T1Q6 Perineum, Arteries, Veins, and Lymphatics Flashcards
abdominal aorta> common iliac> internal iliac> anterior trunk> internal pudendal artery
testicular artery
origin: abdominal aorta (embryonic origin)
course: inguinal canal
cremasteric arteries
origin: external iliac, inferior epigastric branch
course: accompany the spermatic chord into the scrotum
internal pudendal artery
origin: anterior trunk, internal iliac artery
course:
1. leaves through greater sciatic
2. loops around iscial spine
3. re-enters through lesser sciatic foramen
4. courses through pudendal canal
branches:
urethral artery and dorsal artery of penis/ clitoris
perineal> bulb+posterior scrotal+ deep artery of penis/ clitoris
external pudendal arteries
origin: femoral artery in the thigh
course: medially and superiorly
supply: supply skin of penis/ scrotum or labia/ clitoris respectively
inferior rectal arteries
origin: internal pudendal artery, anal triangle
course: cross ischioanal fossa to
supply: muscle and related skin
* ANASTOMOSE- with middle and superior rectal arteries from the internal iliac artery and inferior mesenteric artery
artery of bulb of penis/ vestibule
origin: internal pudendal artery
supply: bulbourethral gland and corpus spongiosum, vestibule, vagina
urethral artery
origin: internal pudendal artery
supply: penile urethra and erectile tissue of the glans
deep artery of penis
origin: internal pudendal artery
supply: crus and corpus cavernosum of the body
dorsal artery of the penis
origin: internal pudendal artery
supply: glans penis and superficial tissues of the penis
* ANATOMOSES- with branches of the deep artery of the penis and urethral artery
which vein, in men and women, does not drain into the internal iliac vein?
the deep dorsal vein, drains the glans and copora cavernosa. connects with plexuses surrounding the prostate or urethra (women)
external pudendal veins
drains anterior parts of the labia majora or scrotum, connect with the femoral vein in the thigh
lymphatics: deep perineum
internal iliac nodes
lymphatics: superficial tissues of the penis, clitoris, scrotum, labia majora
superficial inguinal nodes
lymphatics: glans, labia minora, terminal inferior end of vagina
deep inguinal nodes and external iliac nodes
lymphatics: testes
lateral aortic or lumbar nodes and pre-aortic nodes
*significance: disease of the testes tracks superiorly to nodes high in the posterior abdomen