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MUHAMAD HASAN, dr, MKes, SpOT

Bagian Anatomi
Fakultas Kedokteran Universitas JEMBER

HSAN / MEI 2015


ORGAN GENITALIA
FEMININA
• Interna: • Externa:
Ovarium Mons pubis
Tuba uterina Labia majora
Uterus Labia minora
Vagina Clitoris
Vestibulum vaginae
Gland vestib major
Gland vestib minor
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Ovarium
 Posisi: Fossa ovarica
Ant: A umbilicalis
Post:
Ureter
A iliaca int
Sup: Vasa iliaca ext
 Permukaan:
Fac med & lat
 Ujung:
 Extr tub uterina
 Tepi:
 Margo mesovar(ant) hilus ov
libera (post)

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Ovarium
 Hubungan:
• Facies lat: Perit parietale
• Facies med:
– Tuba uterina
– Ileum
• Margo mesovar (Hilus):
Mesovar
• Margo lib:
– Tuba uterina
– Ureter
• Extr tub: Tuba uterina
• Extr ut: Uterus
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Ovarium
 Fiksasi:
Mesovar: Margo ant-dors plica
lata
Lig susp ova: Extr tub-M psoas
maj
Lig ova propr: Extr ut-Corpus
ut
 Vaskularisasi:
A ovarica
R ovarium a uterina
Pl ven ovarium-V ova-(V ren)-V
cava
inf
 Aliran limfe: Lnn lumb
 Inerv: Pl nerv ovaria

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Tuba Uterina
 Bagian: (Salpinx)
• Pars uterinaOst ut
• Isthmus
• Ampulla
• InfundibulumOst abd

Fimbriae
 Vaskularisasi:
• R tub a uterina
• Rr tub a ovarica
• V~A
 Inervasi: Pl ovaricus
hypogastricus inf
 Aliran limfe: Lnn lumbales

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Uterus
(Hystera=Metra)
 Bagian:
• (Fundus)
• Corpus:
Facies vesicalis:
Ves ur
Exc vesicout
intestinalis: Col sigm
Exc rectout
Margo lateralis: (Sin & Dext)
Tuba ut )
Lig teres ut )  Plica lata
Lig ova propr )
• Isthmus: Ost int uteri
• Cervix:
Portio supravag
vag  Ost ext uteri

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Uterus
 Cervix uteri:
• Portio supravag:
Ant: Parametrium
Vesica urin
Post: Excav rectout
Lat: Ureter
A uterina
• Portio vag:
Ost ext ut Lab ant
post

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Uterus
Interna:
• Cavum uteri:
Basis: Fac int fund ut
Apex: Ost int uteri
• Canalis cervicis:
Plica palmata

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Uterus
Fiksasi:
 Vagina
 Strukt sekitar:
• Plica lataPerit
• Lig teres uteri
• Lig cardinaleFascia
pelv visc
• Lig uterosacralis

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Uterus
Dinding uterus:
• Perimetrium
• Myometrium
• Endometrium

Peritoneum:
• Excavatio vesicout
• Excavatio rectout:
Ileum

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Uterus
Plica lata:
• Parametrium
• A uterina
• Pl ven uterinus
• Pl nerv uterovag
• Tuba uterina
• Ureter
• Lig teres uteri
• Lig ova propr

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Uterus
 Posisi:
• Antefexi
• Anteversi
 Vaskularisasi:
• A uterina
• A ovarica
• V~A
 Inervasi:
Pl nerv uterovag
 Aliran limfe:
• Lnn lumbales Fundus & sup
• corp
• il ext Inf corp
• il ext & int, sacrCervix
• Ing superf masuknya
tuba ut

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• The broad ligament is divided into
– an upper mesosalpinx,
– a posterior mesovarium
– and an inferior mesometrium.

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The mesosalpinx
• The mesosalpinx is attached above to the
uterine tube and posteroinferiorly to the
mesovarium. Superior and laterally it is attached
to the suspensory ligament of the ovary and
medially it is attached to the ovarian ligament.
The fimbria of the tubal infundibulum projects
from its free lateral end. Between the ovary and
uterine tube the mesosalpinx contains vascular
anastomoses between the uterine and ovarian
vessels, the epoophoron, and the paroophoron

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mesovarium
• The mesovarium projects from the
posterior aspect of the broad ligament, of
which it is the smaller part. It is attached to
the hilum of the ovary and carries vessels
and nerves to the ovary.

