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Uterovaginal Plexus (nerves)
The Uterovaginal plexus is a division of the inferior hypogastric plexus. In older texts, it is referred to as two structures, the "vaginal plexus" and "uterine plexus". * The ''Vaginal Plexus'' arises from the lower part of the pelvic plexus. It is distributed to the walls of the vagina, to the erectile tissue of the vestibule, and to the cavernous nerves of the clitoris. The nerves composing this plexus contain, like the vesical, a large proportion of spinal nerve fibers. * The ''Uterine Plexus'' accompanies the uterine artery to the side of the uterus, between the layers of the broad ligament; it communicates with the ovarian plexus The ovarian plexus arises from the renal plexus, and is distributed to the ovary, and fundus of the uterus. It is carried in the suspensory ligament of the ovary.
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Inferior Hypogastric Plexus
The inferior hypogastric plexus (pelvic plexus in some texts) is a network () of nerves that supplies the organs of the pelvic cavity. The inferior hypogastric plexus gives rise to the prostatic plexus in males and the uterovaginal plexus in females. The inferior hypogastric plexus is a paired structure, meaning there is one on the left and the right side of the body. These are located on either side of the rectum in males, and at the sides of the rectum and vagina in females. For this reason, injury to this structure can arise as a complication of pelvic surgeries and may cause urinary dysfunction and urinary incontinence. Testing of bladder function is used in that case to show a poorly compliant bladder, with bladder neck incompetence, and fixed external sphincter tone. Structure The plexus is formed from: * a continuation of the superior hypogastric plexus on either side, at the Sacrum Promontory in the interiliac triangle. At this location, the presacral nerve sits in the mi ...
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Pelvic Plexus
The inferior hypogastric plexus (pelvic plexus in some texts) is a network () of nerves that supplies the organs of the pelvic cavity. The inferior hypogastric plexus gives rise to the prostatic plexus in males and the uterovaginal plexus in females. The inferior hypogastric plexus is a paired structure, meaning there is one on the left and the right side of the body. These are located on either side of the rectum in males, and at the sides of the rectum and vagina in females. For this reason, injury to this structure can arise as a complication of pelvic surgeries and may cause urinary dysfunction and urinary incontinence. Urodynamic testing, Testing of bladder function is used in that case to show a poorly compliant bladder, with bladder neck incompetence, and fixed external sphincter tone. Structure The plexus is formed from: * a continuation of the superior hypogastric plexus on either side, at the Sacrum Promontory in the interiliac triangle. At this location, the presacral ne ...
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Vagina
In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hymen. At the deep end, the cervix (neck of the uterus) bulges into the vagina. The vagina allows for sexual intercourse and birth. It also channels menstrual flow, which occurs in humans and closely related primates as part of the menstrual cycle. Although research on the vagina is especially lacking for different animals, its location, structure and size are documented as varying among species. Female mammals usually have two external openings in the vulva; these are the urethral opening for the urinary tract and the vaginal opening for the genital tract. This is different from male mammals, who usually have a single urethral opening for both urination and reproduction. The vaginal opening is much larger than the nearby urethral opening, an ...
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Vulval Vestibule
The vulval vestibule (or vulvar vestibule or vestibule of vagina) is a part of the vulva between the labia minora into which the urinary meatus (urethral opening) and the vaginal opening open. Its edge is marked by Hart's line. It represents the distal end of the urogenital sinus of the embryo.Manual of Obstetrics. (3rd ed.). Elsevier. pp. 1–16. . Structure Structures opening in the vulval vestibule are the urethra, vagina, Bartholin's glands, and Skene's ducts. The external urethral orifice is placed about 25–30 millimetres (1–1.2 in) behind the clitoris and immediately in front of that of the vagina; it usually assumes the form of a short, sagittal cleft with slightly raised margins. Nearby are the openings of the Skene's ducts. The vaginal orifice is a median slit below and behind the opening of the urethra; its size varies inversely with that of the hymen. To the left and right of the vulval vestibule are the labia minora. Anterior to it are the clitoral hood, ...
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Cavernous Nerves
The cavernous nerves are post-ganglionic parasympathetic nerves that facilitate penile erection and clitoral erection. They arise from cell bodies in the inferior hypogastric plexus where they receive the pre-ganglionic pelvic splanchnic nerves (S2-S4). In the penis, there are both lesser cavernous nerves and a greater cavernous nerve. Clinical considerations These nerves are susceptible to injury following prostatectomy or genital surgery. Nerve-Sparing prostatectomy was invented for surgeons to avoid injuring the nerves and causing erectile dysfunction complications. During surgery, a doctor may apply a small electrical stimulation to the nerve and measure the erectile function with a penile plethysmograph Penile plethysmography (PPG) or phallometry is measurement of blood flow to the penis, typically used as a proxy for measurement of sexual arousal. The most commonly reported methods of conducting penile plethysmography involve the measurement of .... This test ...
