Pelvic Vessels, Nerves, and Lymphatics Flashcards

1
Q

Which artery supplies the organs of the pelvic cavity?

A

The internal iliac artery

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2
Q

What arteries make up the posterior division of the pelvic cavity? (3)

A
  • lateral sacral a’s.
  • iliolumbar a.
  • superior gluteal a.
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3
Q

What do the lateral sacral arteries supply? (2)

A
  • Structures of sacral canal

- muscles and skin posterior to sacrum

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4
Q

What does the iliolumbar artery supply? (2)

A
  • iliacus muscle

- lumbar region posterior to psoas major m.

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5
Q

What course does the iliolumbar artery take?

A

It goes between the obturator n. and lumbosacral trunk

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6
Q

What does the superior gluteal artery supply?

A

gluteal region

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7
Q

Where course does the superior gluteal branch take?

A

exits sciatic foramen superior to piriformis m.

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8
Q

What arteries make up the anterior division of the pelvic cavity? (8 b/w male and female)

A
  • umbilical a. (obliterated after birth)
  • superior vesical a.
  • inferior vesical a.
  • middle rectal a.
  • obturator a.
  • internal pudendal a.
  • inferior gluteal a.
  • uterine a.
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9
Q

What does the superior vesical artery supply?

A

bladder

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10
Q

What does the inferior vesical artery supply? (5)

A
  • bladder
  • seminal vesicle
  • prostate
  • ureter
  • vas deferens
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11
Q

What does the middle rectal artery supply in the female? (2)

A
  • rectum

- vagina

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12
Q

What does the middle rectal artery supply in the male? (4)

A
  • prostate
  • vas deferens
  • seminal vesicle
  • rectum
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13
Q

Where does the obturator exit the pelvis?

A

Obturator canal, enters medial thigh

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14
Q

What course does the internal pudendal artery take?

A
  • exits pelvis via greater sciatic foramen

- loops around ischial spine to enter perineum via lesser sciatic foramen

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15
Q

What does the internal pudendal artery supply? (2)

A
  • inferior rectal artery

- gives branches to vagina

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16
Q

Where course does the inferior gluteal artery take?

A

It exits the sciatic foramen inferior to piriformis

17
Q

What does the inferior gluteal artery supply?

A

gluteal region

18
Q

What does the uterine artery supply? (2) What does it anastamose with?

A
  • uterus
  • vagina
  • the ovarian artery
19
Q

Do the pelvic venous plexuses have valves?

A

No

20
Q

What do the pelvic venous plexuses connect with?

A

vertebral venous plexus (Batson’s veins)

21
Q

What nerves make up the sacral plexus? (4)

A
  • sciatic nerve (L4-S3)
  • pudendal nerve (S2-S4)
  • superior gluteal nerve (L4-S1)
  • inferior gluteal nerve (L4-S2)
22
Q

What course does the sciatic nerve take?

A
  • Passes inferior to piriformis to enter gluteal region

- descends posterior thigh

23
Q

What does the sciatic nerve innervate? (2)

A
  • posterior compartment of thigh

- whole leg and foot

24
Q

What course does the pudendal nerve take?

A
  • passes b/w piriformis and coccygeus

- enters perineum though lesser sciatic foramen

25
Q

What does the pudendal nerve innervate?

A

perineum

26
Q

What course do the superior and inferior gluteal nerves take?

A

Pass superior to piriformis to enter gluteal region

27
Q

What does the superior gluteal nerve innervate?

A

gluteus medius and minimus

28
Q

What does the inferior gluteal nerve innervate?

A

Gluteus maximus

29
Q

What nerves make up the coccygeal plexus?

A

anterior rami of S4, S5, and C0

30
Q

What does the coccygeal plexus innervate? (3)

A
  • coccygeus m.
  • part of levator ani m.
  • sacrococcygeal joint
31
Q

What other nerves arise from the coccygeal plexus? What do they innervate?

A
  • anococcygeal nerves

- supply skin b/w of coccyx and anus

32
Q

What nerves make up the pelvic autonomic nerves? (2)

A
  • inferior hypogastric plexus

- pelvic splanchnic nerves (S2-S4)

33
Q

What do branches of the inferior hypogastric plexus make?

A
  • sub-plexuses known as pelvic plexuses
34
Q

What do the sub-plexuses innervate in both males and females? (2)

A
  • lateral rectum

- inferolateral urinary bladder

35
Q

What do the sub-plexuses associate with in males? (2)

A
  • prostate

- seminal vesicles

36
Q

What do the sub-plexuses associate with in females? (2)

A
  • cervix

- lateral fornices of vagina

37
Q

What do the parasympathetic fibers of prostatic plexus innervate?

A

the penis, producing an erection

38
Q

What do the pelvic splanchnic nerves supply? (5)

A

parasympathetic innervation to:

  • pelvic viscera
  • descending colon
  • sigmoid colon
  • rectum
  • proximal anal canal