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314 Cards in this Set

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Embryologic structure: uterus and cervix

Paramesonephric duct (Müllerian duct)


Embryologic structure: Fallopian tubes

Paramesonephric duct (Müllerian duct)

Embryologic structure: Duct of epididymis

Mesonephric duct (Wolfian duct)

Embryologic structure: Duct of Epoophron

Mesonephric duct

Embryologic structure: Round ligament of uterus

Gubernaculum

Embryologic structure: Ovary

Undifferentiated gonad

Embryologic structure: Ovarian follicles

Cortex

Embryologic structure: Rete ovarii

Medulla

Embryologic structure: Appendix of testes

Paramesonephric duct

Embryologic structure: Upper 1/4 of vagina

Paramesonephric duct (Müllerian duct)

Embryologic structure: Testes

Undifferentiated gonad

Embryologic structure: Ejaculatory duct

Mesonephric duct (Wolfian duct)

Embryologic structure: Rete testis

Medulla

Embryologic structure: Gubernaculum testes

Gubernaculum

Embryologic structure: Ureter

Metanephric duct ureteric bulb

Embryologic structure: Seminal vesicle

Mesonephric duct (Wolfian duct)

Embryologic structure: Collecting system

Metanephric duct

Embryologic structure: Renal pelvis

Metanephric duct ureteric bud

Embryologic structure: renal pelvis

Metanephric duct ureteric bud

Embryologic structure: Scrotum

Labioscrotal swelling

Embryologic structure: Labia minora

Urogenital folds

Embryologic structure: Labia majora

Labioscrotal swelling

Embryologic structure: Clitoris

Phallus (genital tubercle)

Embryologic structure: Ventral portion of the penis

Urogenital folds

Embryologic structure: Urinary bladder

Urogenital sinus

Embryologic structure: Prostate glands

Urogenital sinus

Embryologic structure: Vagina

Urogenital sinus (lower 3/4)


Paramesonephric duct (upper 1/4)

Embryologic structure: urethral and paraurethral glands

Urogenital sinus

Embryologic structure: bulbourethral glands

Urogenital sinus

Embryologic structure: seminal colliculus

Urogenital sinus

Embryologic structure: hymen

Urogenital sinus

Embryologic structure: greater vestibular glands

Urogenital sinus

Embryologic structure: penis

Phallus (genital tubercle)

Paramesonephric ducts derivatives

Males: Appendix of testes



Females: Uterus and cervix, fallopian tubes, upper 1/4 of the vagina

Mesonephric duct derivatives

Males: Ductus of epididymis, ductus deferens, ejaculatory duct, seminal vesicle



Females: Duct of Epoophoron, Gartner's duct

Metanephric duct derivatives

Ureter


Renal pelvis


Calyces


Collecting system

Gubernaculum derivatives

Male: Gubernaculum testis


Female: Round ligament of the uterus, round ligament of the ovary (ovarian ligament)

Undifferentiated gonad derivatives

Male: Testes


Female: Ovary

Cortex derivatives

Male: Seminiferous tubules


Female: Ovarian follicles


Medulla derivatives

Male: Rete testis


Female: Rete ovarii

Labioscrotal swelling derivatives

Male: Scrotum


Female: Labia majora

Urogenital fold derivatives

Male: Ventral shaft of the penis


Female: Labia minora

Genital tubercle derivatives

Male: Penis


Female: Clitoris

Urogenital sinus derivatives

Urinary bladder




Male: Prostate gland, prostatic utricle, bulbourethral glands, seminal colliculus




Female: Urethra and paraurethral glands, vagina, greater vestibular glands, hymen

Boundaries of the perineum

Anterior: pubic symphysis




Anterolateral: Ischiopubic rami and ischial tuberosities




Posterolateral: Sacrotuberous ligaments




Posterior: Coccyx

Boundaries of the anterior urogenital triangle

Superior: pubic rami


Lateral: ischial tuberosities


Posterior: superficial transverse perineal

What are the six openings in the female external genitalia?

Urethra


Vagina


Bartholins (2)


Skene's glands (2)

What are the boundaries Superficial Space of Anterior Triangle?

Superficial: Colles fascia


Deep: Perineal membrane



What are the contents of the deep space anterior triangle?

