FOLIA MEDICA CRACOVIENSIA Vol. LVIII, 2, 2018: 21–44 PL ISSN 0015-5616 DOI: 10.24425/fmc.2018.124656 Autonomic nervous system of the pelvis — general overview Justyna Sienkiewicz-Zawilińska1, Jarosław Zawiliński1, Lourdes Niroya Kaythampillai1, Marcin Jakiel1, Jacenty Urbaniak1, Tomasz Bereza1, Wojciech Kowalski2, Marios Loukas3, Jerzy Walocha1 1Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland 2Gabinety Lekarskie Wojciech Kowalski, Kraków, Poland 3Department of Anatomy, St. George’s University, Grenada Corresponding author: Jerzy A. Walocha, MD, PhD Department of Anatomy, Jagiellonian University Medical College ul. Kopernika 12, 31-034 Kraków, Poland Phone: +48 12 422 95 11; E-mail:
[email protected] Abstract: Autonomic nervous system of the pelvis is still poorly understood. Every year more and more pelvic procedures are carried out on patients suff ering from diff erent pelvic disorders what leads to numerous pelvic dysfunctions. Authors tried to review, starting from historical and clinical background, the most important reports on anatomy of the pelvic autonomic plexuses. We also pay attention to complete lack of knowledge of students of medicine on the autonomic nervous structures in the area studied. We present anatomical description of the pelvic plexuses including their visceral branches and anatomy of surrounding pelvic tissues which still remains unclear. More and more attention is paid to the topography of the plexuses specially because of new pain releasing techniques — neurolysies. Key words: autonomic nervous system, inferior hypogastric plexus, anatomy, nerve sparing, pelvis. 22 Justyna Sienkiewicz-Zawilińska, Jarosław Zawiliński, et al. Introduction Th e innervation of human pelvis was a subject of numerous studies and reports of the scientists who studied both fresh and embalmed cadavers (Hunter, Lee, Beck, Frankenhäuser, Davis, Labate, Krantz, Quinn).