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Mesometrium
• The mesometrium is the largest part of the
broad ligament, and extends from the
pelvic floor to the ovarian ligament and
uterine body. The uterine artery passes
between its two peritoneal layers c.1.5 cm
lateral to the cervix.

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Round ligaments
• The round ligaments are narrow
somewhat flattened bands 10 to 12 cm
long, which pass diagonally down and
laterally within the mesometrium from the
upper part of the uterus to the pelvic floor

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Uterosacral ligaments
• The uterosacral ligaments are recto-
uterine folds and contain fibrous tissue
and smooth muscle. They pass back from
the cervix and uterine body on both sides
of the rectum, and they are attached to the
front of the sacrum.

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Transverse cervical ligaments
/ (cardinal ligaments)

• The transverse cervical ligaments


(cardinal ligaments, ligaments of
Mackenrodt) extend from the side of the
cervix and lateral fornix of the vagina to
attach extensively on the pelvic wall

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Pubocervical ligament
• Fibres of the pubocervical ligament pass
forward from the anterior aspect of the
cervix and upper vagina to diverge around
the urethra. These fibres attach to the
posterior aspect of the pubic bones.

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Uterus
Plica lata:
• Mesosalpinx:
Vasa ova et uterina
Epooph et parooph
• Mesovarium
• Mesometrium

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Vagina
 Permukaan:
• Facies ventrFundus vesicae
Ureter
Urethra
• Facies dors RectExcav rectut
• Facies latLig cardinale
Ureter
A uterina
Gland vest maj
Bulb vest
M bulbospong
 Fornices:
• Fornix ant
• Fornix post
• Fornix lat

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Vagina
HymenCarunc hym
• Anularis
• Lobatum
• Semilunaris
• Elasticus
• Fimbriatus
• Cribriformis
• Septus

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Vagina
 Vaskularisasi:
• A uterina
• A vaginalis
• A rect media
• A bulbi vestib
• Pl ven vagPl ven ut
et ves

 Inervasi:
Pl nerv uterovag

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Vagina
Aliran limfe:
• ~A utLnn il int et ext
• ~A vagLnn il int
• ~A vagLnn sacr et il
comm
• HymenLnn ing
superf

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Mons Pubis
• Di ant symph pubis
• Lemak +
• Pubes +

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Labia Majora
Rima pudendi

 Permukaan:
• Ext: Lemak +
Rambut +
• Int: Rambut -

 Ujung:
• Ventrcommiss ant
• Dorscommiss post

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Labia Majora
 Vaskularisasi:
• A lab antA pud ext
• A lab postA pud int

 Inervasi:
• N lab antN ilioing
• N lab postN pudendus

 Aliran limfeLnn ing


superf

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Labia Minora
Ujung:
 Ant2 Bagian:
• Pars latPraeput clit
• Pars medFren clit
 PostFrenulum labii

Lemak –
Tertutup labia majora

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Labia Minora
 Vaskularisasi:
• A lab ant
• A lab post

 Inervasi:
• N lab ant
• N lab post

 Aliran limfeLnn ing


superf

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Vestibulum Vaginae
 Di antara lab min:
• Orif urethr ext
Ventr: Clit
Dors: Intr vag
• Introitus vag
• Muara gland vest maj
• Muara gland vest min

Fossa vestibularis:
Introit vag-Fren labii

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Clitoris
 Bagian:
• Crura clit
• Corpus clit
• Glans clit

 Fiksasi:
• Lig suspens clit
Symp pubis
• Crura clitR inf os ischii

Jar erektil +

HSAN / MEI 2015


Clitoris
 Vaskularisasi:
• A profunda clitCrura clit
Corp clit
• A dors clitGlans clit

 Inervasi:
• N dors clit

 Aliran limfeLnn ing


superf

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Bulbus Vestibuli
• Jaringan erektil +

 Letak: Lat intr vag

• Tertutup m bulbocav

 Vaskularisasi:
• A bulb vestib
• A vag

 Aliran limfeLnn ing


superf

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Glandula Vestibularis Major
 Letak: Dors bulb vest

 Muara: Lab min –


perlekatan hymen

 Vaskularisasi:
• A bulb vestib
• A vag

 Aliran limfeLnn ing


superf

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Glandula Vestibularis Minor
• Muara: Orif urethrae
ext – intr vag

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Hymen Imperforatus

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Infeksi Vulva

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Carcinoma Vagina

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Prolapsus Uteri

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Endometriosis Perinei

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Mola Hydatidosa

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Coitus  Gravid

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Partus

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Homologus Genitalia Masculina-Feminina

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