Contents of pelvis and peritoneum

Question 1

Pelvic ureter

Answer 1

• *ductus deferens passes anterior to it in males
• *uterine aa. crosses it in females

ureters have no valves and so it passes thru 2 cm of the wall of the bladder before opening, contraction of the bladder closes it off

Question 2

vascular supply to ureter

Answer 2

common iliac
internal iliac
vesiculodeferential (m)
uterine or inf vesicular (f)

venous drainage is a plexus located underneath the bladder

some goes to internal iliac and some goes to verebral vv.

Question 3

trigone m.

Answer 3

b/w 2 ureteric orifices

smooth muscle, sympathetically innervated
prevent retrograde urine flow remember that the detrusor is PSNS innervated

Question 4

arterial supply to bladder

Answer 4

superior vesicular aa from umbilical a.
vesiculodeferential aa. (middle vesical aa.) -aka uterine in females
inferior vesical aa. (from anterior internal iliac)

Question 5

venous supply to bladder

Answer 5

DOES NOT CORRESPOND TO ARTERIAL SUPPLY

venous plexus around base and neck
prostatic plex in males, vesico-vaginal plexus in females
drains with the deep dorsal v. of the penis to internal iliac v.

Question 6

anatomic anal canal

Answer 6

from level of upper surface of pelvic diaphragm to anus (1-1.5 in long)

Question 7

clinical anal canal

Answer 7

from pectinate line to the anal verge (1/2in long)

Question 8

Vascular supply to rectum

Answer 8

superior rectal (from inf. mesenteric) 
middle rectal ( from internal iliac) 
inferior rectal (from internal pudendal)

Question 9

Cruciate anastomosis

Answer 9

gluteal aa. and perforating first branch of profunda femoris

Question 10

Tubal ligation

Answer 10

can ligate the ovarian aa. but the necessary structures can still receive blood supply from the uterine (from the int. iliac)

Question 11

Anterior division of the lumbar plexus

Answer 11

IH
II 
gentiofemoral 
obturator 
L4 contribution to sacral plexus

Question 12

posterior division of lumbar plexus

Answer 12

lateral femoral cutaneous
femoral n.
accessory obturator

Question 13

anterior division of the sacral plexus

Answer 13

tibial portion of sciatic
n. to quad fem
n. to obturator internus
pudendal n.

Question 14

posterior division of sacral plexus

Answer 14

superior gluteal 
inf gluteal 
common fibular 
n. to piriformis 
posterior femoral cutaneous

Question 15

5 major nn from lumbosacral plexus

Answer 15

from anterior:
obturator
medial plantar (tibial)
lateral plantar (tibial n.)

from posterior
femoral
common fibular

sciatic is the tibial and common fibular

Question 16

n. to obturator internus

Answer 16

L5-S2

Question 17

Sup. gluteal

Answer 17

L4-S1

Question 18

pudendal n.

Answer 18

s2-4

Question 19

inf gluteal

Answer 19

L5-S2

Question 20

n. to piriformis

Answer 20

S1-2

Question 21

post. femoral cutaneous

Answer 21

S2-3

Question 22

Path of drainage of pelvic nodes

Answer 22

int. iliac—>ext iliac—>common iliac—>lumbar nodes—>cisterna chyli

Question 23

lymphatics of superior and lateral bladder

Answer 23

to ext iliac nodes laterally

Question 24

base of bladder drainage

Answer 24

to both int and ext iliac nodes laterally and superioraly

Question 25

neck of bladder drainage

Answer 25

to sacral and common iliac

Question 26

Rectal lymphatic drainage

Answer 26

below pectinate line drain to superficial inguinal nodes

above pectinate line-parallel course of major aa.

Question 27

drainage of penis and scrotum

Answer 27

to inguinal nodes (deep and superficial)

Question 28

drainage of prostate

Answer 28

to sacral nodes

Question 29

drainage of distal ductus deferens

Answer 29

to lumbar nodes with the testes

Question 30

drainage of ovaries and uterine tubes

Answer 30

drain along ovarian vessels to lumbar nodes

Question 31

fundus drainage

Answer 31

drains with ovarian vessels to lumbar nodes

Question 32

body of uterus drainage

Answer 32

to ext iliac (via broad lig)
int iliac(via uterine vessels)
superficial inguinal nodes (via round lig)

Question 33

cervix drainage

Answer 33

laterally to int. and ext iliac nodes

posterior to rectouterine to sacral and common iliac nodes

Question 34

vagina drainage

Answer 34

upper—>in and ext iliac
middle—>int iliac nodes
perineal portion—>superficial inguinal nodes