03. Anatomy of the bladder, urethra and internal gonads (HARC) Flashcards
the URINARY BLADDER is a hollow, muscular organ in which area
ANTERIOR PELVIC CANVITY
SURFACES of the BLADDER
SUPERIOR surface
POSTERIOR surface aka BASE
2x INFEROLATERAL surfaces (come together)
APEX (connected to umbilicus)
SUPERIOR SURFACE of BLADDER is covered in..
PERITONEUM (thin sheet of tissue)
BLADDER tubes
2x URETERS (from kidney)
URETHRA (out)
Majority of INTERNAL BLADDER is LINED by..
DETRUSOR MUSCLE
DETRUSOR MUSCLE that lines internal walls of BLADDER is controlled by which NERVOUS SYSTEM activity
PARASYMPATHETIC nervous system
- AUTONOMIC nervous system
what type of muscle is DETRUSOR MUSCLE that lines internal BLADDER
INVOLUNTARY SMOOTH MUSCLE
what is the only part of the BLADDER that is NOT lined by Detrusor muscle
TRIGONE - the space between the 3 openings (ureters and urethra)
does the TRIGONE of the bladder (space between 3 openings) expand/shrink when the bladder fills/empties
NO
does NOT EXPAND/SHRINK when BLADDER
CAPACITY of BLADDER
approx 400ml
the NECK of the BLADDER (INFERIOR) NARROWS to form the..
URETHRA
what are the 2 URETHRAL SPHINCTERS
INTERAL URETHRAL SPHINCTER (more superior, closer to bladder)
EXTERNAL URETHRAL SPHINCTER (inferior, last point that stops urine leaving the body)
part of the URETHRA where URINE leaves the body from
EXTERNAL URETHRAL ORIFICE
DIFFERENCE between INTERNAL and EXTERNAL URETHRAL SPHINCTERS
INTERNAL:
type of muscle?
nervous system?
difference in CONTROL
- SMOOTH MUSCLE (INVOLUNTARY)
- controlled by AUTONOMIC NERVOUS SYSTEM - SYMPATHETIC stimulation through HYPOGASTRIC NERVES keep it closed
- NO CONTROL OVER IT
DIFFERENCE between INTERNAL and EXTERNAL URETHRAL SPHINCTERS
EXTERNAL:
type of muscle?
nervous system?
CONTROL OVER IT
- SKELETAL MUSCLE (VOLUNTARY)
- SOMATIC NERVOUS SYSTEM control by PUDENAL NERVE
INTERNAL URETHRAL SPHINCTER uses which NERVES to keep it closed
sends SYMPATHETIC stimulation through HYPOGASTRIC NERVES
EXTERNAL URETHRAL SPHINCTERS have SOMATIC CONTROL using which NERVES
PUDENAL NERVES
STEPS of MICTURITION (urine being expelled)
- BLADDER SLOWLY FILLS with URINE
NO change in pressure due to elastic walls and inhibition of parasympathetic activity until THRESHOLD - URETHRAL SPHINCTERS RELAX (so urine can pass)
Internal relax by Parasympathetic NS
External relax by Somatic - DETRUSOR CONTRACTS (squeezes bladder)
Parasympathetic ANS fibres originate from PELVIC SPLANCHNIC NERVES (S2-S4) - BLADDER IS VOIDED INTO URETHRA
in MICTURITION the URETHRAL SPHINCTERS RELAX by which nervous systems
INTERNAL: PARASYMPATHETIC
EXTERNAL: SOMATIC
when DETRUSOR CONTRACTS in MICTURITION the PARASYMPATHETIC ANS fibres ORIGINATE from which NERVES and which area
PELVIS SPLANCHNIC NERVES (S2-S4)
(splanchnic = ‘organ’)
mechanism of MICTURITION is by… controlled by …
SPINAL REFLEX controlled by HIGHER BRAIN CENTRES
in MICTURITION :
PARASYMPATHETIC NERVES come from which spinal nerves
S2, S3, S4
S2-S4
in MICTURITION:
how are the GANGLIA of PARASYMPATHETIC NERVES
GANGLIA CLOSE to the TARGET muscle - DETRUSOR muscle
(long fibre, ganglia, short fibre)
in MICTURITION:
SYMPATHETIC NERVES come from which spinal nerves
L1 L2 L3
L1-L3