Lower Abdomen II (Ach) - W3 Flashcards
What combines to form the ejaculatory duct?
- union of the ampulla of the ductus deferens and the excretory duct of the seminal vesicle
What is the job of the seminal vesicles?
Add fructose & alkaline fluid to the semen (maintains mobility of the semen)
What are the mot common sites of metastasis for cancer in the prostate?
What veins does it use?
- bone, lung and liver most common
- occurs via valveless vertebral venous plexus or internal iliac veins
What are the zones of the prostate?
- central
- transitional (median lobe)
- peripheral (posterior lobe)
- anterior fibromuscular
What part of the prostate is most commonly involved in benign hypertrophy of the prostate?
- stromal and epithelial tissues of the transitional zone
What is the presentation of benign hypertrophy of the prostate (BPH)?
- obstructs urethra (can’t be palpated)
- frequent urination
- nocturia
- decreased stream
- sense of incomplete emptying of bladder
What zone is most commonly invovled in prostate cancer?
Can it be palpated?
- peripheral zone (part of posterior lobe) is most commonly invovled
- can be palapated
Name the 3 parts of the male urethra and what they control.
- prostatic - involuntary continence
- membranous - responsible for voluntary contience due to rigid and muscular attachments
- penile or spongy - in penis - distensible
Describe the positions of the uterus.
- anteversion - axis of cervix forms a 90 degree angle w/the axis of vagina
- anteflexion - adult uterus bent forward on itself to level of interna os - forms 170 degree angle
- retroverted - inclined posterioly due to bladder being full
Where does fertilization normally occur?
- ampulla of the fallopian tube
Where is the scope inserted in culdoscopy and culdocentesis?
- posterior fornix of vagina
What are the branches of the anterior division of the internal iliac artery?
- umbilical artery
- obturator artery
- uterine artery
- vagina (female), inferior vesical (male)
- middle rectal
- internal pudendal
- inferior gluteal
Branches of the posterior division of the internac iliac
- superior gluteal
- lateral sacral - to body wall
- iliolumbar - to body wall
what is the largest branch that passes through the greater sciatic formen between L4/5 and S1
Superior gluteal artery
What critical relationship is important to be aware of when planning the surgical removal of a uterus?
A. The relationship between the lateral (endopelvic fascia) ligaments and cervix
What critical relationship is important to be aware of when planning the surgical removal of a uterus?
A. The relationship between the lateral (endopelvic fascia) ligaments and cervix.
B. The relationship between the oviduct and mesometrium.
C. The relationship between the ovary and mesovarium.
D. The relationship between the rectouterine pouch and the posterior fornix of the vagina
E. The relationship between the ureter and uterine artery.
A. The relationship between the lateral (endopelvic fascia) ligaments and cervix.
B. The relationship between the oviduct and mesometrium.
C. The relationship between the ovary and mesovarium.
D. The relationship between the rectouterine pouch and the posterior fornix of the vagina
E. The relationship between the ureter and uterine artery.