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Clitoris
The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the opening of the urethra. Unlike the penis, the male homologue (equivalent) to the clitoris, it usually does not contain the distal portion (or opening) of the urethra and is therefore not used for urination. In most species, the clitoris lacks any reproductive function. While few animals urinate through the clitoris or use it reproductively, the spotted hyena, which has an especially large clitoris, urinates, mates, and gives birth via the organ. Some other mammals, such as lemurs and spider monkeys, also have a large clitoris. The clitoris is the human female's most sensitive erogenous zone and generally the primary anatomical source of human female sexual pleasure. In humans and other mammals, it develops from an outgrowth in the embry ...
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Uterine Artery
The uterine artery is an artery that supplies blood to the uterus in females. Structure The uterine artery usually arises from the anterior division of the internal iliac artery. It travels to the uterus, crossing the ureter anteriorly, to the uterus by traveling in the cardinal ligament. It travels through the parametrium of the inferior broad ligament of the uterus. It commonly anastomoses (connects with) the ovarian artery. The uterine artery is the major blood supply to the uterus and enlarges significantly during pregnancy. Branches and organs supplied * round ligament of the uterus * ovary ("ovarian branches") * uterus ( arcuate vessels) * vagina (Vaginal branches of uterine artery) * uterine tube ("tubal branch") Anatomical variants Uterine artery can arise from the first branch of inferior gluteal artery. It can can also arise as the 2nd or 3rd branch from the inferior gluteal artery. On the other hand, uterine artery can be first branch from internal iliac artery befor ...
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Uterus
The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The uterus is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment. In the human, the lower end of the uterus, is a narrow part known as the isthmus that connects to the cervix, leading to the vagina. The upper end, the body of the uterus, is connected to the fallopian tubes, at the uterine horns, and the rounded part above the openings to the fallopian tubes is the fundus. The connection of the uterine cavity with a fallopian tube is called the uterotubal junction. The fertilized egg is carried to the uterus along the fallopian tube. It will have divided on its journey to form a blastocyst that will implant itself into the lining of the uterus – the endometrium, where it will ...
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Broad Ligament
The broad ligament of the uterus is the wide fold of peritoneum that connects the sides of the uterus to the walls and floor of the pelvis. Structure Subdivisions Contents The contents of the broad ligament include the following: * Reproductive ** uterine tubes (or Fallopian tube) ** ovary (some sources consider the ovary to be on the broad ligament, but not in it.) * vessels ** ovarian artery (in the suspensory ligament) ** uterine artery (in reality, travels in the cardinal ligament) * ligaments ** ovarian ligament ** round ligament of uterus ** suspensory ligament of the ovary (Some sources consider it a part of the broad ligament, while other sources just consider it a "termination" of the ligament.) Relations The peritoneum surrounds the uterus like a flat sheet that folds over its fundus (uterus), fundus, covering it anteriorly and posteriorly; on the sides of the uterus, this sheet of peritoneum comes in direct contact with itself, forming the double layer of perito ...
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Ovarian Plexus
The ovarian plexus arises from the renal plexus, and is distributed to the ovary, and fundus of the uterus. It is carried in the suspensory ligament of the ovary.suspensory+ligament+of+ovary
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Nerve Plexus
A nerve plexus is a plexus (branching network) of intersecting nerves. A nerve plexus is composed of afferent and efferent fibers that arise from the merging of the anterior rami of spinal nerves and blood vessels. There are five spinal nerve plexuses, except in the thoracic region, as well as other forms of autonomic plexuses, many of which are a part of the enteric nervous system. The nerves that arise from the plexuses have both sensory and motor functions. These functions include muscle contraction, the maintenance of body coordination and control, and the reaction to sensations such as heat, cold, pain, and pressure. There are several plexuses in the body, including: *Spinal Plexuses ** Cervical plexus - serves the head, neck and shoulders **Brachial plexus - serves the chest, shoulders, arms and hands **Lumbosacral plexus ***Lumbar plexus - serves the back, abdomen, groin, thighs, knees, and calves **** Subsartorial plexus - below the sartorius muscle of thigh ***Sacral plex ...
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