Compressor urethra


Urethrovaginal sphincter


External urethral sphincter


Ischiorectal fossae


Branches of internal pudendal artery


Dorsal vein and nerve of the clitoris

Landmark for pudendal nerve block

Ischial spine

Origin of the pudendal nerve

Anterior rami S2-S4

What is the clock-position/location that will rupture first in the hymen during coitus

6 o'clock

Remnant of the hymen in an adult

Caruncle myrtiformes



What glands are found in the greater vestibule

Bartholin's glands

What glands are found in the lesser vestibule?

Skene's glands

Two muscles that cause erection of the clitoris

Ischiocavernosus muscle


Bulbocavernosus muscle

Lining of the endocervix

Columnar epithelium

Lining of the ectocervix

Nonkeratinizing stratified squamous epithelium

Which is hormone sensitive: endocervix or ectocervix

Ectocervix

Normal weight of prostate

20-25 g

Zones of the prostate gland

Transition zone


Central zone


Peripheral zone

Tissue composition of the prostate gland

70% (2/3) glandular tissue


30% (1/3) fibromuscular stroma

Epithelium of prostatic urethra

Transitional epithelium

Where benign prostatic hyperplasia occurs

Transitional zone

Lobes of transition zone

2 lateral lobes


1 median lobe

Zones affected by most prostate cancers

Peripheral zone

Zone of the prostate palpable during digital rectal exam

The peripheral zone (inferoposterior lobe)

Blood supply of the prostate

Inferior vesical artery

Venous drainage of the prostate

Deep dorsal vein

Diagnostics for prostate cancer

DRE + PSA

"Bag of worms"

Varicoele

Veins involved in varicocoele

Pampiniform plexus

Intersection where the squamous epithelium of the exocervix and columnar epithelium of the endocervical canal meet

Squamocolumnar junction

Normal position of the uterus

Anteroverted, anteflexed

Lining epithelium of the endometrium

Simple columnar epithelium

Major blood supply of the uterus

Uterine artery

Length of fallopian tubes

7 to 12 cm in length

Lining epithelium of Fallopian tubes

Ciliated columnar epithelium

Site of fertilization

Ampulla of fallopian tube

Largest and widest part of fallopian tubes

Ampulla

Portion usually involved in gonorrheal salpingitis and tubo-ovarian abscesses

Ampulla

Narrowest part of fallopian tubes

Isthmus

Four ligaments of the uterus

Round ligament


Broad ligament


Cardinal ligament


Uterosacral ligament

Provide the major support of the uterus and the cervix

Cardinal ligament

Also known as Mackenrodt's ligament

Cardinal ligament

Main blood supply of the female reproductive tract

Internal iliac artery


Ovarian artery


Uterine artery


Vaginal artery


Internal pudendal artery

Course of the uterine artery

At about 2 cm lateral to the endocervix, it crosses over the ureter and reaches the lateral side of the uterus

Vaginal artery supplies what

Vagina


Bladder


Rectum

Internal pudendal artery supplies which structures

Rectum


Labia


Clitoris


Perineum

Most dependent portion of the abdominal cavity in the standing position

Rectouterine pouch of Douglas

Normal weight of ovaries

3-8g

Lining epithelium of ovarian cortex

Single layer of cuboidal epithelium (germinal epithelium)

Peritoneal covering of ovary

Mesovarium

The mesovarium attaches which structures

Ovary to the posterior wall of the broad ligament

Blood supply of the ovary

Ovarian artery


Uterine artery



Homologue of the prostate in females

Skene's glands (urethral and paraurethral glands)

Homologue of prostatic utricle in females

Vagina

Homologue of bulbourethral glands in females

Greater vestibular glands (Bartholin's gland)

Homologue of seminal colliculus in females

Hymen

Homologue of Skene's glands in males

Prostate glands

Homologue of Bartholin's glands in males

Bulbourethral glands (Cowper's glands)

Homologue of hymen in males

Seminal colliculus

Homologue of the uterus and vagina in males

Prostatic utricle

Lining epithelium of labia majora

Outer: Keratinizing stratified squamous epithelium


Inner: Nonkeratinizing stratified squamous epithelium

Lining epithelium of labia minora

Nonkeratinizing stratified squamous epithelium

Present sweat glands: labia majora or minora

Majora

Boundaries of the female vestibule

P: fourchette (frenulum of labia minora)


