Pelvic Floor and Perinuem Flashcards
Mulheron
The three pelvic ligaments are:
- Sacroiliac
- Sacrospinous
- Sacrotuberous
Through the Greater sciatic foramen, runs the _____ muscle, _____ nerve, and superior and inferior gluteal vessels.
Primiforms, Sciatic
The Pelvic Diaphragm attaches to ____ ____ , which is a thickening of the Obturator Internus Fascia
Tendinous Arch
Looking down from your own perspective, what are the three “U” shaped muscles that make up Levator Anni?
- Puborectalis (Fecal continence)
- Pubococcygeus (Urinary Continence)
- Ileococcygeus
Aside from the Tendinous arches, there are 4 Endopelvic Fascia that are important and attach to FASCIAL WHITE LINE. The _____ ____ Ligament, which runs horizontal to the Cervix, and the ______ ligament, which is more superior, are both thickenings.
- Transverse Cervical
- Uterosacral
Aside from the Tendinous arches, there are 4 Endopelvic Fascia that are important and attach to the FASCIAL WHITE LINE. The Anterior sheet between the Bladder and Cervix is known as the _____ Fascia and the Posterior Sheet, which is behind cervix and in front of rectum, is known as the _____ Fascia
- Pubocervical
- Rectovaginal
Fascial White line is within the ____ muscle and attaches the Rectovaginal and Pubocervical Fascia. While the Muscular white line is the attachment point to the _____ muscle.
Levator Anni
A stretch or a tear is the Pubocervical fascia results in a ______ocele, whereby the bladder pushes against the anterior vaginal wall
Cysto
A tear or weakness of Rectovaginal fascia results in a _____ocele
recto
The _____ _____ Artery, a branch of the Anterior Internal Iliac, is responsible for blood flow to the external Genitalia.
Internal Pudendal
Ovarian Cancer spreads upward via the ____ ____ Nodes
Lateral Aortic
Cervical Cancers spreads downward through the ___ ___ nodes
Internal Iliac
The internal urinary sphincter is tonically stimulated by sympathetic innervation to allow the bladder to fill. As the bladder fills, stretch receptors are carried through parasympathetics, then the pelvic splanchnic nerves make the ______ muscle contract and override the inner sphincter.
detrussor
If the labia majora is the scortum, then the labia minora corresponds with the _____ side of the penis
Ventral
The Pelvic Vagina gets the Vaginal artery off of the _____ _____ artery, whereas the Perineal vagina gets its blood supply directly from the _____ ____ Artery
- Internal Iliac
- Internal Pudendal
The Pelvic Vagina is Autonomic and gets fibers from the Inferior Hypogastrics, pain is transmitted via ______ Splanchnics.
Pelvic
The Perineal vagina is Somatic and recieves innervation from the _____ nerve.
Pudendal
Within the transverse cervical ligament, the ____ Artery can be found, the ureter will be underneath.
Uterine
The ____ _____ ligament connects the ovary to the uterus
Proper Ovarian
The rectum has tonic Sypmathetic innervation to the _____ sphincter.
Internal
Benign Prostatic Hyperplasia usually occurs in the ______ zone of the prosate, whereas Cancer usually occurs in the _______ zone
- Transitional,
- Peripheral
A sympathetic alpha blocker would cause what side effect when the prostate region gets affected?
The internal sphincter would get inhibited and you would see retrograde ejaculation
The Superior Rectal Artery/veins comes from the ____ ____, whereas the Middle and Inferior REctal come from the ___ ___.
- Inferior Mesenteric
- Internal Iliac
The anorectal angle is maintained by the _____ muscle.
Puborectalis
The Anal canal’s Pectinate line divides the hindgut region derived from embryonic _____derm and the Proctodeum derived from embryonic _____derm
Endo, Ecto
What type of pain is felt in the rectum above the pectinate line?
None, only pressure
The internal iliac artery gives rise to the Internal Pudendal artery, which makes the _______ Rectal Artery.
Inferior
Ironically, the deepest parts of the rectum below the Pectinate line feed to the ______ ______ Nodes, whereas the region above the pectinate line feeds to the _____ ____ Nodes.
Superficial Inguinal, Internal Iliac
Which major nerves and arteries can be found through the ischioanal fossa?
Pudendal
The ________ _______ is a sub-flood of the Pelvic Diaphragm, which has sphincteric control of urethra and vagina and contains the Deep Perineal pouch
Urogenital Diaphragm
Name the three main components of the UG Diaphragm sandwhich.
- Superior Fascia Rami-Rami
- Muscle Rami-Rami
- Inferior Fascia Rami-Rami
In addition to the Sphincter Urethrae Muscle, Deep transverse Perineal Muscle, And Neurovascular vessels, The Deep Perinal Pouch in the Male also contains the _______ Glands and the _______ Urethra
Bulbourethral, Membranous
In addition to the Compressor Urethrae Muscle, Deep transverse Perineal muscle, and neurovasc., you can also find the _____ and _____ in the female.
(BUT NO GLANDS in the deep perineal pouch!)
Urethra, Vagina
Be the Penile skin, Superficial penile fasica, and Deep penile fascia (Buck’s) is the ___ ___ Penile vein, which gets collapsed against Buck’s Fascia to cause an erection.
Deep Dorsal
In the Superficial Perineal Pouch, Aside from Skeletal muscle, fascia, and Neurovasc., what two main things will you find in the male?
- Erectile Bodies
- Spongy Urethra
Other than Erectile bodies, skeletal muscle, fascia, neurovasc, Urethra and vagina, what structure is found in the female Superficial Pouch that is NOT found in males.
Greater Vestibular Gland
Name your 3 favorite Internal Iliac Posterior Artery Branches
- Iliolumbar
- Lateral Sacral
- Gluteal Arteries
The Internal Pudendal artery is the main source of blood to the Perineum, it branches off of the ____ division of the _____ ____ artery.
Anterior, Internal Iliac
Somatic Innervation of the Perineum is via the ____ Nerve (S2, S3, S4)
Pudendal
The three branches of the Pudendal nerve are the ______ Rectal, which controls the External Anal sphincter (Mixed), the _____ nerve, which is responsible for the sensory of the Penis and Clitoris, and lastly the _____ Nerve, which gives motor and sensory to all structures in superficial and deep pouches.
- Inferior Rectal
- Dorsal
- Perineal
The Autonomic Sympathetic Perineum starts preganglionic at the Lumbar splanchnics and connects with the Pudendal at the ______ Ganglion
Sacral
The Autonomic Parasymp. Perineum starts with the ______ Splanchnics and connects to the cavernous nerves at the Inferior Hypogastric
Pelvic
