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Gross Anatomy
Reproductive System 1
Harold J. Sheedlo, Ph.D.
Department of Cell Biology and Genetics
Arteries of Pelvis and
Perineum
 Abdominal
Aorta
 Common iliac arteries (L4)
External iliac artery
Inferior epigastric artery
Deep circumflex iliac artery
Arteries of Pelvis and
Perineum
 Abdominal
Aorta
 Common iliac arteries
Internal iliac artery
Posterior division
Iliolumbar artery
Superior gluteal artery
Lateral sacral arteries
Arteries of Pelvis and
Perineum
Internal
iliac artery
Anterior division
Obturator artery
Umbilical artery
Vaginal/uterine artery
Inferior vesical artery
Middle rectal artery
Internal pudendal artery
Inferior gluteal artery
Muscles of Pelvis
 Piriformis
muscle
 Obturator internus muscle
 Coccygeus muscle
 Levator ani muscles
 Iliococcygeus muscle
 Pubococcygeus muscle
 Puborectalis muscle
Muscles of Perineum
 Ischiocavernosus
muscle
 Bulbospongiosus muscle
 Sphincter urethrae muscle
 Deep transverse perineal muscle
 Superficial transverse perineal muscle
Ligaments of Pelvis
 Sacrotuberous
ligament
 Sacrospinous ligament
 Suspensory ligament of ovary
 Proper ligament of ovary
 Broad ligament
 Mesometrium
 Mesovarium
 Mesosalpinx
Ligaments of Pelvis
 Round
ligament of uterus
 Cardinal ligament - uterine vessels
Nerves of Pelvis and
Perineum
 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)
Veins of Pelvis and Perineum
 Inferior
vena cava (L5)
 Common iliac veins
 Internal iliac veins
 External iliac veins (femoral vein)
 Testicular or ovarian veins (left or right)
Female Organs
 Infundibulum
of uterine tube
 Fimbriae
 Ampulla
of uterine tube
 Isthmus of uterine tube
 Uterine part
 Uterus
Fundus
Body
Internal os
Female Organs
 Cervix
 Internal
os
 External os
 Vagina
 Fornices
 Vestibule
 Vulva
Male Organs
 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
Male Organs
 Ductus
(vas) deferens
 Seminal vesicles
 Prostate
 Ejaculatory ducts
 Lobes
Middle - benign prostatic hypertrophy
(BPH)
Posterior - cancer prone
Male Organs
 Corpus
caverosum (corpora cavernosa)
 Corpus spongiosum
 Prostatic urethra
 Membranous urethra
 Spongy urethra
Male and Female Pelvis
 Sacrum
 Ischial
tuberosities
 Shape of pelvic inlet
 Pelvic inlet to pelvic outlet
 Pubic arch
 Size of pelvic cavity
Perineum
 Boundaries
 Anal
triangle
 Urogenital triangle
Urinary Bladder
 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
Rectum
 Arterial
supply
 Superior rectal artery
 Middle and inferior rectal arteries
 Venous drainage
 Superior rectal vein
 Middle and inferior rectal veins
Anus



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
Examinations
Rectal examination
 Male - prostate, seminal vesicle
 Female - cervix
 Bimanual examination in female
 Uterus
 Uterine tube
 Ovary

Clinical
Hemorrhoids
 Internal - srv
 External - irv
 Hysterectomy
 Uterine artery
 Ureter
 Vasectomy
 Episiotomy
 Pudendal nerve block

Practical Examination
25 gross anatomy and 10 histology
 Gross anatomy

1
x-ray (computer)
1 cross section (computer)
9 second order
Practical Examination

Gross anatomy
3
arteries
2 nerves
3 veins
8 structures or organs
4 regions
1 muscle
2 bones
Practical Examination
 Gross
anatomy
 7 female structures
6 first order
1 second order
 7 male structures
4 first order
3 second order
 Histology (computer)
 5 female and 5 male
 5 first order
 5 second order
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