A: clitoral frenulum


L: Hartline


M: external part of hymen



Fossa navicularis: nulliparas or multiparas

Nulliparas

Largest paraurethral gland in females

Skene's glands

Inflammation of the Skene's glands

Urethral diverticulum

Lining of the hymen

Nonkeratinizing stratified squamous epithelium

Type of gland of Skene's glands

Tubulo alveolar

Periurethral glands: Skene's or Bartholin's

Skene's

Bartholin's: periurethral or vulvovaginal glands

Vulvovaginal glands

Type of gland of the vulvovaginal glands

Compund alveolar/ compound

Location of the Bartholin's glands

4 and 8 o' clock of vagina

Ischiocavernosus muscle function

Clitoral erection

Bulbocavernosus muscles function

Bartholin gland secretion


Clitoral erection

Superficial transverse perineal muscle function

Contributes to perineal body

Anteroinferior wall of the pelvis

Pubic symphysis and rami of the pubic bones

The lateral pelvic walls

Right and left hip bones


Obturator muscle


Greater and lesser sciatic foramen

Posterior (posterolateral) pelvic wall

Sacrum and coccyx


Sacroiliac joints (anterior sacroiliac, sacrospinous, sacrotuberous ligaments)


Piriformis muscles

The piriformis muscles occupy which foramen

Greater sciatic foramen

Nerves that pass inferior the piriformis

Sacral plexus

The pelvic diaphragm

Coccygeous


Levator ani muscles and fascia

The pelvic diaphragm separates which pelvic compartments

The pelvic cavity and the perineum

Most posterior of the pelvic diaphragm muscles

Coccygeus (ischiococcygeus)

Muscles of the levator ani

Puborectalis


Pubococcygeous


Iliococcygeus

Embryologic structure: Ductus deferens

Mesonephric duct (Wolfian duct)

Structure that divides the pelvis into greater (false) and lesser (true) pelvis

Oblique plane of pelvic inlet

Bony edge (rim) that defines the pelvic inlet

Pelvic brim

Bones that form the obturator foramen

Pubis


Ischium

Primary joints of the pelvic girdle

Sacroiliac joints


Pubic symphysis

Kidney shaped pelvis

Platypelliod

Heart shaped pelvis

Android

Oval pelvis

Anthropoid

Round pelvis

Gynecoid

Pelvis with narrow AP diameter

Platypelloid

Pelvis with transverse diameter more than AP diameter

Gynecoid

True conjugate other name

Obstetric conjugate

Obstetric conjugate definition

The shortest pelvic diameter through which the fetal head must pass during birth



Promontory to pubic symphysis

The shortest pelvic diameter through which the fetal head must pass during birth

Obstetric conjugate (True conjugate)

Pelvic diameter: measured from promontory of the sacrum to the pubic symphysis

Obstetric conjugate (True conjugate)

Pelvic shapes with poor prognosis for vaginal delivery

Platypelloid


Android

Pelvic diameter measured to approximate true conjugate

Diagonal conjugate

The difference in measurement between diagonal conjugate and obstetric conjugate

1.5-2 cm

An adequate pelvis has what measurements of the pelvic diameters

Diagonal conjugate > 11.5 cm


Obstetric conjugate > 10 cm





Pelvic diameter: The narrowest part of the pelvic canal, that is not a fixed distance

Interspinous distance

Adequate interspinous distance for vaginal delivery

>10cm

Pelvic diameter of the midpelvis

Interspinous distance

Muscle that exits the greater sciatic foramen

Piriformis

Muscle of the pelvic diaphragm that is not part of the levator ani

Coccygeous (ischiococcygeus)

Medial part of the levator ani

Puborectalis

Part of levator ani that has major role in maintaining fetal continence

Puborectalis

Ligament that connects pubococcygeous to the coccyx

Anococcygeal body or ligament

The only structures in the pelvis that are completely ensheathed by parietal peritoneum

Uterine tubes

The parts of the pelvic vicera covered with peritoneum, expt for ovaries and uterine tubes

Superior and superiorlateral surfaces

The only pelvic organ that is intraperitoneal

Uterine tubes

Epithelial covering of the ovaries

Germinal epithelium

The germinal epithelium of the ovaries are made up of what type of cells

Cuboidal

Pelvic organ covered with germinal epithelia

Ovaries

Part of the uterine tubes that is not intraperitoneal

Ostia

The only site in the pelvic where the parietal peritoneum is not firmly bound to the underlying structures

