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ORIBA DAN LANGOYA, MBchB
 Abdominal Aorta
 Common iliac arteries (L4)
 External iliac artery
Inferior epigastric artery
Deep circumflex iliac artery
 Abdominal Aorta
 Common iliac arteries
 Internal iliac artery
Posterior division
Iliolumbar artery
Superior gluteal artery
Lateral sacral arteries
 Internal iliac artery
Anterior division
Obturator artery
Umbilical artery
Vaginal/uterine artery
Inferior vesical artery
Middle rectal artery
Internal pudendal artery
Inferior gluteal artery
 Piriformis muscle
 Obturator internus muscle
 Coccygeus muscle
 Levator ani muscles
 Iliococcygeus muscle
 Pubococcygeus muscle
 Puborectalis muscle
 Ischiocavernosus muscle
 Bulbospongiosus muscle
 Sphincter urethrae muscle
 Deep transverse perineal muscle
 Superficial transverse perineal muscle
 Sacrotuberous ligament
 Sacrospinous ligament
 Suspensory ligament of ovary
 Proper ligament of ovary
 Broad ligament
 Mesometrium
 Mesovarium
 Mesosalpinx
 Round ligament of uterus
 Cardinal ligament - uterine vessels
 Lumbosacral trunk (L4, L5)
 Sacral plexus - ventral rami of S1, S2, S3 and
S4
 Pudendal nerve (S2, S3, S4)
 Perineal nerve
 Inferior rectal nerve
 Dorsal nerve of clitoris or penis
 Obturator nerve (L3, L4)
 Inferior gluteal nerve (L5, S1, S2)
 Superior gluteal nerve (L4, L5, S1)
 Inferior vena cava (L5)
 Common iliac veins
 Internal iliac veins
 External iliac veins (femoral vein)
 Testicular or ovarian veins (left or right)
 Infundibulum of uterine tube
 Fimbriae
 Ampulla of uterine tube
 Isthmus of uterine tube
 Uterine part
 Uterus
Fundus
Body
Internal os
 Cervix
 Internal os
 External os
 Vagina
 Fornices
 Vestibule
 Vulva
 Scrotum
 Skin
 Superficial (Dartos’) fascia
 External spermatic fascia
 Cremaster muscle
 Internal spermatic fascia
 Testis
 Tunica vaginalis - parietal and visceral layers
 Epididymis
 Tunica albuginea - seminiferous tubules
 Ductus (vas) deferens
 Seminal vesicles
 Prostate
 Ejaculatory ducts
 Lobes
 Middle - benign prostatic hypertrophy
(BPH)
 Posterior - cancer prone
 Corpus caverosum (corpora cavernosa)
 Corpus spongiosum
 Prostatic urethra
 Membranous urethra
 Spongy urethra
 Sacrum
 Ischial tuberosities
 Shape of pelvic inlet
 Pelvic inlet to pelvic outlet
 Pubic arch
 Size of pelvic cavity
 Boundaries
 Anal triangle
 Urogenital triangle
 Posterior of retropubic space
 Apex is anterior
 Ureters enter bladder posteroinferior
 Trigone - orifices of ureters and uvula of
bladder
 Interureteric crest
 Vesicouterine pouch - female
 Rectovesical pouch - male
 Arterial supply
 Superior rectal artery
 Middle and inferior rectal arteries
 Venous drainage
 Superior rectal vein
 Middle and inferior rectal veins
 Anal columns
 Anal valves
 Pectinate line
 Upper half and lower half of anal canal joins
 Differences
 Epithelium (SCE, SSE)
 Anal columns
 Nervous innervation
 Arterial supply (SRA, IRA)
 Venous drainage (SRV, IRV)
 Lymphatic drainage
 Rectal examination
 Male - prostate, seminal vesicle
 Female - cervix
 Bimanual examination in female
 Uterus
 Uterine tube
 Ovary
 Hemorrhoids
 Internal - srv
 External - irv
 Hysterectomy
 Uterine artery
 Ureter
 Vasectomy
 Episiotomy
 Pudendal nerve block
THANK FOR YOUR TIME

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Gross anatomy of the reproductive system

  • 2.  Abdominal Aorta  Common iliac arteries (L4)  External iliac artery Inferior epigastric artery Deep circumflex iliac artery
  • 3.  Abdominal Aorta  Common iliac arteries  Internal iliac artery Posterior division Iliolumbar artery Superior gluteal artery Lateral sacral arteries
  • 4.  Internal iliac artery Anterior division Obturator artery Umbilical artery Vaginal/uterine artery Inferior vesical artery Middle rectal artery Internal pudendal artery Inferior gluteal artery
  • 5.
