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Internal pudendal artery

Blood vessel supplying blood to the external genitalia


Blood vessel supplying blood to the external genitalia

FieldValue
NameInternal pudendal artery
Latinarteria pudenda interna
ImageInternal iliac branches.PNG
CaptionInternal iliac artery with branches, including internal pudendal artery.
Image2Gray542.png
Caption2The superficial branches of the internal pudendal artery.
BranchFromInternal iliac artery
BranchToInferior rectal artery and others
VeinInternal pudendal veins
SuppliesExternal genitalia, perineum

The internal pudendal artery is one of the three pudendal arteries. It branches off the internal iliac artery, and provides blood to the external genitalia.

Structure

The internal pudendal artery is the terminal branch of the anterior trunk of the internal iliac artery. It is smaller in the female than in the male.

Path

It arises from the anterior division of internal iliac artery. It runs on the lateral pelvic wall. It exits the pelvic cavity through the greater sciatic foramen, inferior to the piriformis muscle, to enter the gluteal region.

It then curves around the sacrospinous ligament to enter the perineum through the lesser sciatic foramen.

It travels through the pudendal canal with the internal pudendal veins and the pudendal nerve.

Branches

The internal pudendal artery gives off the following branches:

In femalesIn malesDescription
Inferior rectal arteryInferior rectal arteryto anal canal
Perineal arteryPerineal arterysupplies transversus perinei superficialis muscle
Posterior labial branchesPosterior scrotal branches-
Artery of bulb of vestibulelast=Keeganfirst=Kirk A.title=Chapter 28 - Vasculogenic Erectile Dysfunctiondate=2013-01-01url=http://www.sciencedirect.com/science/article/pii/B9781437729306000288work=Vascular Medicine: A Companion to Braunwald's Heart Disease (Second Edition)pages=341–348editor-last=Creagereditor-first=Mark A.place=Philadelphiapublisher=W.B. Saunderslanguage=enisbn=978-1-4377-2930-6access-date=2021-01-14last2=Pensonfirst2=David F.editor2-last=Beckmaneditor2-first=Joshua A.editor3-last=Loscalzoeditor3-first=Joseph}}supplies bulb of vestibule/bulb of penis
Dorsal artery of clitorisDorsal artery of the penis-
Deep artery of clitorisDeep artery of the penisto corpus cavernosum penis/clitoridis

The deep artery of clitoris is a branch of the internal pudendal artery and supplies the clitoral crura. Another branch of the internal pudendal artery is the dorsal artery of clitoris.

Some sources consider the urethral artery a direct branch of the internal pudendal artery, while others consider it a branch of the perineal artery.

In males, the internal pudendal artery also gives rise to the perforating arteries of the penis.

Variation

Around 70% of men have an accessory internal pudendal artery. This usually does not originate from the internal iliac artery, instead originating from the external iliac artery, the obturator artery, or the vesical arteries.

Function

The internal pudendal artery supplies blood to the external genitalia.

Clinical significance

In women, the internal pudendal artery may be damaged during childbirth. This may cause a haematoma, which usually resolves without treatment, but may form an infected abscess.

Additional images

File:Gray236.png|Right hip bone. Internal surface. File:Gray829.png|Dissection of side wall of pelvis showing sacral and pudendal plexuses. File:Gray543.png|The deeper branches of the internal pudendal artery. File:Gray1158.png|Diagram of the arteries of the penis. File:Gray588.png|The penis in transverse section, showing the blood vessels. File:Slide8khi.JPG|Internal pudendal artery. Deep dissection. Lateral view. File:Grant 1962 228.png|Diagram of the arteries of the vulva.

References

References

  1. Keegan, Kirk A.. (2013-01-01). "Chapter 28 - Vasculogenic Erectile Dysfunction". W.B. Saunders.
  2. {{DorlandsDict. one/000008809. Internal pudendal artery
  3. Gilbert, Robert O.. (2017-01-01). "Chapter 16 - Surgery of the Bovine Reproductive System and Urinary Tract". W.B. Saunders.
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