The region superior to the urinary bladder (supravesicular fossa)

Lateral extensions of the retrouterine pouch

Pararectal fossae

The broad ligament of the uterus separates which spaces

Paravesical and pararectal fossae

Equivalent of the broad ligament of the uterus in males

Ureteric folds

What structure in males that separate the paravesical and pararectal fossae

Ureteric folds

Parts of the male reproductive system in contact with the peritoneum

Seminal vesicles (superior/ superior posterior surfaces)


Ampullae of ductus deferens

Part of the rectum not covered with peritoneum

Inferior third

The parietal pelvic fascia is continuous superiorly with which structures

Transversalis fascia


Ilipsoas fascia

The tendinous arch of the pelvic fascia has two main divisions

The anteriormost part: puboprostatic ligament (males)/


pubovesical ligament (females)




The posteriormost part: sacrogenital ligaments

Part of the tendinous arch of pelvic fascia that connects the pubis to the prostate

Puboprostatic ligament

Part of the tendinous arch of pelvic fascia that connects the pubis to the bladder

Pubovesical

Part of the tendinous arch of pelvic fascia that connects the sacrum to the prostate

Sacrogenital ligaments

The lateral connection of the visceral fascia of the vagina with the tendinous arch of the pelvic fascia

Paracolpium

Pelvic fascia that serves as passage of vessels and nerves from lateral wall of pelvis to pelvic viscera

Hypogastric sheath

Most constant blood supply of the terminal ureter in females

Uterine arteries

Most constant blood supply of the terminal ureter in males

Inferior vesical arteries

Space between the urinary bladder and pubic bone

Retropubic space of Retzius

Afferent pain fibers from the ureter are mediated by what level of the spinal cord

T11 to L1/ L2

Shape of urinary bladder when empty

Tetrahedral (surfaces: superior, two inferolateral, posterior)

Muscle that makes up most of the urinary bladder

Detrusor muscle

Structure in the urinary bladder that prevents retrograde ejaculation

Internal urethral sphincter

Main blood supply of the urinary bladder

Superior vesical arteries: anterosuperior parts




Inferior vesical arteries (males): fundus and neck of bladder




Vaginal arteries (females): fundus and neck of bladder





Part of the urinary bladder supplied by the vaginal arteries

Fundus and neck

Venous drainage of urinary bladder

Vesical venous plexus

Motor innervation to detrusor muscle: parasympathetic or sympathetic

Parasympathetic

Parasympathetic: inhibitory or stimulatory to internal urethral sphincter

Inhibitory

Four parts of the male urethra

Intramural (preprostatic)


Prostatic


Intermediate (membranous)


Spongy urethra

Part of the male urethra surrounded by the internal urethral sphincter

Intramural (preprostatic)

WIdest and most dilatable part of the male urethra

Prostatic urethra

Most prominent feature of the prostatic urethra

Urethral crest

Part of the male urethra that open into the prostatic sinuses

Prostatic urethra

The urethral crest is the most prominent feature of which part of the urethra

Prostatic urethra

Innervation of the proximal male urethra

Prostatic plexus

Blood supply of the male urethra

Prostatic branches of the inferior vesical and middle rectal arteries

Blood supply of the female urethra

Internal pudendal arteries


Vaginal arteries

Superior rectal vein drainage

Portal vein



Veins of the rectum that drain into the systemic circulation

Middle and inferior rectal veins

Arterial supply of the rectum

Superior rectal artery


Right and left middle rectal arteries


Inferior rectal arteries

Sympathetic supply of the rectum

Lumbar splanchnic nerves


Hypogastric/pelvic plexus

Parasympathetic supplu of the rectum

S2-S4

Part of the scrotum responsible for its rugose appearance

Dartos muscle

Structure that divides the scrotum into right and left compartments

Septum of the scrotum

The superficial dartos fascia is continous anteriorly with: Scarpa or Colles

Scarpa

The dartos fascia is continuous with the Colles fascia: anteriorly or posteriorly

Posteriorly

Arterial supply of the scrotum

Posterior scrotal branches of perineal artery (internal pudendal artery)




