The pelvis Flashcards
What is the blood supply to the female genitalia?
1) Common iliac artery
Branches into vaginal and uterine arteries
2) Gonadal (ovarian) arteries
What is the blood supply to the female rectum?
Superior rectal artery (from the inferior mesenteric artery)
What is the median sacral artery?
A direct branch from the posterior aorta
What are the ligaments of the female pelvis?
1) Broad ligament
2) Ovarian ligaments
3) Suspensory ligaments
4) Round ligaments
5) Cardinal/transverse ligaments
6) Uterosacral ligaments
7) Pubocervical ligaments
What is the function of the uterosacral and the pubocervical ligaments?
To support the uterus
What does the transverse/cardinal ligament house?
The uterine artery and vein
What is the broad ligament and what does it contain?
Folds of peritoneum
Contains the ovarian ligament and the round ligament, uterus, ovaries, fallopian tubes
What does the suspensory ligament do?
Holds the ovaries to the lateral body wall
What does the ovarian ligament do?
Join from the ovaries to the lateral side of the uterus
What does the round ligament do? Travel?
Function?
Travel through the deep inguinal ring and inguinal canal to the labia majora - to maintain anterversion of the uterus during pregnancy
What are the remains of the gubernaculum in females?
Round ligament and ovarian ligament
What is the ‘vulva’?
The external genitalia of the female
What is the ‘mons pubis’?
The fatty portion of the vulva at the anterior
Covered in pubic hair
What is the ‘labia majora’ and ‘labia minora’?
Majora - outside, covered in pubic hair, joins from mons pubis to rectum
What is the vestibule?
Area between the labia minora
What is the prepuce of the vagina formed from?
The labia minora
What is the relations of the vagina?
Anterior: bladder and urethra
Posterior: Rectum and anus
Where does the uterus lie with respect to the bladder?
Above it
What is the position of the uterus in the body?
Anteroverted wrt the vagina
Anteroflexed wrt the cervix
What happens during pregnancy?
The uterus gets bigger - compressing the bladder (urinate more frequenty) and compressing the rectum (harder to excrete)
What is the course of the right uterer?
1) Posterior to duodenum
2) Crossed by branches of the SUPERIOR MESENTERIC artery
3) Crosses anterior to right common iliiac
What is the course of the left ureter?
1) Runs laterally to the inferior mesenteric vessels
2) Crossed by vessels of the INFERIOR MESENTERIC artery
3) Crosses anterior to left common iliac
Where do the ureters enter the bladder?
Through the urethral openings of the trigone
What are the parts of the bladder?
Apex (anterior and superior)
Body
Fundus
Neck (posterior and inferior)