Week 1: Pelvis and Perineum Flashcards
Male Vs Female pelvis

Pelvic wall muscles
- piriformis
- obturator internus
Pelvic floor muscles
- pelvic diaphragm (levator ani and coccygeus)
- urogenital diaphragm
Pubococcygeus muscle function
- support the pelvic organs
- helps maintain urinary and fecal continence
Puborectalis muscle function
- support pelvic organs
- forms a sling around the rectum to relax and contract the anorectal angle to control defecation and aids in voluntary control of micturation
Pelvic floor muscles often injured in child birth
The pubococcygeus and puborectalis stretch more than 3x thier normal length during childbirth and are often injured which can result in urinary and fecal incontinence
Coccygeus muscle function
pulls the coccyx forward after defecation
What is the normal position of the uterus?
anteverted or anteflexed, oriented anteriorly toward the bladder
How is the uterus orientation determined?
- flexion between the uterine body and isthmus
- Version is the angle between the cervical canal and the vagina
What is a retroverted or retroflexed uterus?
oriented posteriorly toward the rectum, this is a normal anatomical variation
Parts of the broad ligament
- mesometrium
- Mesovarium
- Mesosalpinx
What is the mesometrium?
is the mesentary of the uterus and is adjacent to the uterus
What is the mesovarium?
Is the mesentary of the ovary
What is the mesosalpinx?
The mesentary of the uterine tube (also called a salpinx)
Describe the features of Suspensory ligament of the ovary
- Through which the ovarian vessels travel from the abdominal aorta to the ovary
Describe the features of ovarian ligament
which attaches the inferomedial pole of the ovary to the uterus
Describe the features of round ligament of the uterus
which is continuous with the ovarian ligament and travels from the uterus laterally to enter the deep inguinal ring
Vesicouterine pouch
between the bladder and uterus
Rectouterine pouch AKA
Pouch of Douglas
Describe features of the Rectouterine pouch
- between the uterus and rectum
- it is the most inferior part of the peritoneal cavity in a supine position and is thus where fluid can accumulate and pathology can spread (ascites, tumor, endometriosis, etc.)
The male equivalent of the rectouterine pouch
Rectovesical pouch
What is the retropubic space?
is a subperitoneal potential space between the pubis and the bladder filled with fatty areolar tissue
Pubovesical ligaments
from pubic bones to bladder
Transverse cervical ligaments
(cardinal ligaments) from uterus to lateral pelvic wall
Uterosacral ligaments
from uterus to sacrum
Male reproductive tract consists of
- prostate
- seminal vesicles
- vas (ductus) deferens
- testes
Contents of the spermatic cord
- contains the iliolingual nerve
- genital branch of the genitofemoral nerve
- testicular artery
- Pampiniform plexus
- lymphatics
- vas deferens (deferential vessels)
What is the inguinal canal?

Blood supply of the reproductive system

Passage of the uterine artery in females

Describe lymphatic drainage of the reproductive system

Skin of the pelvis innervated by
Ventral rami of lumbosacral (L4-S4) and coccygeal spinal nerves
Skeletal muscles of the pelvis innervated by
Ventral rami of lumbosacral (L4-S4) and coccygeal spinal nerves
Smooth muscle and glands of the pelvic viscera are innervated by
pelvic splanchnic nerves (S2-S4, parasympathetic) and the thoracic, lumbar and sacral splanchnic nerves (T10-12 and L1-L2, sympathetic)
Describe the autonomic innervation of the pelvis

Visceral afferents from intraperitoneal pelvic viscera travel

Visceral afferents from subperitoneal pelvic viscera travel

Describe male sympathetic/parasympathetic innervation of the reproductive organs

Describe female sympathetic/parasympathetic innervation of the reproductive organs

Diagram of innervation of the reproductive organs

What is the micturation reflex?
regulates urination (micturation or voiding)

Describe the anatomy of the bladder

Describe the innervation of bladder filling and emptying

Describe the micturation reflex when voiding is inappropriate

Describe the micturation reflex when voiding is appropriate

What is the perineum?

What is the innervation and blood supply of the perineum?
The pudendal nerve (S2-S4) and the internal pudendal artery are the major nerve and artery of the region
What is the deep perineal pouch?

What is the perineal membrane?

What is the superficial perineal pouch?

What is the perineal body?

What tissues compose the penis?
- Corpora cavernosa
- Corpora Spongiosum
Tissues of the femal genitalia

What is the bulbospongiosum?

What is the ischiocavernosum?

What is the superficial transverse perineal muscles?

Penis and vagina anatomy

Describe nervous control of erection and orgasm

What is the pudendal nerve?

Pudendal nerve anatomy
