Podcast
Questions and Answers
What is the primary function of the lateral ligaments of the bladder in adults?
What is the primary function of the lateral ligaments of the bladder in adults?
Which zone of the anal canal is characterized by fine hairs and openings of the paranal sinus?
Which zone of the anal canal is characterized by fine hairs and openings of the paranal sinus?
What anatomical structure is located between the rectum and the genital fold in males?
What anatomical structure is located between the rectum and the genital fold in males?
Which of the following statements is true regarding the urinary bladder?
Which of the following statements is true regarding the urinary bladder?
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In fetal anatomy, what does the median ligament of the bladder primarily contain?
In fetal anatomy, what does the median ligament of the bladder primarily contain?
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What is the main consequence of failure of the pelvic diaphragm?
What is the main consequence of failure of the pelvic diaphragm?
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What structure is located laterally to the mesorectum?
What structure is located laterally to the mesorectum?
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What is the ventral boundary of the pelvic inlet?
What is the ventral boundary of the pelvic inlet?
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Which muscle is more medial and thinner in the pelvic diaphragm?
Which muscle is more medial and thinner in the pelvic diaphragm?
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What structure serves as the dorsal boundary of the pelvic outlet?
What structure serves as the dorsal boundary of the pelvic outlet?
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Which vessels and nerves are located in the ischiorectal fossa?
Which vessels and nerves are located in the ischiorectal fossa?
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Which statement accurately describes the internal anal sphincter?
Which statement accurately describes the internal anal sphincter?
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What muscle is primarily responsible for retaining pelvic viscera in the pelvic canal?
What muscle is primarily responsible for retaining pelvic viscera in the pelvic canal?
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The lateral boundary of the pelvic outlet is formed by which structure?
The lateral boundary of the pelvic outlet is formed by which structure?
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Which aspect differentiates male and female urethra?
Which aspect differentiates male and female urethra?
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What anatomical space is located between the anus and the ischiatic tuberosity?
What anatomical space is located between the anus and the ischiatic tuberosity?
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What structure surrounds the female urethra?
What structure surrounds the female urethra?
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Which arteries supply the female pelvic viscera?
Which arteries supply the female pelvic viscera?
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What is the function of the pudendal nerve in relation to the urethra?
What is the function of the pudendal nerve in relation to the urethra?
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What distinguishes the male urethra from the female urethra?
What distinguishes the male urethra from the female urethra?
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What is a characteristic of the female urethra's anatomy?
What is a characteristic of the female urethra's anatomy?
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What artery continues as the median sacral artery, supplying blood to the sacrum?
What artery continues as the median sacral artery, supplying blood to the sacrum?
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Which part of the male urethra is surrounded by the urethralis muscle?
Which part of the male urethra is surrounded by the urethralis muscle?
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What is the remnant of the umbilical artery in adults?
What is the remnant of the umbilical artery in adults?
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Which structure of the male urethra allows multiple prostatic openings?
Which structure of the male urethra allows multiple prostatic openings?
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Study Notes
Pelvic Diaphragm
- The pelvic diaphragm is made of muscle
- It stabilizes the anal canal and rectum
- The pelvic diaphragm is made up of the coccygeus and levator ani muscles
- The levator ani muscle is more medial and the coccygeus muscle is more lateral
- The levator ani muscle is responsible for holding the pelvic viscera in the pelvic canal
Ischiorectal Fossa
- The ischiorectal fossa is a space between the anus and the ischiatic tuberosity
- It is excluded from the pelvic cavity by the pelvic diaphragm
- The ischiorectal fossa is made up of fat
- It is located between the anus and the ischiatic tuberosity
- Contains the internal pudendal vessels and pudendal nerve
Muscles of the Rectum and Anal Canal
- The internal anal sphincter is made of smooth muscle and is located deep to the anal sacs
- The internal anal sphincter is innervated by the autonomic nervous system and is responsible for maintaining tone in the anal canal
- The external anal sphincter is made of striated muscle and is located superficial to the anal sacs
- The external anal sphincter is innervated by the somatic nervous system and is responsible for voluntary control of the anal canal
Female Urethra
- The female urethra opens ventrally at the junction of the vestibule and the vagina
- The female urethra is surrounded by the urethralis/urethral muscle, which is the external urethral sphincter
- The external urethral sphincter is innervated by the pudendal nerve
- The suburethral diverticulum is a blind pouch ventral to the urethral opening in cows and sows
Male Urethra
- Two parts: pelvic urethra and penile urethra
- The colliculus seminalis is an elevated region on the urethral crest
- The colliculus seminalis contains the opening of the deferent ducts and many prostatic openings
- The pelvic urethra is surrounded by the urethralis/urethral muscle, which is the voluntary sphincter
- The urethralis/urethral muscle is innervated by the pudendal nerve
Pelvic Viscera Blood Supply
- The aorta sends branches to the pelvic viscera
- The external iliac artery is bilateral and supplies the pelvic limb
- The internal iliac artery is bilateral and supplies the pelvic viscera
- The median sacral artery is unpaired and supplies the sacrum and continues as the median caudal artery which supplies the caudal vertebrae (coccygeal)
- The umbilical artery carries blood to the placenta in the fetus and becomes the round ligament of the bladder in the adult
Terminal Branches of the Internal Iliac Artery
- The internal pudendal artery supplies the vagina/prostate, uterus/ductus deferens, caudal vesical artery, middle rectal artery, and the ventral perineal artery
- The ventral perineal artery supplies the caudal rectal artery
- The cranial gluteal artery supplies the middle and deep gluteal muscles
Pelvic Viscera Innervation
- The pelvic plexus supplies both the sympathetic and parasympathetic nervous systems to the pelvic viscera
- The hypogastric nerve supplies the SNS to the pelvic viscera
- The pelvic nerve supplies the PSNS to the pelvic viscera
- The genitofemoral nerve supplies somatic innervation to the cremaster muscle and sensory innervation to the proximal medial aspect of the thigh, and the inguinal region
- The pudendal nerve supplies somatic motor innervation to the muscles of the pelvic viscera (external urethral sphincter, external anal sphincter), the perineum (muscles of the penis and clitoris, scrotum) and sensory innervation to the pelvic viscera, rectum, anus, scrotum/vulva, penis, clitoris, perineum, and internal and external reproductive organs
Pelvic Viscera Lymphatics
- The medial iliac lymph nodes are located between the deep circumflex iliac artery and the external iliac artery
- The medial iliac lymph nodes drain the dorsal aspect of the abdomen, the pelvis, pelvic limb, genital tract, and caudal aspect of the urinary and digestive systems
- The internal iliac lymph nodes are located between the internal iliac artery and the median sacral artery
- The internal iliac lymph nodes drain the musculature in the area, pelvis, lumbar, sacral, and caudal vertebrae, genital system, caudal digestive and urinary systems
- The sacral lymph nodes are not always present. They drain similar structures as the hypogastric lymph nodes.
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Description
Test your knowledge on the pelvic diaphragm, ischiorectal fossa, and the muscles associated with the rectum and anal canal. This quiz covers the anatomy and functions of these critical structures in human physiology.