Inferior hypogastric plexus

The inferior hypogastric plexus (pelvic plexus in some texts)[1] is a network (‹See Tfd›plexus) of nerves that supplies the organs of the pelvic cavity. The inferior hypogastric plexus gives rise to the prostatic plexus in males and the uterovaginal plexus in females [2].

Inferior hypogastric plexus
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The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Pelvic plexus labeled at bottom right.)
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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

The inferior hypogastric plexus is a paired structure, meaning there is one on the left and the right side of the body. These are located on either side of the rectum in males, and at the sides of the rectum and vagina in females. For this reason, injury to this structure can arise as a complication of pelvic surgeries and may cause urinary dysfunction and urinary 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 [3] .

StructureEdit

The plexus is formed from:

From these plexuses numerous branches are distributed to the viscera of the pelvis.

They accompany the branches of the internal iliac artery.

It is the source for the middle rectal plexus, vesical plexus, prostatic plexus, and uterovaginal plexus.[5]

The inferior hypogastric nerve leaves the uterus via the uterosacral ligaments just below to the ureter along the right and left pelvic walls.[4]

Additional imagesEdit

See alsoEdit

ReferencesEdit

This article incorporates text in the public domain from the 20th edition of Gray'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. ^ http://anatomy.uams.edu/pelvicwall.html
  3. ^ CAMPBELL-WALSH UROLOGY, ed 11. p. 1781.
  4. ^ a b 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.CS1 maint: uses authors parameter (link)
  5. ^ Jeyarajah S, King A, Papagrigoriadis S (2007). "Faecal incontinence as presentation of an ependymomas of the spinal cord". World J Surg Oncol. 5: 107. doi:10.1186/1477-7819-5-107. PMC 2034572. PMID 17894884.

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