Anteror scrotal branches of the deep external pudendal artery (femoral artery)




Cremasteric artery (inferior epigastric)



Venous drainage of the scrotum

Scrotal veins

Innervation of the scrotum

Genital branch of the genitofemoral nerve - anterolateral surface




Anterior scrotal nerves (ilioingional nerve - anterior surface




Posterior scrotal nerve (pudendal nerve) - posterior surface




Perineal branches of the posterior cutaneous nerve - posteroinferior surface

Covering of each testis

Visceral layer of the tunica vaginalis

Tough fibrous outer surface of the testis

Tunica albuginea

Blood supply of the testicles

Testicular artery

Venous drainage of the the testicles

Pampiniform plexus

Lymphatic drainage of the testicles

Right and left lumbar (caval/aortic) nodes


Preaortic nodes

The thermoregulatory system of the testis is composed of which structures

Pampiniform plexus


Dartos muscle


Cremasteric muscle

Innervation of the testicles

Testicular plexus of nerves (vagal parasympathetic and visceral afferent)




T10-T11 (sympathetic fibers)

Part of the epididymis with the convoluted ducts

Body of the epididymis

Part of the epididymis with the coiled ends of the efferent ductules

Head of the epididymis

Part of the epididymis continuous with the ductus deferens

Tail of the epididymis

The head of the epididymis is formed by the coiled ends of how many efferent ductules

12-14

Term for undescended testis

Cryptochodism

Nerve in danger of injury during repair of external supravesicular hernia

Iliohypogastric nerve

Primary component of the spermatic cord

Ductus deferens

Blood supply of the ductus deferens

Artery to the ductus deferens

Blood supply of the seminal vesicles

Inferior vesical and middle rectal arteries

Venous drainage of the seminal vesicles

Inferior vesical and middle rectal arteries

Blood supply of the ejaculatory ducts

Arteries to the ductus deferens

Venous drainage of the ejaculatory duct

Prostatic and vesical venous plexus

Largest accessory gland in the male reproductive system

Prostate gland

Isthmus of the prostate

Anterior to the urethra

Part of the prostate anterior to the urethra

Isthmus

Part of the prostate that hypertrophies with advanced age

Central zone (middle lobe)

Venous drainage of the prostate

Prostatic venous plexus

Blood supply of the prostate

Inferior vesical arteries (internal iliac)


Internal pudendal


Middle rectal arteries

Funnel-shaped distal end of the uterine tubes

Infundibulum

Finger-like processes of the infundibulum of the uterine tubes

Fimbriae

Widest and longest part of the uterine tubes

Ampulla

Site of fertilization of the oocyte

Ampulla

The ovarian arteries areise from which vessel

Abdominal aorta

Structure that contains the vessels of the ovary

Suspensory ligament of the ovary

Venous drainage of the ovary

Pampiniform plexus


Ovarian veins

The right ovarian vein drains into which vessel

Inferior vena cava

The left ovarian vein drains into which vessel

Left renal vein

Drainage of tubal veins

Ovarian veins


Uterine venous plexus

Scrotal varicocele is more common: left or right

Left

Anteroinferiorly: round ligament of the ovary or the uterus

Uterus

Round ligament of the ovary: anteroinferiorly or posterosuperiorly

Posterosuperiorly

Structure that attaches the ovary to the uterus

Round ligament of the ovary

The broad ligament of the uterus is composed of these parts

Mesometrium


Mesosalpinx


Mesovarium

Least mobile part of the uterus

Cervix

Venous drainage of the uterus

Uterine venous plexus (uterine veins)

Blood supply of the vagina

Uterine arteries - superior part


Vaginal and internal pudendal arteries - middle and inferior part

Venous drainage of the vagina

Vagina venous plexus

Innervation of the vagina

Deep perineal nerve - inferior 1/5 to 1/4; sympathetic




Uterovaginal nerve plexus - upper part; visceral

Testicular descent occurs when

32-36 weeks gestation (third trimester)

Compared to the abdominal temperature, what is the temperature in the scrotum

3 degrees lower

INSL3 is produced by which cells

Leydig cells

Receptor for INSL3

LGR8 reecptor (Great)

Role of INSL3 in testicular descent

Promotes growth and expansion of the gubernaculum

The tunica vaginalis arises from: viceral or parietal peritoneum

Parietal peritoneum

Sac-like extension/outpouching of the peritoneum, accompanying the testis as it descends into the scrotum

