The developmental anatomy of the human superior hypogastric plexus: A morphometrical investigation with clinical and surgical correlations.
The superior hypogastric plexus (SHP) is the part of the autonomic nervous system, which is responsible for the sympathetic innervation of pelvic organs and extrapelvic genitals in humans of both sexes. The SHP also functions as the anatomic pathway for the major part of visceral sensitive fibers originating from pelvic viscera. In this study, the morphology of the SHP was analyzed through anatomical dissections performed both in human adult and fetal cadavers. A computerized morphometrical investigation of the SHP was also performed and the resulting quantitative data statistically assessed. The comparison between fetal and adult SHP revealed that in the male group there was a developmental increase of six times (in height) and of about five times (in width); while in the female group, there was a developmental increase of 3.5 times both in height and width values. In addition, the distance from the superior border of the SHP to the bifurcation of the common iliac arteries presented a developmental increase of about six times in the male group, and about four times in the female group. We propose an original morphological classification with six types, based upon the anatomical arrangement of the nervous fibers in this autonomic plexus.
Instituto de Ciências Biomédicas, Centro de Ciências da Saúde, Universidade Federal do Rio de Janeiro, Brazil.
João Antonio Pereira
JA
Correia
Bernardo
B
De-Ary-Pires
Mário Ary
MA
Pires-Neto
Ricardo
R
De Ary-Pires
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002102:Cadaver; D005260:Female; D005333:Fetus / Q000294:innervation*; D005836:Genitalia, Female / Q000294:innervation; D005837:Genitalia, Male / Q000294:innervation; D006801:Humans; D007001:Hypogastric Plexus / Q000033:anatomy & histology* / Q000196:embryology*; D007083:Iliac Artery / Q000033:anatomy & histology / Q000196:embryology; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000294:innervation; D012727:Sex Characteristics