F/M repro and Urogen Flashcards
define the vagina
muscular tube located between the bladder and the rectum and inferior to the uterus
what does the vagina open through
the perineal membrane into the vestibule
what part of the levator ani supports the vagina
pubovaginalis part
what membrane supports the vagina
perineal
where does the ureter pass in relation to the uterine artery
ureter passes inferior to the uterine artery along the lateral sides of the uterus
how do the uterine arteries enter the uterus
enter the sides of the uterus through the broad ligament
what do the uterine arteries anastomose with
vaginal arteries and ovarian arteries
what runs through the transverse cervical ligaments
uterine vessels and nerves
describe uterosacral ligaments
condensations of endopelvic fascia that extend from the sides of the cervix to the sacrum
what are extremely important in order to prevent prolapse of pelvic structures
levator ani muscle and perineal body
what is the inferior vagina innervated by
somatic branches from the internal pudendal nerve
what are the middle and superior parts of the vagina and uterus innervated by
visceral nerves
where is an anesthetic agent injected and what does it produce
injected into subarachnoid space between L3-l4 and produces complete anesthesia below the waste (uterine contractions cannot be felt)
describe pudendal block
blocks S2-4 dermatomes and inferior part of vagina (sacrospinous ligament is the landmark
what block must be performed in order to abolish sensate to anterior vulva
ilioinguinal block
where do the lymphatics of the prostate typically drain
internal iliac nodes
where does the male badder lymphatics typically drain
external iliac nodes
where do the perineal structures of male lymphatics typically drain
superficial inguinal nodes
define perineum
surface area of the trunk between the thighs and the buttocks
what makes up the pelvic diaphragm
coccygeus and levator ani
what makes up the legator ani
pubococcygeus+ puborectalis + iliococcygeus
what are the divisions of the puborectalis
pubovaginalis and puboprostaticus
define ischioanal fossa
wedge-shaped area between skin and the inferior surface of the pelvic diaphragm
what are the lateral boundaries of the ischioanal fossa
ischium, obturator interns with fascia
what are the medial boundaries of the ischioanal fossa
external anal sphincter with levator ani muscle
what are the posterior boundaries of the ischioanal fossa
sacrotuberous ligament and edge of gluteus maximus
what are the anterior boundaries of the ischioanal fossa
urogenital triangle and anterior recesses of the ischioanal fossa