Pelvis Flashcards
What is the structure at the base of the bladder called and what is it made up of?
The trigone - 2 ureters and the urethra
Which arteries supply the bladder in males?
Superior and inferior vesical arteries
Which arteries supply the bladder in females?
Superior vesical, uterine and vaginal arteries
What veins drain the bladder?
Vesical plexus to internal iliac veins
Where does lymph from the bladder, urethra and ureters drain to?
Internal iliac nodes
Which arteries supply the rectum?
Superior, middle and inferior rectal arteries
Which veins drain the rectum?
Superior portion drained by inferior mesenteric vein (to portal system)
Inferior portion by internal iliac vein (to systemic system)
Lymphatic drainage of the rectum
Superior portion: pre-aortic nodes at L3 (inf. mesenteric)
Inferior portion: para-rectal nodes at internal iliac artery
Innervation of the bladder
Inferior hypogastric plexus (ANS)
Innervation of the rectum
Inferior hypogastric plexus
Name of the structure covering the uterus
The broad ligament
Blood supply to the uterus
Supplied by uterine artery from internal iliac
- anastomoses with ovarian artery
Arterial supply of the ovaries
Ovarian artery = from aorta at L2
Venous drainage of ovaries
Right ovarian vein to the IVC
Left ovarian vein to the left renal vein
Innervation of the ovaries
Aortic plexus
Arterial supply of uterine tubes
Ovarian artery
Blood supply of distal uterus
Vaginal artery
Blood supply of proximal vagina
Vaginal artery ( from uterine of anterior internal iliac)
Blood supply of distal vagina
Internal pudendal artery
Blood supply of perineum (female)
Internal pudendal artery
Which structure runs under the uterine artery, like water under a bridge?
The ureter
Lymphatic drainage of the ovaries, uterine tubes and fundus of uterus
Aortic nodes at root of ovarian artery, L2
Lymphatic drainage of the cervix and distal uterus
Internal iliac nodes
Lymphatic drainage of body of uterus
Internal iliac nodes
Which structure passes over the bifurcation of the common iliac vessels?
Ureter
In males, which structure passes over the external iliac vessels?
Vas deferens
Arterial supply of distal vas deferens and seminal vesicles
Inferior vesical artery
Arterial supply of prostate
Prostatic arteries
Venous drainage of prostate
Prostatic venous plexus drains to internal iliac veins
Lymphatic drainage of male pelvic organs
Mainly to internal iliac nodes
Testis to aortic nodes at root of testicular artery (L2)
Sacral plexus nerve roots
S1-4
Lumbosacral trunk roots
L4+5
Roots of the sciatic nerve
L4-S3
Sciatic nerve location
Lateral internal wall of pelvis, forms on anterior surface of piriformis muscle
Superior gluteal nerve roots
L4-S1
Inferior gluteal nerve roots
L5-S2
Nerves passing below and above piriformis
Inferior and superior gluteal nerves
What does the superior gluteal nerve innervate?
Gluteus medius and minimus muscles
What does the inferior gluteal nerve innervate?
Gluteus maximum muscle
Roots of nerve to obturator internus
L5-S1
What other muscle might nerve to obturator internus supply?
Superior gemellus muscle
Roots of nerve to piriformis
S1-2
Nerve to levator ani roots
S4 + pudendal nerve
Nerve to coccygeus roots
S4+5
Pudendal nerve roots
S2-4
What does the pudendal nerve supply?
Levator ani, bulbospongiosus and ischiocavernous muscles, external anal and urethral sphincters
Which nerve passes through both sciatic foramens?
Pudendal nerve
Which nerve wraps around the ischial spine?
Pudendal nerve
Ischioanal fossa contents
Branches of pudendal nerve, artery and vein
Innervation of the external anal sphincter
Inferior rectal branch of pudendal nerve (S2-4)
Arterial supply of the wall of the anal canal
Inferior and superior rectal artery (as they terminate)
What is the space between the layers of the urogenital membrane called?
Deep perineal pouch
Space between the superficial fascia of the urogenital diaphragm and the skin
Superficial perineal pouch