Pelvic Content- Female Flashcards
Vagina
From the cervix to the vestibule of vagina
The function of the Vagina
- Excretory duct for menstrual fluid
- Inferior part of the birth cancal
- Sexual interocourse
Vaginal Fornix
- The recess around the cervix
- Anterior, posterior, and lateral parts
- Posterior part (deepest): rectouterine pouch
Relations of the Vagina
- Anterior: posterolateral surface of the bladder and proximal urethra
- Posterior: anal canal, mid-portion of rectum, rectouterine pouch
- Lateral: levator ani, pelvic visceralfascia, and ireters
Muscles that compress the vagina (sphincter)
- Pubovaginalis muscle
- External urtrhal sphincter
- Urethrovaginal sphincter
- Bulbosponginosus muscle
Arterial Supply of Vagina
- Superior portion: Uterine artery
- Middle and inferior part of the vagina: Vaginal arteries from the middle rectal and internal pudendal arteries
Veins of the vagina
- Vaginal venous plexus to
- Uterovaginal venous plexus to
- Uterine veins to
- Internal iliac vein
Lymphatic drainage of the vagina
- Superior: internal and external iliac lymph node
- Middle: internal iliac
- Inferior: sacral, common iliac, and superficial inguinal lymph nodes
Nerves of the Vagina
- Uterovaginal plexus from the inferior hypogastric plexus
- Have both sympathetic and parasympathetic nerves
Sympathetic portion
- Lower thoracoespinal cord to lumbar splanchnic nerves and hypogastric plexus
Parasympathetic
- S2-S4 to pelvic splanchinic nerve to hypogastric plexus
Lower 1/5th of the vagina is somatic: from deep perineal branch of the pudendal nerve S2-S2 (Patient can feel pain)
Parts of the Uterus
- Body: Fundus and Isthmus
- Cervix
Wall of uterus
Perimetrium - External (covers the serosa of the uterus
Myometrium - Thickest and a muscular portion of the uterus
Endometrium - Functional part of the uterus, responsible for the menstrual contents in females
Surfaces of the body of uterus
- Vesical
- Intestinal
Uterine horns
Entrances of the uterine (fallopian) tubes
Ligaments of the Uterus
Proper ovarian ligament (posteroinferior)
Round ligament (anterinferior)
Broad ligament (mesometrium) contents: largest
- Double layer of peritoneum
- Suspensory ligament of ovary
- Mesovarium, Mesosalpinx
- Transverse cervical (cardinal) ligament: ligament at the level of the cervix
- Utererosscral ligament: runs from the posterior surface of the uterus close to the sacrum
Cervix Part
- Suprvaginal part (rectouterine pouch)
- Vaginal part
- Internal os
- Cervical canal: presents an internal and external os
- External os