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Inferior hypogastric plexus

From Wikipedia, the free encyclopedia
(Redirected fromPelvic plexus)
Autonomic nerve plexus in the pelvic cavity
Inferior hypogastric plexus
The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Pelvic plexus labeled at bottom right.)
Lower half of right sympathetic cord. (Hypogastric plexus labeled at bottom left.)
Details
Identifiers
Latinplexus hypogastricus inferior
TA98A14.3.03.048
TA26715
FMA6643
Anatomical terms of neuroanatomy

Theinferior hypogastric plexus (orpelvic plexus[1]) is a pairedautonomicnerve plexus innervating organs of thepelvic cavity.[2] It gives rise to the prostatic plexus in males and the uterovaginal plexus in females.

Anatomy

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Structure

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The plexus consists of an irregular, fenestrated layer containing small ganglia.[2]

Relations

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The inferior hypogastric plexus is situated in thesagittal plane just outside theperitoneum, between theanterior sacral foramina (posteriorly), and the posterior aspect of theurinary bladder (anteriorly). It is situated lateral to the rectum and vagina, and media lto theinternal iliac artery andinternal iliac vein of either side.[2]

Afferents

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Efferents

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Efferents branches form secondary plexuses that accompany theinternal iliac artery along its course.[2] They give rise to themiddle andinferior rectal plexuses,vesical plexus, deferential plexus, andprostatic plexus (in males) oruterovaginal plexus (in females).[2]

Distribution

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Efferents of the plexus are responsible for innervating the genitalerectile tissues.[2]

Clinical significance

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Due to its location, injury to this structure can arise as a complication of pelvic surgeries and may cause urinary dysfunction andurinary 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.[4]

Additional images

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See also

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References

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Public domainThis article incorporates text in thepublic domain from the 20th edition ofGray's Anatomy(1918)

  1. ^Yokochi, Chihiro;Rohen, Johannes W. (2006).Color Atlas of Anatomy: A Photographic Study of the Human Body. Hagerstown, MD: Lippincott Williams & Wilkins. p. 346.ISBN 0-7817-9013-1.
  2. ^abcdef"inferior hypogastric plexus - Dictionnaire médical de l'Académie de Médecine".www.academie-medecine.fr. Retrieved2024-08-06.
  3. ^Ramirez C, Donnellan N (2017). "Pelvic denervation procedures for dysmenorrhea".Curr Opin Obstet Gynecol.29 (4):225–230.doi:10.1097/GCO.0000000000000379.PMID 28683027.S2CID 205607600.
  4. ^CAMPBELL-WALSH UROLOGY, ed 11. p. 1781.

External links

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Head
Sympathetic
Parasympathetic
Neck
Sympathetic
Thorax
Sympathetic
Abdomen
Sympathetic
Enteric
Pelvis
Sympathetic
Parasympathetic
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