Inferior hypogastric plexus

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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
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.

Contents

Anatomy

Structure

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

Relations

The inferior hypogastric plexus is situated in the sagittal plane just outside the peritoneum, between the anterior sacral foramina (posteriorly), and the posterior aspect of the urinary bladder (anteriorly). It is situated lateral to the rectum and vagina, and media lto the internal iliac artery and internal iliac vein of either side. [2]

Afferents

Efferents

Efferents branches form secondary plexuses that accompany the internal iliac artery along its course. [2] They gives 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

Related Research Articles

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<span class="mw-page-title-main">Hypogastric nerve</span> Human nerves

The hypogastric nerves are the continuation of the superior hypogastric plexus that descend into the pelvis anterior the sacrum and become the inferior hypogastric plexuses on either side of pelvic organs. The hypogastric nerves serve as a pathway for autonomic fibers to communicate between the lower abdomen and pelvis.

<span class="mw-page-title-main">Lumbar ganglia</span>

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References

PD-icon.svgThis 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. 1 2 3 4 5 6 "inferior hypogastric plexus - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-08-06.
  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.