Male and Female Pelvis

Question 1

Path of Ureters Male

Answer 1

Anterior to external Iliac Artery

Lateral and Under the Vas deferens

Question 2

Path of Ureters Female

Answer 2

Anterior to External Iliac Artery
passes UNDER uterine Vessels
Passes OVER the vaginal Artery

Question 3

Urinary Bladder Parts male v female

Answer 3

Apex: faces pubic symphysis
Base: Anterior to rectum (M); anterior to Vagina ( F)

Question 4

Urinary Bladder relationships male v female

Answer 4

Anterior: retropubic space and ant abdominal wall

posterior: rectum (M) , vagina (F)
superior: abdominal cavity
inferior: Prostate(M) pelvic diaphragm (F)

Question 5

peritoneal covering of bladder

Answer 5

Male: superior and part of posterior surface
female: superior surfaces

when bladder is full, it is more covered
lies in true pelvis

Question 6

Blood supply of bladder

Answer 6

superior and inferior vesical arteries (M)

superior vesicle arteries + vaginal obturator and inferior gluteal arteries (F)

Question 7

venous drainage of bladder

Answer 7

form a profuse plexus that drains into internal iliac vein

Question 8

innervation of bladder symp/para

Answer 8

INFERIOR HYPOGASTRIC PLEXUS
Sympathetic: lumbar splanchnic nerves*– lateral horn (T11-L2)
parasympathetic: pelvic splanchnic nerves (S2-S4)

Symp fibers feel pain from overdistention
para- proprioception of filling

Question 9

function of symp- on bladder

Answer 9

relax detrusor, contract internal sphincter of bladder

Question 10

function of parasymp on bladder

Answer 10

contract detrusor, relax internal sphincter of bladder

Question 11

Parts of male urethra

Answer 11

prostatic-
membranous-
spongy

Question 12

prostatic urethra - boundaries

Answer 12

from internal urinary sphincter to UG diaphragm

Question 13

membranous urethra - whats in it and boundaries

Answer 13

from prostate, pierces UG diaphragm

Cowpers (bulbourethral) glands are here [within the deep perineal space]

Question 14

spongy urethra - boundaries

Answer 14

from bulb of penis to tip where its dilated as fossa naviculars

the bulbourethral glads pierce the perinneal membrane, the bulb of penis to get to urethra here

Question 15

female urethra

Answer 15

anterior to vagina ,
located superiorly w/i the vestibule
external urethral sphincter located at inferior end of urethra as is passes the UG diaphragm

Question 16

vas deferens

Answer 16

carries sperm from tail of epydidimys to ejaculatory duct
within the spermatic cord and thru inguinal canal
pass over the ureters

Question 17

what forms the ejaculatory duct

Answer 17

the vas deferens and the duct of seminal vesicle

Question 18

seminal vesicle

Answer 18

make 60% of the semen ( no sperm tho)

Question 19

where do the ejaculatory ducts go

Answer 19

they pierce the prostate into the prostatic urethra

Question 20

prostate gland function and location

Answer 20

25% of volume of semen, milky white

walnut sized, located at neck of bladder

Question 21

support of bladder in males

Answer 21

puboprostatic ligaments

rectovesicle fascia

Question 22

support of vagina in female

Answer 22

pubocervical ligament

sacrocervical ligament

Question 23

arterial supply of prostate

Answer 23

inferior vesical

middle rectal arteries

Question 24

benign prostatic hypertrophy (lobe and what can happen)*

Answer 24

hypertrophy of middle lobe of prostate
can result in obstruction of internal urethral orifice
impedes urination which can result in cystitis

Question 25

prostatic cancer (lobe)*

Answer 25

posterior lobe | common metastasis are spinal column and coal bone= back pain

Question 26

A/P relationships of vagina above and below pelvic diapragm (relationship)

Answer 26

``` Anteriorly above: bladder below: urethra Posteriorly above: rectouterine pouch of douglas below: rectum ``` above pelvic diaphragm: in the pelvic cavity below pelvic diaphragm: in perinneum

Question 27

Lateral relationships of vagina (s / m / i)

Answer 27

superiorly: ureter middle: levator ani inferior: UG diaphragm

Question 28

Blood supply of vagina

Answer 28

superior: uterine middle: vaginal inferior: internal pudental

Question 29

importance of vaginal plexus of veins

Answer 29

drain into internal iliac but have connections with plexuses of bladder uterus and rectum

Question 30

innervation of vagina

Answer 30

superior: inferior hypogastric plexus inferior: pudental nerve

Question 31

which was is uterus bent

Answer 31

90 degrees anteriorly

Question 32

importance of suspensory ligament of uterus

Answer 32

contains ovarian neuromuscular bundle (VAN)

Question 33

Importance of transverse cervical ligament, AKA

Answer 33

AKA- Cardinal ligament | contains uterine neuromuscular bundle

Question 34

uterine artery branches | / importance

Answer 34

superiorly: anastomose with ovarian artery inferiorly-- vaginal artery the ureters run UNDER uterine artery and OVER vaginal artery

Question 35

abdominal ostium importance

Answer 35

opening into the peritoneal cavity direct communication to peritoneal cavity: way that vaginal/uterine/falopian infections can get to peritoneum

Question 36

ovarian fimbria

Answer 36

fimbria that attaches to ovary

Question 37

is ovary covered by peritoneum

Answer 37

NO so that oocyte can be released into peritoneal cavity (into fallopian tube) fimbria sweep ovary

Question 38

where does fertilization occur

Answer 38

ampulla of fallopian tube

Question 39

blood supply of fallopian tube

Answer 39

ovarian and uterine arteries which anastomose at mesosalpinx

Question 40

blood supply of ovaries

Answer 40

ovarian artery ( w/i suspensory ligament)

Question 41

venous supply of ovaries *

Answer 41

panpiniform plexus-- form ovarian vein (gonadal) R ovarian vein: into inferior Vena Cava L ovarian vein: into L renal vein