Processus vaginalis

Shortest part of the male urethra

Membranous urethra

Least dilatable part of the male urethra

Membranos urethra

Narrowest part of the male urethra

Penile urethra

Principal artery of the pelvis

Internal iliac artery

The common iliac artery bifircates into the internal and external iliac artery on which verterbral level

between L5 and S1 IV disc

Structure that crosses the common iliac artery or its termial brances at or immediately distal to the bifurcation

Ureter

Branches of the anterior division of the internal iliac artery

Umbilical artery


Superior vesical artery


Obturatior artery


Inferior vesical artery/Vaginal artery


Artery to the ductus deferens/ Uterine artery


Prostatic branches




Internal pudendal artery


Middle rectal artery


Inferior gluteal artery

Branches of the posterior division of the internal illiac

Iliolumbar


Lateral sacral


Superior gluteal

Umbilical artery: anterior or posterior division of the internal iliac

Anterior

Main continuation of the internal iliac artery before birth

Umbilical arteries

Counterpart of the vaginal artery in males

Inferior vesical artery

The uterine artery counterpart in males

Artery to the ductus deferens

Homologue of the inferior vesical artery in females

Vaginal artery

Homologue of the artery to the dutus deferens in females

Uterine artery

Structures in "water passes under the bridge"

Uterine artery passes superior to the ureters in females

The internal pudendal artery passes between which muscles

Pirifomis and coccygeus muscles

The internal pudendal artery exits the pelvis via which foramen

Greater sciatic foramen

The internal pudendal artery reenters enters the perineum through which foramen

Lesser sciatic foramen

Structures that pass through the Alcock's canal

Pudendal nerve


Pudendal artery


Pudendal vein

The ovarian artery arises from which vessel

Abdominal aorta (inferior the renal artery, superior the inferior mesenteric artery)

Largest branch of the posterior division of the iliac artery

Superior gluteal

Blood supply of the base of the bladder

Inferior vesical artery

Orientation of the Langer lines

Transverse

Low transverse incision that cuts through the retus abdominis

Maylard incision

Where round ligaments of the uterus terminate

Upper border of labia majora

Lining epithelium outside Hart line

Thinkly keratenizing squamous epithelium

Epithelia medial to the Hart line

Non-keratenizing squamous epithelium

ONly strucutres in the female naatomy without hair follicles but with sebaceous glands

Breast


Labia minora

Composition of the hymen

Elastic and collagenous connective tissues

Blood supply of the clitoris

Internal pudendal artery

Lining of the bartholin glands

Cuboidal epithelium

Cowper gland lining

Transitional epithelium

Level 1 support of delancy

Cardinal/ ureterosacral ligament

Level 2 support of Delancy

Levator ani

Level 3 support of Delancy

Perineal body

Lymph nodes draining the lower third of the vagina

Inginal lymph nodes

Lymph nodes draining the upper part of the vagina

External illiac nodes

Location of cervical arterial supply

3 o clock, 9 o clock

2 layers of the functionalis layer of the endometrium

Sentinel lymph node of the uterus

Para-aortic lymph nodes

Level of DElancey: Cardinal/ Uterosacral ligaments

1

Blood supply coursing through the round ligament of the luterus

Sampson artery

Site of ectopic pregnancy with the most catastrophic bleeding

Interstitial/ intramural

Site of the fallopian tube preferred for applying occlusive devise

Isthmic

LIning of mesosalpinx

Mesothelial cells

Internal generative organ that remains unchanged during pregnancy

Ovaries

Most sensitive pelvic organ when crushed/cut/distended

Fallopian tube

Parietal division of anterior division of the internal iliac


Middle rectal artery


Umbilical artery


Uterine artery (Artery to the ductus deferens)


Vaginal artery (Inferior vesical artery)




Superior vesical artery






MMUUVI

3 terminal branhcea od pudendal nerve

Dorseal nerve of clitoris


Perineal nerve


Inferior rectal branch

Lining epithelium of the urinary bladder

Transitional epithelium

Vessel most commonly involved in pelvic thrombophlebitis

Ovarian vein

Alcocks canal (other name)

Pudendal canal

Congenital absence of the uterus and vagina

Müllerian agenesis