anatomy lecture 2; the lower urinary tract and male reproductive system Flashcards
ureters pass from the
retroperitoneum through the false pelvis and into the true pelvis
false pelvis
from the iliac crests into the pelvic cavity
false pelvis is part of
the abdominal cavity
true pelvis
from pelvic inlet to the pelvic floor
true pelvis forms the
pelvic cavity
what is found within the pelvic cavity?
the bladder
pelvic floor muscle
levator ani muscle forms the pelvic diaphragm
urethra then passes through
the pelvic floor into the perineum
pelvic floor is formed from
the bowl shaped pelvic diaphragm which is made up of muscles including the levator ani muscle
openings in the pelvic floor
- distal part of the alimentary, renal and reproductive tracts pass through the pelvic floor from the pelvic cavity into the perineum
perineum is
between the pelvic floor and the skin
the ureters pass anteriorly to what?
the common iliac vessels to enter the pelvis
at the level of what?
at the level of the ischial spine the ureters turn medially to enter the posterior aspect of the bladder, this route is completely sub-peritoneal
the ureter enters what part of the bladder?
the posterior bladder wall in an infero-medial direction which helps prevent the reflux of urine when the bladder contracts
what is the pouch in males called
rectovesical pouch in the anatomical position this is the most inferior part of the male peritoneal cavity
round ligament of the uterus
attaches the uterus to the perineum via the inguinal canal
what are the pouches called in females
- vesico-uterine pouch= between the bladder and the uterus
- recto-uterine pouch (pouch of douglas)= in the anatomical position this is the most inferior part of the female peritoneal cavity
in females the ureter runs inferiorly to what?
the uterine artery (water under the bridge)
in males the ureter runs inferiorly to what?
the vas deferens
the anatomical relationship of the ureter are particularly important during
gynaecological surgery ie in a hysterectomy where the uterine artery has to be ligated
the arteries entering the pelvis are mainly
branches from the internal iliac artery and the veins drain into the internal iliac vein
arteries in females
- vesical arteries
- uterine artery
- middle rectal artery
- vaginal artery
arteries in males
- middle rectal artery
- vesical artery
- prostate arteries often branches from vesicle arteries
what is at the base of the posterior aspect of the bladder
the ureteric orifices where the 2 ureters enter the bladder
what is at the inferior aspect in the floor of the bladder
the internal urethral orifice
what do the 2 ureteric orifices and the internal urethral orifice form?
the 3 corners of a triangle shape on the internal aspect of the bladder called the trigone