Inferior Hypogastric Plexus

The inferior hypogastric plexus is a bilateral abdominal structure situated on each side of the rectum, lower part of the bladder and (in men) prostate and seminal vesicles or (in women) cervix, uterus, and vaginal fornices (Figure 94.4). The inferior hypogastric plexus supplies branches to the pelvic viscera directly, as well as from subsidiary plexuses (e.g., the superior, middle rectal, vesical, prostate, and uterovaginal plexuses). The sacral sympathetic trunk lies in the parietal pelvic fascia behind the parietal peritoneum and on the ventral surface of the rectum, just medial to its anterior foramina and the existing sacral nerves. Below they converge and unite to form a solitary small "ganglion impar" which is located anterior to the sacrococcygeal junction.

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