Bladder, Pelvic Vessels, Nerves & Lymphatics

Question 1

Ureter (retroperitoneal)

Answer 1

25-30 cm muscular tubes
Carry urine
Junction w/ bladder - ureterovesical junction
Runs posterolateral to ductus deferens (Males)

Question 2

Bladder (retroperitoneal)

Answer 2

Lies deep to peritoneal membrane

Question 3

Bladder Borders

Answer 3

Anterior - pubic symphysis
Posterior - rectum in males, uterus & vagine in females
Inferior - prostate in males, pelvic diaphragm in females

Question 4

Bladder Musculature

Answer 4

Detrusor muscles
Contraction increases internal pressure lead to micturition when urethral sphincter is open
Sphincter closed if bladder has less than 250 ml of urine

Question 5

Bladder Innervation

Answer 5

Parasympathetic - S2-4

Sympathetic - T11, L1-2

Question 6

Sciatic Nerve Origin

Answer 6

L4-S3

Question 7

Sciatic Nerve Distribution

Answer 7

Flexors of knee

All muscles of leg & foot

Question 8

Superior Gluteal Origin

Answer 8

L4-S1

Question 9

Superior Gluteal Distribution

Answer 9

Glute med/min

Question 10

Inferior Gluteal Origin

Answer 10

L5-S2

Question 11

Inferior Gluteal Distribution

Answer 11

Glute max

Question 12

Pudendal Origin

Answer 12

S2-4

Question 13

Pudendal Distribution

Answer 13

External urethra
Anal sphincters
Motor/sensory to external genitalia

Question 14

Kidney Stones

Answer 14

Urethral calculi that lodge and disrupt urine flow

Question 15

Common kidney stone sites

Answer 15

Renal pelvis
Pelvic brim
Bladder

Question 16

Kidney Stone Treatment

Answer 16

Increased fluid
Cystoscope/Ureteroscope
Lithotripsy

Question 17

Urachus Re-canalization

Answer 17

Rare

Dribbling of urine from umbilicus

Question 18

Urachus Cyst

Answer 18

Fluid filled cyst superior to bladder and inferior to umbilicus

Question 19

Urachal Sinus

Answer 19

Remnant of arches that connects to umbilicus