Pelvic nerves and vessels Flashcards
sciatic nerve
L4, L5. S1- 3
Posterior compartment of thigh and branches supply all muscles of leg/foot
Gluteal nerves
superior -(L4, L5.S1) gluteal to gluteus medius and minimus
Inferior- L5, S1, S2
Nerve to obturator internus
Direct from L5- S1
Nerve to piriformis
Direct from S1-S2
Levator ani
Direct from S4 and pudendal
Coccygeus
Direct from S4, S5
Pudendal nerve
S2-S4
Where is the pudendal nerve present?
Levator ani, ext anal and ext urethral sphincter, bulbospongious, ischiocavernosus
What does the sympathetic chain do?
Rectum > decreases movement
Contracts internal anal and urethral sphincters
Relaxes bladder detrusor
Ejaculation = contract ductus deferens and seminal vesicle
Uterus= relax/ contract
Vasoconstriction of arteries
What does the parasympathetic chain do?
Pelvic splanchnic nerves S2-4
Increase motility rectum and anal canal
Relax internal anal sphincter
Bladder = contracts detrusor and inhibits contraction of internal sphincter
No effect on seminal vesicles, ductus deferens, uterus
Vasodilation of arteries= erection
Name nerves supplying penis perineum
Dorsal nerve of penis
Cavernous nerves
Origin and type of dorsal nerves of the penis
Pudendal nerve and somatic sensory and sympathetic
Origin and type of cavernous nerves
prostatic nerve plexus
parasympathetic
Nerves suplying perineal muscles in male e.g bulbospongiousus , ischiocaverniosus
Perineal branch
Origin: pudendal nerve
Type: somatic motor
Two nerves supplying perineum of scrotum
anterior scrotal
posterior scrotal
Origin and type of anterior scrotal nerve
ilioinguinal, genitofemoral
somatic sensory
Origin and type of poaterior scrotal nerve
perineal branch of pudendal
somatic sensory
Nerve supplying anterior perineum in female
anterior labial
origin: ilioinguinaland genitofemoral
type: somatic sensory
Nerve supplying posterior perineum in female
perineal branch
origin: posterior cutaneous of thigh pudendal
Type: somatic sensory
Labia
Posterior labial
Origin: pudendal
Type: somatic sensory
Orifice of vagina
deep branch
origin: pudendal
type: somatic sensory
Perineal (superficial muscles)
muscular branches
origin: pudendal
Type: somatic motor
Clitoris and deep perineal muscles
dorsal nerve of clitoris
origin: pudendal
type: somatic motor and sensory
Bulb of vestibule and clitoris
cavernous nerve
Origin: utero-vaginal plexus
Type: parasympathetic
What region does the aorta divide to give 2 common iliac arteries?
L4
What do the common iliac arteries divide into ?
Internal and external iliac arteries
What do the internal iliac arteries divide into?
Anterior and posterior division
Branches of anterior division of internal iliac?
Umbilical gives rise to superior vesicle Obturator Inferior vesicle Middle rectal Internal pudendal Inferior gluteal
Branches of anterior internal iliac in males?
Inferior vesical and middle rectal supply prostate, seminal vesicles and ductus deferens
Testicular arteries from the abdominal aorta at …
L2
Branches of anterior internal iliac in females?
Uterine
vaginal
internal pudendal
Branches of posterior internal iliac division
iliolumbar
lateral sacral
superial gluteal
Info on Obturator artery
Origin: internal iliac
Area: pelvic muscles, head of femur, ilium
Info on Superior vesical artery
Origin: Umbilical
Area: superior aspect of bladder, ductus deferens
Info on Ductus deferens artery
Origin: superior / inferior vesical
Area: ductus deferens
Info on Inferior vesical artery
Origin: internal iliac
Area: urinary bladder, ureter, seminal vesicle, prostate
Info on middle rectal artery
Origin: internal iliac
Area: rectum, seminal vesicle and prostate
Info on Internal pudendal artery
Origin : internal iliac
Area: perineum and anal canal
Info on inferior gluteal artery
Origin: internal iliac
Area: levator ani, coccygeus , piriformis and gluteal
Info on Uterine artery
Origin: internal iliac
Area: ureter, uterus and vagina
Info on Vaginal artery
Origin: uterine
Area: vagina and bladder
Info on Iliolumbar artery
Origin: internal iliac (posterior)
Area: cauda equina, iliacus , psoas, quadratus lumborum
Info on Lateral sacral artery
Origin: internal iliac (posterior)
Area: vertebral canal and piriformis