Inferior hypogastric plexus
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.) | |
![]() Lower half of right sympathetic cord. (Hypogastric plexus labeled at bottom left.) | |
Details | |
Identifiers | |
Latin | plexus hypogastricus inferior |
TA98 | A14.3.03.048 |
TA2 | 6715 |
FMA | 6643 |
Anatomical terms of neuroanatomy |
The inferior hypogastric plexus (or pelvic plexus[1]) is a paired autonomic nerve plexus innervating organs of the pelvic cavity.[2] It gives rise to the prostatic plexus in males and the uterovaginal plexus in females.
Anatomy
Structure
The plexus consists of an irregular, fenestrated layer containing small ganglia.[2]
Relations
The inferior hypogastric plexus is situated in the
Afferents
- better source needed]
- sacral splanchnic nerves (from sympathetic trunk)[citation needed]
- efferent fibers to the plexus.[citation needed]
Efferents
Efferents branches form secondary plexuses that accompany the internal iliac artery along its course.[2] They give rise to the middle and inferior rectal plexuses, vesical plexus, deferential plexus, and prostatic plexus (in males) or uterovaginal plexus (in females).[2]
Distribution
Efferents of the plexus are responsible for innervating the genital erectile tissues.[2]
Clinical significance
Due to its location, 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.[4]
Additional images
See also
References
This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)
- ISBN 0-7817-9013-1.
- ^ a b c d e f "inferior hypogastric plexus - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-08-06.
- S2CID 205607600.
- ^ CAMPBELL-WALSH UROLOGY, ed 11. p. 1781.
External links
- Autonomics of the Pelvis - Page 5 of 12 anatomy module at med.umich.edu
- Autonomics of the Pelvis - Page 6 of 12 anatomy module at med.umich.edu
- figures/chapter_32/32-6.HTM: Basic Human Anatomy at Dartmouth Medical School
- posteriorabdomen at The Anatomy Lesson by Wesley Norman (Georgetown University) (posteriorabdmus&nerves)