pelvis

Internal Iliac Artery

  • Identification: Originates from the common iliac artery at L5/S1.

  • Branches: Iliolumbar, lateral sacral, superior gluteal, obturator, inferior gluteal, umbilical, uterine, vaginal, inferior vesical, middle rectal, and internal pudendal arteries.

  • Blood Supply: Supplies pelvic organs and muscles.

  • Innervation: Pelvic plexus (sympathetic and parasympathetic).


Umbilical Artery

  • Identification: Originates from the anterior branch of the internal iliac artery.

  • Course: Moves to the bladder apex, distributing to the umbilicus.

  • Branches: Superior vesical arteries and artery to the ductus deferens (in males).

  • Blood Supply: Bladder and ductus deferens.

  • Innervation: Pelvic plexus.


Uterine Artery

  • Identification: Arises from the anterior branch of the internal iliac artery.

  • Course: Crosses the ureter anteriorly, supplies the uterus, and gives tubal and ovarian branches.

  • Blood Supply: Uterus, fallopian tubes, and ovaries.

  • Innervation: Pelvic plexus.


Internal Aspect of the Rectum

  • Structure: Contains anal columns, anal valves, and anal sinuses.

  • Blood Supply: Superior, middle, and inferior rectal arteries.

  • Innervation: Inferior hypogastric plexus.


Ovarian Fossa

  • Location: Lateral wall of the pelvis.

  • Boundaries: External iliac vessels (superior), broad ligament (anterior and inferior), ureter and internal iliac vessels (posterior), obturator structures (inferior).

  • Blood Supply: Ovarian artery.

  • Innervation: Ovarian plexus.


Broad Ligaments

  • Function: Connects uterus to pelvic walls, contains fallopian tubes, ovaries, and ligaments.

  • Blood Supply: Uterine and ovarian arteries.

  • Innervation: Pelvic plexus.


Obturator Internus Muscle

  • Origin: Inferior rami of pubis and ischium.

  • Insertion: Greater trochanter of the femur.

  • Innervation: Nerve to obturator internus (L5, S1, S2).

  • Blood Supply: Internal obturator artery.


Anal Muscles

  • Function: Supports pelvic organs and controls defecation.

  • Innervation: Pudendal nerve, perineal nerve, and inferior rectal nerve.

  • Blood Supply: Inferior rectal artery.


Ovary

  • Shape: Oval.

  • Location: Ovarian fossa in the lateral pelvic wall.

  • Blood Supply: Ovarian artery.

  • Innervation: Ovarian plexus.


Pelvic Peritoneum in Women

  • Pouches: Vesicouterine and rectouterine pouches.

  • Blood Supply: Internal iliac artery.

  • Innervation: Pelvic plexus.


Kidney

  • Location: Retroperitoneal space.

  • Blood Supply: Renal artery.

  • Innervation: Renal plexus.


Pelvic Rectum in Women

  • Relations: Anterior to vagina, posterior to sacrum and coccyx.

  • Blood Supply: Superior, middle, and inferior rectal arteries.

  • Innervation: Inferior hypogastric plexus.


Pelvic Rectum in Men

  • Relations: Anterior to prostate and seminal vesicles, posterior to sacrum.

  • Blood Supply: Superior, middle, and inferior rectal arteries.

  • Innervation: Inferior hypogastric plexus.


Uterine Tube

  • Parts: Uterine, isthmus, ampulla, infundibulum, and fimbria.

  • Blood Supply: Tubal branches of uterine and ovarian arteries.

  • Innervation: Ovarian and uterine plexuses.


Ureter (Abdominal Part)

  • Course: Runs downward in front of the psoas major muscle.

  • Blood Supply: Renal and gonadal arteries.

  • Innervation: Renal plexus.


Urethra in Women

  • Course: Extends from the bladder to the external urethral opening.

  • Blood Supply: Internal pudendal artery.

  • Innervation: Pudendal nerve.


Uterus

  • Parts: Fundus, body, and cervix.

  • Blood Supply: Uterine artery.

  • Innervation: Uterine plexus.


Vagina

  • Relations: Anterior to bladder, posterior to rectum.

  • Blood Supply: Vaginal artery.

  • Innervation: Inferior hypogastric plexus.


Urinary Bladder in Men

  • Relations: Inferior to prostate, posterior to rectum.

  • Blood Supply: Superior and inferior vesical arteries.

  • Innervation: Vesical plexus.


Urinary Bladder in Women

  • Relations: Posterior to uterus, anterior to vagina.

  • Blood Supply: Superior and inferior vesical arteries.

  • Innervation: Vesical plexus.


Testicle

  • Structure: Ovoid shape, covered by tunica vaginalis and albuginea.

  • Blood Supply: Testicular, cremasteric, and artery to the ductus deferens.

  • Innervation: Testicular plexus.


Scrotum

  • Layers: Skin, dartos fascia, external spermatic fascia, cremaster muscle, internal spermatic fascia, tunica vaginalis.

  • Function: Protects and regulates temperature of testes.

  • Blood Supply: Anterior and posterior scrotal arteries.

  • Innervation: Anterior and posterior scrotal nerves.


Epididymis

  • Parts: Head, body, and tail.

  • Function: Sperm maturation and storage.

  • Blood Supply: Testicular artery.

  • Innervation: Testicular plexus.


Ductus Deferens

  • Parts: Epididymal, spermatic cord, and abdominal-pelvic parts.

  • Blood Supply: Artery to the ductus deferens.

  • Innervation: Pelvic plexus.


Spermatic Cord

  • Contents: Ductus deferens, testicular vessels, nerves, and lymphatics.

  • Blood Supply: Testicular and cremasteric arteries.

  • Innervation: Genital branch of the genitofemoral nerve.


Ampulla of the Ductus Deferens

  • Location: Posterior to the bladder, above the prostate.

  • Function: Stores spermatozoa.

  • Blood Supply: Artery to the ductus deferens.

  • Innervation: Pelvic plexus.


Seminal Vesicles

  • Function: Secretes seminal fluid.

  • Blood Supply: Middle rectal and inferior vesical arteries.

  • Innervation: Pelvic plexus.


Prostate

  • Lobes: Anterior, posterior, lateral, and median.

  • Blood Supply: Middle rectal and inferior vesical arteries.

  • Innervation: Pelvic plexus.


Urethra in Males

  • Parts: Prostatic, membranous, and spongy.

  • Blood Supply: Internal pudendal artery.

  • Innervation: Pudendal nerve.


Penis

  • Parts: Root, body, and glans.

  • Blood Supply: Dorsal and deep arteries of the penis.

  • Innervation: Dorsal nerve of the penis.


Levator Ani Muscle

  • Function: Supports pelvic organs.

  • Innervation: Nerve to levator ani (S3-S4).

  • Blood Supply: Inferior gluteal and internal pudendal arteries.


Pelvic Subperitoneal Space in Men

  • Contents: Prostate, seminal vesicles, ureters, and venous plexus.

  • Blood Supply: Internal iliac artery.

  • Innervation: Pelvic plexus.


Prostate in Females (Skene’s Gland)

  • Location: Anterior vaginal wall, near the urethra.

  • Function: Secretes fluid.

  • Blood Supply: Internal pudendal artery.

  • Innervation: Pudendal nerve.