Selfi Handayani

ANATOMI
Blok 2.1

(2) Organa genitalia feminina

Pretes
ORGANA GENITALIA FEMININA
• EXTERNA/vulva • INTERNA
- Mons pubis - Ovarium
- Labia majora - Tuba uterina
- Labia minora - Uterus
- Clitoris - Vagina
- Bulbus vestibuli
- Glandula vestibularis
major
ORGANA GENITALIA FEMININA
• primer • sekunder
- ovarium - Tuba uterina
- Uterus
- Vagina
• accesoria
- Glandula vestibularis
major/+ minor
- Vagina
Mons pubis
• timbunan lemak, bulat dan bercelah

• terletak di depan symphisis pubis.

• Setelah pubertas, kulit di atas mons pubis ditutupi oleh

rambut.
Labia majora
• dua buah labia majora
• lipatan memanjang
• Bagian luarnya ditutupi oleh kulit yang mengandung pigmen
dan berisi banyak glandula sebacea--rambut
• Bagian dalamnya halus, tanpa rambut
• Commisura anterior--- posterior
• Homolog scrotum
Labia minor
• lipatan kecil dari kulit, terletak di antara labia majora dengan
vagina.
• Di belakang,bersatu dengan sisi medial labia majora dan pada
gadis,-- frenulum labia.
• Di depan, terpecah dua bagian medial dan lateral.
• Bagian lateralnya -- lipatan di atas glans clitoridis - preputium
clitoridis.
• Lemak (-) dan kulit di atasnya halus, lembab dan berwarna
kemerahan.
vestibulum
• celah

• berisi lubang (orificium) vaginae, urethra dan ductus (saluran)

dari glandula vestibularis major.
clitoris

• Homolog penis
• Berisi jar erektil
• Letak di belakang commisura anterior
Gland Vestibularis major

• Letak di belakang bulbus vestibuli

• Muara di cekungan antara labium minus
• Homolos gland bulbourethralis
Organa genitalia feminina externa
Organa genitalia feminina interna
Organ repro wanita
Makroanatomi ovarium
¢The ovaries are solid,
ovoid structures,
about 2 cm in length
and 1 cm in width.

¢Like the testes, they

develop from
embryonic tissue
along the posterior
abdominal wall, near
the kidneys.
ovarium
Tuba uterina

• Saluran,oosit dari ovarium---cav uteri

• Pj 10 cm,letak di atas antara 2 lembar lig latum uteri
• Pars uterina, isthmus, ampulla,infundibulum
Tuba Uterina
• Receive the ovulated oocyte and provide a site for fertilization
• Empty into the superolateral region of the uterus via the
isthmus
• Expand distally around the ovary forming the ampulla
• The ampulla ends in the funnel-shaped, ciliated infundibulum
containing fingerlike projections called fimbriae

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Tuba uterina
• Function: events occurring in the uterine tube
• Fimbriae sweep oocyte into tube, cilia &
peristalsis move it along, sperm reaches
oocyte in ampulla, fertilization occurs
within 24 hours after ovulation & zygote
reaches uterus about 7 days after ovulation

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uterus
• Uterus adalah organ musculair yang berongga, berdinding
tebal, terletak di dalan cavitas pelvis diantara vesica urinaria
(anterior) dengan rectum (posterior).

• Uterus terletak di antara dua lembaran ligamentum latum

uteri.
Uterus
• Hollow, thick-walled organ located in the pelvis anterior to the
rectum and posterosuperior to the bladder
• Body: Major portion of the uterus
• Fundus: Rounded region superior to the entrance of the uterine
tubes
• Isthmus: Narrowed region between the body and cervix

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uterus
• Cavum uteri
• Dinding uteri

• Isthmus---- corpus dan cervix

• Corpus: facies anterior,posterior, fundus, tepi lateral

uterus
• Cervix uteri: bag rendah dan sempit

Portio vaginalis
Portio supravaginais
Uterus

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Kedudukan uterus

• Antefleksio
• Retrofleksio
• Anteversio
• Retroversio
Ligamenta uteri

• Lig vesico-uterinum
• Lig recto-vaginale
• Lig latum
• Lig teres uteri
• Lig cardinale
Dinding uterus

• Parametrium

• Myometrium

• Endometrium
uterus
The Uterine Wall

Figure 28.19b
vagina

• Kanal/ sarung
• Tempat copulasi
• Letak: ant/ v urinaria dg rectum
• Cervix---- hymen (introitus vagianae)
• Fornix– anterior,posterior, lateral
Dinding vagina

• Tunica mucosa--- collumna rugarum

• Tunica muscularis

• Tunica adventisia
vagina
hymen

• Membentuk introitus vagina

• Hymen anularis, semilunaris, fimbriata, imperforatus

• Caruncula hymenalis
Pelvic Organs and
Innervation
Pelvic Autonomics
• Superior hypogastric plexus (presacral nerve)
• Contains no parasympathetics
• Hypogastric nerve
• Inferior hypogastric plexus
• Contains parasympathetic fibers from the pelvic splanchnics
• Ganglion impar
Pelvic
Autonomics
Innervation of the Bladder
• Sympathetics
• T12, L1, L2
• Parasympathetics
• Pelvic splanchnic nerves
• Nervi erigentes
• S 2, 3, 4
• Nociceptive afferents
• Sacral roots (S 2, 3, 4)
• Not sympathetics
Innervation of Uterus, Cervix and
Ovaries
• Uterovaginal plexus from superior and inferior
hypogastric plexuses
• Sympathetic, parasympathetic and somatic afferent
• Fundus and body (intraperitoneal) - Inferior and superior
hypogastric plexuses
• Cervix (subperitoneal)
• Inferior hypogastric plexus to pelvic (splanchnic) nerves
(S2-S4) (most texts)
• Bonica: LUS and CX same as fundus
• Ovaries - afferents with hypogastric plexuses (T10-
11)
Innervation of the Vagina
• Superior 3/4ths
• Uterovaginal plexus
• Pelvic plexus (sacral fibers)
• Lower 1/4th
• Pudendal nerve via sacral fibers
• Perineum
• Pudendal nerve
Innervation of Prostate, Testes and Scrotum
• Prostate
• Prostatic plexus
• Inferior hypogastric plexus
• Testicle (T10)
• Vas deferens (T10-L1)
• Epididymis (T11-12)
• Prostate (Prostatic plexus; similar to bladder)
• Scrotum
• Ilioinguinal and genitofemoral
• Perineal nerve (branch of pudendal)
Rectum, Anus and Perineum
• Sympathetics
• Superior and inferior hypogastric plexuses
• Parasympathetics
• Pelvic splanchnic nerves
• Nociceptive afferents
• Pudendal nerve (somatic)
• Also with pelvic splanchnic nerves
• Anus
• Inferior rectal nerve via pudendal
• Perineum by pudendal and branches
Pudendal Nerve
• Supplies skin, organs and
muscles of perineum
• Distribution similar in males
and females
• Pudendal nerve blockade
• Medial to ishial tuberosity at
sacrospinous ligament
• Transvaginal
• Functions
• Micturation
• Defecation
• Erection
• Ejaculation
• Parturition
Neural Blockade of Perineum