  • 6.  Piriformis muscle  Obturator internus muscle  Coccygeus muscle  Levator ani muscles  Iliococcygeus muscle  Pubococcygeus muscle  Puborectalis muscle
  • 7.
  • 8.  Ischiocavernosus muscle  Bulbospongiosus muscle  Sphincter urethrae muscle  Deep transverse perineal muscle  Superficial transverse perineal muscle
  • 9.
  • 10.  Sacrotuberous ligament  Sacrospinous ligament  Suspensory ligament of ovary  Proper ligament of ovary  Broad ligament  Mesometrium  Mesovarium  Mesosalpinx
  • 11.  Round ligament of uterus  Cardinal ligament - uterine vessels
  • 12.  Lumbosacral trunk (L4, L5)  Sacral plexus - ventral rami of S1, S2, S3 and S4  Pudendal nerve (S2, S3, S4)  Perineal nerve  Inferior rectal nerve  Dorsal nerve of clitoris or penis  Obturator nerve (L3, L4)  Inferior gluteal nerve (L5, S1, S2)  Superior gluteal nerve (L4, L5, S1)
  • 13.  Inferior vena cava (L5)  Common iliac veins  Internal iliac veins  External iliac veins (femoral vein)  Testicular or ovarian veins (left or right)
  • 14.  Infundibulum of uterine tube  Fimbriae  Ampulla of uterine tube  Isthmus of uterine tube  Uterine part  Uterus Fundus Body Internal os
  • 15.  Cervix  Internal os  External os  Vagina  Fornices  Vestibule  Vulva
  • 16.  Scrotum  Skin  Superficial (Dartos’) fascia  External spermatic fascia  Cremaster muscle  Internal spermatic fascia  Testis  Tunica vaginalis - parietal and visceral layers  Epididymis  Tunica albuginea - seminiferous tubules
  • 17.
  • 18.  Ductus (vas) deferens  Seminal vesicles  Prostate  Ejaculatory ducts  Lobes  Middle - benign prostatic hypertrophy (BPH)  Posterior - cancer prone
  • 19.  Corpus caverosum (corpora cavernosa)  Corpus spongiosum  Prostatic urethra  Membranous urethra  Spongy urethra
  • 20.  Sacrum  Ischial tuberosities  Shape of pelvic inlet  Pelvic inlet to pelvic outlet  Pubic arch  Size of pelvic cavity
  • 21.
  • 22.  Boundaries  Anal triangle  Urogenital triangle
  • 23.
  • 24.  Posterior of retropubic space  Apex is anterior  Ureters enter bladder posteroinferior  Trigone - orifices of ureters and uvula of bladder  Interureteric crest  Vesicouterine pouch - female  Rectovesical pouch - male
  • 25.
  • 26.  Arterial supply  Superior rectal artery  Middle and inferior rectal arteries  Venous drainage  Superior rectal vein  Middle and inferior rectal veins
  • 27.
  • 28.  Anal columns  Anal valves  Pectinate line  Upper half and lower half of anal canal joins  Differences  Epithelium (SCE, SSE)  Anal columns  Nervous innervation  Arterial supply (SRA, IRA)  Venous drainage (SRV, IRV)  Lymphatic drainage
  • 29.  Rectal examination  Male - prostate, seminal vesicle  Female - cervix  Bimanual examination in female  Uterus  Uterine tube  Ovary
  • 30.  Hemorrhoids  Internal - srv  External - irv  Hysterectomy  Uterine artery  Ureter  Vasectomy  Episiotomy  Pudendal nerve block