Reprodutive System Flashcards
What parts of the linea terminalis make up the border of the superior pelvic aperture?
Superior margin of the pubic symphysis anteriorly Posterior border of the pubic crest Pecten Pubis Arcuate Line of the Ilium Ala of the sacrum Sacral promontory
What parts form the border of the inferior pelvic aperture?
Inferior margin of the pubic symphysis anteriorly
Ischial rami and tuberosities anterolaterally
Sacrotuberous ligaments posterolaterally
Tip of the coccyx posteriorly
What parts of the pelvis are the true and false pelvis?
True-lesser pelvis
False-greater pelvis
What are the main differences between the male and female pelvis?
Male- Deep greater and lesser pelvis Heart shaped pelvic inlet Small pelvic outlet Acute subpubic angle Round obturator foramen Female- Shallow greater and lesser pelvis Round shaped pelvic inlet Obtuse subpubic angle Oval obturater foramen
What type of joint is the sacroiliac joint?
Synovial plane joint
What muscles make up the pelvis?
Obturator internus covers the lateral pelvic walls
Piriformis makes up the posterior wall
Levator Ani and coccygeus make up the pelvic floor
What are the three parts of the levator ani?
Puborectalis
Pubococcygeus
Iliococcygeus
What is the innervation and action of levator ani?
Nerve to levator ani
Helps support pelvic viscera and resists increases in intra abdominal pressure
What is the innervation and actions of coccygeus?
Branches of S4 and S5
Supports pelvic viscera and flexes coccyx
What is the innervation and actions of obturator internus?
Nerve to obturator internus (L5, S1, S2)
Laterally rotates hip joint and and holds femur head in position
What is the innervation and actions of piriformis?
Anterior rami of S1 and S2
Laterally rotates and abducts hip joint and holds femur head in place
What artery is the main supplier of the pelvic viscera, gluteal region and perineum?
Internal iliac
What does the obturator artery supply and what is its origin?
Pelvic muscles and femur head
Anterior division of internal iliac
Where does the artery to ductus deferens originate from?
Superior vesical artery
What artery supplies the seminal gland and prostate?
Middle rectal
What artery is the main supplier of the perineum?
Internal Pudendal
What does the uterine artery supply?
Pelvic ureter, uterus, uterine tube, ligament of uterus and part of vagina
What arteries supply the gonads?
Gonadal arteries (testicular and ovarian)
Which part of the rectum drains into the venous portal system and which into the systemic?
Portal-superior rectal veins
Systemic-middle and inferior rectal veins
What venous plexus communicates with the prostatic venous plexus?
Vertebral venous plexus
What is the root of the ilioinguinal nerve and what does it supply?
L1
Supply skin at the root of the penis in the male and the labia in the female
What is the root of the genitofemoral nerve and what does it supply?
L1-2
Anterior scrotum and spermatic cord in males
Mons pubis, round ligament of uterus and labia majora in females
What is the root of the pudendal nerve and what does it supply?
S2-4
Sensory to genitalia, perineal muscles, sphincter urethrae and external anal sphincter
What nerve supplies the vas deferens, seminal vesicles, prostate and epididymis?
Sympathetic fibres via the hypogastric plexus from L1 and L2
What sympathetic nerve supplies the female genital tract?
Nerve fibres from the pelvic and ovarian plexuses and pelvic splanchnic nerves (S2-4)
What parasympathetic nerve innervates the erectile tissues?
Fibres from S2-4 via the hypogastric plexus
What are the four main pelvic groups of lymph nodes and what areas do they drain?
External iliac-superior pelvic viscera
Internal Iliac- gluteal region, deep perineum and inferior pelvic viscera
Sacral-Postero-inferior pelvic viscera
Common iliac- drains the other three groups
What are the main contents of the spermatic cord?
Ductus deferens
Arteries
Pampiniform venous plexus
What is the function of the vas deferens?
Conveys sperm from the epididymis to the ejaculatory duct