Lecture 2: Anatomy of the Male Reproductive Tract Flashcards

1
Q

What is the lowest point in the peritoneal cavity in males?

A

The RectoVESICAL pouch

Where blood could collect if there is hemorrhage

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2
Q

What is the retroperitoneum?

A

Space behind the peritoneum

In front of posterior abdominal wall and musculature

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3
Q

What is part of the retroperitoneum?

A
  1. Adrenal Glands
  2. Kidneys
    3 ureters
  3. Bladder
  4. Vasculature
  5. Esophagus
  6. Rectum
  7. Portions of the
    -pancreas
    -duodenum
    -colon
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4
Q

What are the major muscles of the retroperitoneum?

A

Psoas major and psoas minor
(muscles of love because they are used for hip flexion LOL)
-iliacus
-quadratus lumborum

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5
Q

What are the muscles of love?

A

Psoas major
Psoas minor
Hip flexion lmao

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6
Q

Why is the left adrenal artery higher than the right?

A

Because the right hand side adrenal artery is pressed down by the liver

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7
Q

What drains into the right renal vein?

A

Nothing! Remember the right gonadal vein drains in to the IVC
Left gonadal vein drains into the left renal vein

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8
Q

What is the vein of death?

A

Adrenal vein on the right side

Difficult to control that is short and small that drains right ot IVC

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9
Q

What do the phrenics drain?

A

The diaphragm

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10
Q

What is the white line of toldt?

A

Used as a landmark for access into the retroperitoneum

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11
Q

Where does the LEFT gonadal vein drain into?

A

Left renal vein

As opposed to right gonadal vein that drains into IVC directly

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12
Q

What is the hypogastric artery?

A

The internal iliac artery

Hypogastric a. and internal iliac a. are the same thing!!!

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13
Q

What is the pampiniform plexus?

A

A meshwork of veins that have a counter current that regulates temperature
Located in the scrotum

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14
Q

What is the urachus?

A

A fibrous remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord

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15
Q

What is water under the bridge in the male?

A

Ureter goes underneath vas deferens/ductus deferens

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16
Q

What is the space of Retzius?

A

The space between the pubic symphysis and the urinary bladder
Space of Retzius (retropubic space) is accessed during prostatectomy

17
Q

What is the ejaculatory duct?

A

The duct in which the vas deferens and the seminal vesicles meet

18
Q

Where is the internal urethral sphincter?

A

Smooth muscle

Superior to prostate

19
Q

Where does the ejaculatory duct enter the prostate?

A

In the middle of the prostatic urethra

20
Q

What is the bulbourethral gland?

A

Cowper’s gland
During sexual arousal, each bulbourethral gland (located inferior to prostate) produces a salty viscous secretion known as PRE-EJACULATE
-fluid helps lubricate the urethra for spermatozoa to pass through
-neutralizes acidic urine in the urethra
-can also produce some amount of prostate-specific antigen (PSA)

21
Q

Where is the external urethral sphincter?

A

Skeletal muscle

Inferior to prostate

22
Q

What are the layers of the abdomen (external to internal)?

A
  1. Skin
  2. Scarpa’s Fascia
  3. External Abdominal oblique muscle
  4. Internal abdominal oblique muscle
  5. Transversus abdominus
  6. Transversalis fascia
  7. Peritoneum
23
Q

What are layers of the scrotum/testis?

A

External to interior

  1. Skin
  2. Dartos
  3. External spermatic fascia
  4. Cremaster muscle
  5. Internal spermatic fascia
  6. tunica vaginalis (visceral)
  7. tunica vaginalis (parietal)
24
Q

What are the 3 collaterals in the Testicular arterial circulation?

A
  1. Cremasteric artery
  2. Testicular artery
  3. Vasal artery
25
Q

Where do hydroceles develop from?

A

Processus vaginalis

26
Q

What is the main artery that gives rise to erection?

A

Internal pudendal artery which leasd into dorsal artery

Splits off into bulbar, circumflex cavernosal, circumflex and cavernosal arteries…

27
Q

What is the tunica albuginea?

A

The tough fibrous layer of connective tissue that surrounds the corpora cavernosa of the penis
Can also be referred to the connective tissue covering of the ovaries

28
Q

What is the corpus cavernosa?

A

The two spongy cylinders in the superior end of the penis that is engorged when erection occurs

29
Q

What is the corpus spongiosum?

A

The spongy layers that cover the urethra

Not involved in erection

30
Q

What is Buck’s fascia?

A

Contains the deep dorsal vein of the penis

Surrounds the tunica albuginea

31
Q

What happens in an eggplant deformity?

A

Penile fracture is traumatic rupture of the tunica albuginea layer
When males is cheating
Surgical repair
Bleeding into bucks fascia