Gross anatomy of the reproductive system

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  • 1. ByORIBA DAN LANGOYA, MBchB
  • 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.  Piriformis muscle Obturator internus muscle Coccygeus muscle Levator ani muscles Iliococcygeus muscle Pubococcygeus muscle Puborectalis muscle
  • 6.  Ischiocavernosus muscle Bulbospongiosus muscle Sphincter urethrae muscle Deep transverse perineal muscle Superficial transverse perineal muscle
  • 7.  Sacrotuberous ligament Sacrospinous ligament Suspensory ligament of ovary Proper ligament of ovary Broad ligament Mesometrium Mesovarium Mesosalpinx
  • 8.  Round ligament of uterus Cardinal ligament - uterine vessels
  • 9.  Lumbosacral trunk (L4, L5) Sacral plexus - ventral rami of S1, S2, S3 andS4 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)
  • 10.  Inferior vena cava (L5) Common iliac veins Internal iliac veins External iliac veins (femoral vein) Testicular or ovarian veins (left or right)
  • 11.  Infundibulum of uterine tube Fimbriae Ampulla of uterine tube Isthmus of uterine tube Uterine part UterusFundusBodyInternal os
  • 12.  Cervix Internal os External os Vagina Fornices Vestibule Vulva
  • 13.  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
  • 14.  Ductus (vas) deferens Seminal vesicles Prostate Ejaculatory ducts Lobes Middle - benign prostatic hypertrophy(BPH) Posterior - cancer prone
  • 15.  Corpus caverosum (corpora cavernosa) Corpus spongiosum Prostatic urethra Membranous urethra Spongy urethra
  • 16.  Sacrum Ischial tuberosities Shape of pelvic inlet Pelvic inlet to pelvic outlet Pubic arch Size of pelvic cavity
  • 17.  Boundaries Anal triangle Urogenital triangle
  • 18.  Posterior of retropubic space Apex is anterior Ureters enter bladder posteroinferior Trigone - orifices of ureters and uvula ofbladder Interureteric crest Vesicouterine pouch - female Rectovesical pouch - male
  • 19.  Arterial supply Superior rectal artery Middle and inferior rectal arteries Venous drainage Superior rectal vein Middle and inferior rectal veins
  • 20.  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
  • 21.  Rectal examination Male - prostate, seminal vesicle Female - cervix Bimanual examination in female Uterus Uterine tube Ovary
  • 22.  Hemorrhoids Internal - srv External - irv Hysterectomy Uterine artery Ureter Vasectomy Episiotomy Pudendal nerve block
  • 23. THANK FOR YOUR TIME