anatomy lecture 2; the lower urinary tract and male reproductive system Flashcards

1
Q

ureters pass from the

A

retroperitoneum through the false pelvis and into the true pelvis

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2
Q

false pelvis

A

from the iliac crests into the pelvic cavity

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3
Q

false pelvis is part of

A

the abdominal cavity

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4
Q

true pelvis

A

from pelvic inlet to the pelvic floor

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5
Q

true pelvis forms the

A

pelvic cavity

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6
Q

what is found within the pelvic cavity?

A

the bladder

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7
Q

pelvic floor muscle

A

levator ani muscle forms the pelvic diaphragm

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8
Q

urethra then passes through

A

the pelvic floor into the perineum

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9
Q

pelvic floor is formed from

A

the bowl shaped pelvic diaphragm which is made up of muscles including the levator ani muscle

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10
Q

openings in the pelvic floor

A
  • distal part of the alimentary, renal and reproductive tracts pass through the pelvic floor from the pelvic cavity into the perineum
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11
Q

perineum is

A

between the pelvic floor and the skin

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12
Q

the ureters pass anteriorly to what?

A

the common iliac vessels to enter the pelvis

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13
Q

at the level of what?

A

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

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14
Q

the ureter enters what part of the bladder?

A

the posterior bladder wall in an infero-medial direction which helps prevent the reflux of urine when the bladder contracts

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15
Q

what is the pouch in males called

A

rectovesical pouch in the anatomical position this is the most inferior part of the male peritoneal cavity

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16
Q

round ligament of the uterus

A

attaches the uterus to the perineum via the inguinal canal

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17
Q

what are the pouches called in females

A
  • 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
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18
Q

in females the ureter runs inferiorly to what?

A

the uterine artery (water under the bridge)

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19
Q

in males the ureter runs inferiorly to what?

A

the vas deferens

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20
Q

the anatomical relationship of the ureter are particularly important during

A

gynaecological surgery ie in a hysterectomy where the uterine artery has to be ligated

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21
Q

the arteries entering the pelvis are mainly

A

branches from the internal iliac artery and the veins drain into the internal iliac vein

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22
Q

arteries in females

A
  • vesical arteries
  • uterine artery
  • middle rectal artery
  • vaginal artery
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23
Q

arteries in males

A
  • middle rectal artery
  • vesical artery
  • prostate arteries often branches from vesicle arteries
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24
Q

what is at the base of the posterior aspect of the bladder

A

the ureteric orifices where the 2 ureters enter the bladder

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25
Q

what is at the inferior aspect in the floor of the bladder

A

the internal urethral orifice

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26
Q

what do the 2 ureteric orifices and the internal urethral orifice form?

A

the 3 corners of a triangle shape on the internal aspect of the bladder called the trigone

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27
Q

what is the muscle that forms the main bulk of the bladder called

A

the detrusor muscle

28
Q

detrusor muscle fibres encircle what?

A

the internal ureteric orifices and they tighten when the bladder contracts which prevents reflux of urine

29
Q

what happens around the neck of the male bladder

A

the detrusor muscle form the internal urethral sphincter which contracts during evacuation to prevent retrograde ejaculation of semen into the bladder

30
Q

an empty bladder lies within

A

the pelvis and the peritoneum is the only thing covering it superior surface

31
Q

a full bladder can

A

extend out of the pelvis, its superior part lying superior to the pubic bone however, the superior surface of the bladder is still only covered with peritoneum

32
Q

2 routes of catheterisation

A
  1. urethral

2. supra-pubic which is through the anterior abdominal wall and avoiding the peritoneal cavity

33
Q

the bladder is the most

A

anterior organ in the pelvis and it lies posterior to the pubic bone (when empty)

34
Q

in the female the body of the uterus usually

A

lies superior to the bladder, it is separated from the bladder by the utero-vesical pouch so most of the weight of the uterus is borne by the bladder

