Bladder, Male Urethra, Prostate

Question 1

Surfaces an borders of the urinary bladder

Answer 1

3 surfaces:
Superior and 2 inferolateral surfaces
4 borders:
2 lateral, anterior and posterior

Question 2

The Trigone is made of

Answer 2

Posterolateral angles: ureteric orifices
Anteroinferior angle: urethral orifice
Interureteric bar
Superior trigone muscle
Deep detrusor muscle

Question 3

Relation of the bladder?

Answer 3

Anteriorly:
Retropubic space of Retzius
Posteriorly: separated from rectum by rectovesicle pouch/rectouterine pouch

Question 4

Relations of apex of bladder?

Answer 4

Faces towards upper part of pubic symphysis, continuing as median umbilical ligament.

Question 5

The median umbilical fold is formed by

Answer 5

Peritoneum

Question 6

Base of bladder is separated from rectum by what three things

Answer 6

Rectovesicle pouch anteriorly
Seminal vesicle and vas deferens
Denonvilliers fascia

Question 7

True ligaments of the bladder

Answer 7

• pubovesical ligament( women)
  -puboprostatic ligament(men)
  Medial and lateral
  -Lateral true ligament in male
• posterior vesical ligament male
• median umbilical ligament

Question 8

False ligaments of the bladder

Answer 8

Median umbilical folds
Medial umbilical folds
Lateral false ligaments
Posterior false ligament

Question 9

Vesical mucosa

Answer 9

Folds in empty bladder

Question 10

Location of urethral orifice

Answer 10

Trigonal apex

Question 11

Referred pain in distended distended pelvis

Answer 11

T11-L2: S2-S4. Felt in lower anterior abdominal wall, perineum, penis

Question 12

Blood supply to bladdwr

Answer 12

-Inferior vesical arteries, supplemented by obturator and inferior gluteal arteries
In females also vaginal and uterine arteries

Question 13

Venous drainage and lymphatics of bladder

Answer 13

Vesical venous plexus which drain into internal iliac vein
Lymphatic drainage: external iliac nodes

Question 14

Innervation of urinary bladder

Answer 14

Autonomic
-parasympathtic efferent
Motor for detrusor inhibitory for internal urethra sphinter
- sympathomimetic efferent
Inhibitory for detrusor motor for internal sphincter
SOMATIC INNERVATION
- pudendal nerve to external urethra sphincter

Question 15

Afferent nerves In which pain and distension can be felt pass through

Answer 15

Pain: lateral spinothalamic tract

Question 16

Length of amale urethra

Answer 16

20cm.
Posterior part:4cm
Anterior part:16cm

Question 17

Parts of the urethra

Answer 17

Posterior part: preprostatic, prostatic, and membranous
Anterior part: bulbar, penile(pendulous)

Question 18

Characteristic of anterior urethra

Answer 18

Spongy

Question 19

Parts of the urethra in prostate

Answer 19

Urethra sinuses
Urethral crest
Verumontanum
Protatic utricle

Question 20

Vascular supply to urethra

Answer 20

Urethral artery, branch of internal pudendal artery

Question 21

Venous drainage and lymphatica of urethra

Answer 21

Venous drainage: dorsal vein of the penis, prostatic and vesical venous plexuses.
Lymphatic: internal iliac nodes

Question 22

Nerve supply to urethra

Answer 22

-Prostatic plexus
-Great cavernous nerves: supply preprostatic sphincter. Prevents reflux of sperm into bladder
-Parasympathetic preganglionic fibers
-neurons of Onufs nucleus and perineal branches of pudendal nerve: supply internal sphincter

Question 23

Length of female urethra

Answer 23

4cm. 6mm in diameter

Question 24

What gland opens Into the para urethral duct of the female urethra

Answer 24

Skene’s glands

Question 25

Blood supply to female urethra

Answer 25

Internal pudendal and urethral arteries

Question 26

Lymphatic drainage of female urethra

Answer 26

Unlike male only internal iliac nodes
Female: both internal and external