Exam #4: Pelvis II

Question 1

Describe the path of sperm from the testes to bulbouretheral gland.

Answer 1

• Testes
• Epididymis
• Ductus Deferens
• Seminal vesiculus/ Ejaculatory duct
• Prostate
• Bulbouretheral gland

Question 2

What volume of fluid do the seminal colliculus, prostate, and bulbouretheral glands contribute?

Answer 2

Seminal colliculus= 60%
Prostate= 20%
Bulbouretheral Gland= 10%

Question 3

What two structures form the ejaculatory duct?

Answer 3

Seminal colliculus & Ductus Deferens

Question 4

What is BPH?

Answer 4

Benign Prostatic Hyperplasia (Hypertrophy)

• Occurs w/ aging
• Leads to swelling of a lobe of the prostate–>impingement of the urethera
• Sx= weak stream & urinary urgency

Question 5

How is BPH treated?

Answer 5

TURP= Transurethral Resection of the Prostate

• Insert resectoscope w/ electrical loop on end
• Head removes part of prostate

Question 6

What are the complications of TURP?

Answer 6

• Sperm reflux into bladder

- Urine dribbling/ incontinence

Question 7

What is the difference in control of the external & internal uretheral sphincters?

Answer 7

External= voluntary 
Internal= involuntary

Question 8

What is the difference between a space & a pouch?

Answer 8

Pouch is a potential space for the accumulation of fluid & infection

Question 9

What is the Space of Retzius?

Answer 9

• Retropubic space behind pubis in males & females

- Functions to accomodate bladder distension

Question 10

What is the retrorectal space?

Answer 10

• Space behind the rectum in males & females

- Functions to accomodate rectal expansion

Question 11

What pouch is specific to males?

Answer 11

Rectovesical pouch

- Between bladder/prostate & rectum

Question 12

What pouches are specific to females?

Answer 12

• Vesicouterine pouch

- Rectouterine pouch/ Pouch of Douglas

Question 13

What is the Vesicouterine Pouch?

Answer 13

Anterior space between bladder & uterus

Question 14

What is the Rectouterine Pouch?

Answer 14

Posterior space between uterus & rectum

Question 15

Which pouch in females is easier to access if there is an infection?

Answer 15

Pouch of Douglas/ Rectouterine pouch

Question 16

What does the external iliac artery continue into the lower limb as?

Answer 16

Femoral artery

Question 17

What does the internal iliac artery bifurcate into?

Answer 17

Anterior & Posterior Divisions of the Internal Iliac Artery

Question 18

What are the branches of the posterior division of the internal iliac artery?

Answer 18

1) Iliolumbar–> lumbar spine
2) Lateral sacral–> sacrum
3) Superior gluteal

Question 19

Where does the superior gluteal artery typically pass?

Answer 19

Between L5 & S1 nerves

Question 20

What are the branches of the anterior division of the internal iliac artery?

Answer 20

Anteriorly=

• Obturator
• Umbilical

Posteriorly=

• Inferior Gluteal
• Internal Pudendal–>Perineum

Middle=

• Uterine
• Inferior Vesicular
• Middle Rectal

Question 21

What is the branch of the umbilical artery?

Answer 21

Superior vesicular (bladder)

Question 22

What nerves does the inferior gluteal artery pass through?

Answer 22

S1 & S2

Question 23

What is the branch of the uterine artery?

Answer 23

Vaginal

Question 24

Lumbosacral Trunk

Answer 24

L4-5

Question 25

Sciatic Nerve

Answer 25

L4-S3

Question 26

Pudendal Nerve

Answer 26

S2-S4

Question 27

Superior Gluteal

Answer 27

L4-S1

Question 28

Inferior Gluteal

Answer 28

L5-S2

Question 29

What is the ganglion impar?

Answer 29

End of the sympathetic trunk

Question 30

What was the function of the umbilical artery prior to birth?

Answer 30

Carry deoxygenated blood from fetus to placenta

Question 31

What are the vaginal fornices?

Answer 31

Superior portions of the vagina, extending into the recesses created by the vaginal portion of cervix.

Question 32

What sacral nerves emerge through the piriformis muscle?

Answer 32

S1, S2, & S3