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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