Male and Female Perineum Flashcards

1
Q
  • What forms the trigone of the urinary bladder?
  • What is the superior limit of the trigone?
  • What is the swelling at the posterior wall of the urinary bladder at the internal urethral orifice called?
A
  • Two ureteric orifices and internal urethral orifice
  • Interureteric fold-superior limit of the trigone
  • Uvula of the urinary bladder
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2
Q
  • _ muscle is the primary component of the wall of the urinary bladder and is surrounded by _ fascia
A
  • Detrusor
  • Vesical fascia (loose CT)
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3
Q
  • Parts of the urinary bladder and their locations
A
  • Apex-anterior portion
  • Body-between apex and fundus
  • Fundus-posterior part furthest away from internal uretheral orifice
  • Neck-tapers off into urethra
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4
Q
  • What are the parts of the male urethra?
A
  • Preprostatic urethra (in neck of urinary bladder)
  • Prostatic urethra (in prostate gland and communicates with prostatic utricle and ejaculatory duct)
  • Membranous urethra (short, through external uretheral sphincter
  • Spongy urethra (inside corpus spongiosum)
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5
Q
  • What are the parts of the prostatic urethra?
A
  • Urethral crest
    • Median ridge that swells in center of prostate gland as seminal colliculus and is surrounded on either side by prostatic sinuses)
  • Prostatic sinus
    • Space on either siode of seminal colliculus and urethral crest
      Accepts secretions from prostatic ductules
  • Seminal colliculis
    • Rounded mound on urethral crest and has slit openings
      • Prostatic utricle (small blind end pouch on seminal colliculus-remnant of uterovaginal canal)
      • