

18
Q

Where does the parasympathetic supply to the bladder arise from?

A

S2-S4

19
Q

Where does the sympathetic supply to the bladder arise from?

A

T10 - L2

20
Q

Origins of the lumbar plexus

A

T12-L4

21
Q

Innervation of the ureters

A

T11-L2

22
Q

Supply to the internal anal sphincter

A

pelvic splanchnic nerves (S2-4 parasympathetic)

hpogastric nerve T11-L2 (sympathetic)

23
Q

Origin of genitofemoral nerve

A

L1/L2

24
Q

Sensory distribution of obturator nerve

A

medial upper thigh

25
Q

Origins or obturator nerve

A

L2 L3 L4