Exam 4: Reproductive Organs Flashcards
Prostate gland consists of
Smooth muscle
Glandular tissue
Fibrous tissue
Function of prostate gland
Production of semen
Prostate gland situated below ____ and surrounds ____
Bladder; urethra
Prostate gland lies posterior to
pubic symphysis
Prostate lies anterior to
Rectal ampulla
Apex of prostate gland is ____ and base is ____
Inferior; superior
Isthmus of prostate
Lies anterior urethra
Contains no glandular tissue
Prostatic urethra
Portion of urethra surrounded by prostate
Urethral crest
Median crest in posterior wall of prostatic urethra
Seminal colliculus
Elevation on urethral crest
What opens onto seminal colliculus
2 ejaculatory ducts and prostatic utricle
Prostatic utricle
Tiny blind pouch
Prostatic utricle homologous to
Uterus of female
Prostatic sinus
Groove lateral to urethral crest
Benign prostatic hypertrophy
Prostate enlarges
After 40 years
Difficulty peeing
Prostate cancer
One of MC cancers in men
Metastasizes thru blood and lymph
Common places of metastasis for prostate cancer
Vertebral column and pelvis
_____ is used for early detection
Prostatic specific antigen (PSA)
Ovaries produce ____ and also have ______
Oocytes; endocrine function
Ovaries secrete
Estrogen
Progesterone
Relaxin
Relaxin function
Relaxes ligs during pregnancy
Ovarian fossa is bounded by
Obliterated umbilical artery
Ureter and internal iliac vessels
Ovary is not covered by
Peritoneum
Ligament of ovary
Ovary to body of uterus
Suspensory lig of ovary
Ovary to pelvic brim
Contains ovarian vessels
Uterine tubes functions
Transport oocytes through ciliary action and muscular contraction
Passage of oocyte takes
3-4 days
Uterine tubes also transport
Sperm; in OPPOSITE direction
Uterine tube parts
Uterine part
Isthmus
Ampulla
Infundibulum
Abdominal os
Opening of uterine tube near ovary
Fimbriae
Fingerlike projections around margin of infundibulum
Ovarian fimbria
Longest fimbria, fused with ovary
MC site for fertilization
Ampulla of uterine tube
Second MC place for fertilization
Infundibulum
Ectopic pregnancy
Development of fetus at some other site
MC site for ectopic pregnancy
Uterine tube
Causes rupture with severe hemorrhage
Fertilized oocyte normally becomes embedded in
Uterus
Cavities of uterus and vagina together form
Birth canal
Uterus is variable in
Shape, size location and structure
Depends on age and # of pregnancies
Nulliparous women
One with no children
Uterus of nulliparous woman
Walls are thick and muscular
Shaped like inverted pear
Uterus walls have an increase in _____ after menopause
Fibrous tissue and cysts
Uterus is normally
Anteverted and anteflexed
Anteversion
Lower end of uterus forms right angle w/ vagina
Anteflexion
Uterus bent downward at junction between body and cervix
Retroversion
Uterus bent backwards
Retroversion is associated w/
Severe menstrual cramps
Painful parturition
Increase risk of uterine prolapse
Isthmus of uterus
Narrow constricted portion btw body and cervix
AKA internal os
Cervix of uterus
Extends from isthmus to opening of vagina
Parts of cervix
Supravaginal part (above) Vaginal part (within)
External os
Opening of cervical canal into vagina
Uterine cavity
Within body
Wide above, narrow below
Cervical canal
Within cervix
From internal os to external os
Vesicouterine pouch
Btw bladder and uterus
Rectouterine pouch
Btw rectum and uterus
Broad lig
Double layer of peritoneum
Mesosalpinx
Between uterine tube and mesovarium
Mesovarium
Extends posteriorly
Attached to ovary and lig of ovary
Mesometrium
Below mesovarium
“Metros”
Uterus
Round lig attaches to
Uterus below, anterior to entrance of uterine tubes
Uterine tube passes through ______ and terminates in ____
Inguinal canal; labia majora
Round lig is the remnant of
Gubernaculum of ovary
_____ is always endangered during hysterectomy
Ureter
Transverse cervical lig
Passes laterally from cervix and merges w/ fascia of pelvic diaphragm
Structures which support uterus
Pelvic diaphragm
Broad lig
Pelvic viscera
Ligaments that support uterus
Pubocervical
Transverse cervical
Uterosacral
Lymphatics of uterus
Lumbar nodes
External iliac nodes
Internal iliac nodes
Lumbar nodes drain
Fundus and upper part of body
External iliac nodes drain
Lower part of body
Internal iliac nodes drain
Cervix
Cervical cancer spreads here first
Functions of vagina
Copulation organ
Lower part of birth canal
Excretory duct for menstrual products
Vaginal cavity communicates w/
Cervical canal above — external os
Vestibule below — vaginal orifice
Fundus of bladder and urethra lie
Anterior to vagina
Fornix
Recess between cervix and walls of vagina
Structures that support vagina
Levator ani
Perineal body
Perineal membrane
Ligs that support vagina
Pubocervical
Transverse cervical
Uterosacral
Lymphatics of vagina
Internal iliac nodes — upper 3/4
Superficial inguinal nodes — lower 1/4
Innervation of vagina
Pudendal nerve and uterovaginal plexus
Little sensation in vagina except
Lowermost part
Rectocele
Bulging of rectum into posterior wall of vag
Difficulty in defecation
Cystocele
Bulging of bladder into anterior wall of vag
Difficulty in micturition
Uterine prolapse
Uterus slips down into vag
Cervix may protrude externally