Anatomy · Pelvis, Perineum and Reproductive Anatomy

The pudendal nerve supplies all perineal structures. Which anatomical canal does it traverse to reach the ischioanal fossa?

  • A Obturator canal
  • B Inguinal canal
  • C Femoral canal
  • D Alcock's (pudendal) canal
Correct answer: D. Alcock's (pudendal) canal

Explanation

The pudendal nerve (S2-S4) exits the pelvis through the greater sciatic foramen below the piriformis, winds around the ischial spine, and re-enters through the lesser sciatic foramen. It then courses through Alcock's canal—a fascial tunnel on the lateral wall of the ischioanal fossa formed within the obturator fascia. A pudendal nerve block is administered at the ischial spine to anesthetize the perineum during childbirth.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

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