ANATOMI

Oleh :
Ketut Suhendro
 Reproductive System
Genitalia = sex organs
Primary = Gonads: ovaries, testes
Secondary = Accessory: glands, ducts, external genitalia

Female Male

pg 5
Female Reproductive System
 Primary Sex Organs
 Ovaries = gonads
 Accessory Sex Organs
 External Genitalia = vulva
 Labia major + minor
 Mons pubis
 Clitoris
 Ducts
 Uterine tube = oviducts
 Vagina
 Glands
 Greater vestibular gland
  Ovaries (paired)
Female Reproductive  produce and store ova (eggs)
 Produce estrogen
Anatomy
 Tunica albuginea - surrounds each
ovary
 Germinal epithelium-external to
tunica albuginea (= mesothelium)
 Arterial Supply
 Ovarian & branches of uterine a.
 Ligaments
 Ovarian ligament
 connects ovaries to uterine wall
(medial)
 Suspensory ligament
 connects ovaries to pelvic wall
(lateral)
 Broad ligament
 supports uterus, oviducts
 Round Ligament (part of broad)
 Attaches uterus to labia majorum
Female Reproductive Anatomy

pg 685
Female Reproductive  Uterus
 3 Layers
Anatomy
 perimetrium
 myometrium
 endometrium
 Anatomy
 fundus
 body
 isthmus
 cervix
 Location
 anterior to rectum
 posterior to bladder
 Vagina
 Inferior to uterus
 External adventitia
 Muscularis
 Mucosal rugae
 vaginal orifice
 Hymen: extension of
mucosa = incomplete wall
 Development of Reproductive
Structures

Mouse development
Pg 703
 Development of Reproductive
Organs
 Gonadal ridge: forms in embryo at 5 weeks and gives
rise to gonads
 Both ducts are present in embryo-only one develops!
 Wolffian ducts: form male ducts
 vas deferens, epididymis
 Mullerian ducts: form female ducts
 uterus, oviduct, vagina
 External genitalia develops from same structures
 Labioscrotal swelling: Scrotum = Labia major
 Urethral folds: Penile Urethra = Labia minor
 Genital tubercle: Penis = Clitoris
 Female Development

 Ovaries descend into pelvis

 Vaginal process: outpocketing of peritoneum guides
descent
 Gubernaculum: guides descent of ovaries; attached to
labia major
 caudal portion = round ligament of uterus

 cranial portion = ovarian ligament

Female External Genitalia
 Mons pubis: fatty pad over pubic
symphysis
 Labia major: fatty skin folds
 Labia minor: smaller, hairless folds inside
labia major
 Fourchette = junction of labia minora
 Central tendon = perineal body
 Vestibule: created by labia minor; opening for
urethra and vagina
 Clitoris: superior to vestibule
 crura, prepuce, corpus cavernosum
 NO corpus spongiosum
 Bulbs of Vestibule: erectile tissue
surrounding vaginal orifice
 Greater vestibular glands: either side of
vaginal opening; secrete mucus
 Perineum

• Diamond-shaped area between

– Pubic symphysis (anteriorly)
– Coccyx (posteriorly)
– Ischial tuberosities (laterally)
• Males contain
– Scrotum, root of penis, anus
• Females contain
– External genitalia, anus

pg 744
Contents of Pelvic  True Pelvis
Cavity  below pelvic brim
 space contains
 part colon
 rectum
 bladder
 uterus/ovaries (females)
 False Pelvis
 iliac blades
 above pelvic brim
 contains abdominal organs
 attachment for muscles +
ligaments to body wall
 Pelvic Diaphragm =
levator ani + coccygeus m
 1 : Lig cardinale
2: Cervix
3: lig pubovesicale
4: pararectal space
8
12
5: paravesical space
9
4 13 6 : Cavum retzii
7: Plica retrouterina
10 7 8: Plica sacrorectalis
9: Rectal fascia
2 1
10: Cavum Douglas
11 : Rectum
5 12 : Retrorectal space
14
15 13 : Lig sacrouterina
14 : Vesica fascia
15: Vesica urinaria
3
6
 From the From the
Anterior Trunk. Posterior Trunk.
Superior
Iliolumbar.
Vesical.
Middle Vesical. Lateral Sacral.
Superior
Inferior Vesical.
Gluteal.
Middle
Hemorrhoidal.

Obturator.

Internal
Pudendal.

Inferior Gluteal.

Uterine
Vaginal
The arteries of the internal organs of generation of the
female, seen from behind
Branches.—The branches of the abdominal aorta may be 4

divided into three sets: visceral, parietal, and terminal.

Visceral Branches. Parietal Branches.

Celiac. Inferior Phrenics.
Superior Mesenteric. Lumbars.
Inferior Mesenteric. Middle Sacral.

Middle Suprarenals.

Renals.

Internal Spermatics. Terminal Branches.

Ovarian (in the
Common Iliacs.
female).
The parietal lymph glands of the pelvis
Lymphatics of the uterus.

The lymphatics of the

cervix uteri run in three
directions:
*transversely to the external
iliac glands,
*postero-laterally to the
hypogastric glands,
*posteriorly to the common
iliac glands
Lymphatics of the uterus.
•The majority of the vessels
of the body and fundus of the
uterus pass lateralward in the
broad ligaments, and are
continued up with the ovarian
vessels to the lateral and
preaortic glands

•a few, however, run to the

external iliac glands, and one
or two to the superficial
inguinal glands
The Lymphatic Vessels of the Vagina are carried in three
directions:
those of the upper part of the vagina to the external iliac
glands,
those of the middle part to the hypogastric glands
those of the lower part to the common iliac glands
  2 Pelvic = Coxal = Innominate
Bony Pelvis bones fused together
 Each Pelvic bone
 Ilium
 Ischium
 Pubis
 3 parts join to form acetabulum
 Sacrum and Coccyx help create
pelvis and form pelvic cavity
 Function
 attaches lower limb to axial skeleton
 supports viscera
 transmits weight of upper body

Pg 187 Use lab work to learn bony landmarks of pelvis

 Abdominopelvic Regions
Umbilical
Epigastric
Hypogastric
Right and left iliac or
inguinal
Right and left
lumbar
Right and left
hypochondriac
Arteri Retroperitoneal
 Omentum minus

Gaster

Colon

Omentum mayus
Terimakasih