35
Q

in the male the prostate gland

A

lies inferior to the bladder and anterior to the rectum

36
Q

female urethra is approximately

A

4cm long

37
Q

in females urine passes from the bladder

A

through the internal urethral orifice then through the external urethral sphincter and then excreted through the external urethral orifice in the perineum

38
Q

external urethra sphincter

A

voluntary skeletal muscle circularly arranged around the urethra

39
Q

male urethra is approximately

A

20cm long

40
Q

in males urine passes from bladder through

A

the internal urethral orifice, then through the internal urethral sphincter (involuntary) and then through the prostatic urethra which travels between the prostate gland, through the external urethral sphincter (voluntary), then through the spongy urethra (within the corpus spongiosum) and then through the external urethral orifice

41
Q

male reproductive system

A

sperm is produce in the testes within the scrotum, then travels towards the epididymis and into the vas deferens and then into the seminal gland through the ejaculatory duct and through the prostate gland and then prostatic urethra into the spongy uretrha and then out through the external urethral orifice

42
Q

during embryological and foetal development the testes move from

A

their original position in the posterior abdomen through the inguinal canal into the scrotum

43
Q

the spermatic cord is

A

a collection of structures which supports the functioning of the testes

44
Q

speramtic cord consists of

A

the testicualr artery, testicualr vein, vas deferents, lymphatic drainage, nerves (autonomic smooth muscle of vas deferens and somatic from the cremaster muscle)

45
Q

inside the scrotum the testis sit within a sac called the

A

tunica vaginalis

46
Q

excess fluid within the tunica vaginalis is called

A

a hydrocele

47
Q

testicualr torsion

A

twisting of the spermatic cord which disrupts the testicualr artery causing ischaemia and necrosis of the testes

48
Q

right and left testicualr arteries comes off

A

the abdominal aorta

49
Q

right and left testicualr veins comes of

A

the inferior vena cava

50
Q

passing through the deep inguinal ring

A

are the testicualr artery, testicualr vein (pampiform plexus of veins drain into the testicualr vein), vas deferents, lymphatic and nerve

51
Q

the epididymis is

A

palpated at the posterior aspect of the testis, its proximal end (the head) is located at the posterior aspects of the superior pole of the testis

52
Q

the vas deferents is palpated within

A

the spermatic cord within the scrotum, superior to the testis, vas deferent begins at the inferior pole of the testis

53
Q

prostate gland surround the

A

prostatic urethra

54
Q

the inferior aspect of the prostate gland is in contact with

A

the lavator and muscle

55
Q

prostatic ducts

A

the ganldular secretion from the prostate drain into the prostatic urethra

56
Q

the prostate is split into

A

peripheral and central zones

57
Q

what zone of the prostate gland is palpated on PR

A

peripheral zone

58
Q

which zone of the prostate gland is most likely to undergo malignant transformation

A

the peripheral zone

59
Q

the penis is within the

A

perineum

60
Q

surface landmarks of the penis

A

body of penis
glans
root of penis
external urethral orifice

61
Q

corpus cavernous

A

posteriorly transmits the deep arteries of the penic

62
Q

corpus spongiosum

A

anteriorly transmits the spongy urethra and expands distally to form the glans

63
Q

the 3 cylinders of erectile tissue

A

become encouraged with blood at arterial pressure during erection

64
Q

blood supply to the penis is via

A

the deep arteries of the penic which are branches of the internal pudendal artery from the internal iliac artery

65
Q

blood supply to the scrotum

A

is via the internal pudendal artery ad branches from the external iliac artery

66
Q

lymph from the scortum and most of the penis (but not the glans)

A

DRAINS INTO THE SUPERFICIAL INGUINAL NODES FOUNF IN THE SUPERFICIAL FASCIA OF THE GROIN

67
Q

Lymph from the testis drains into the

A

lumbar nodes around the abdominal aorta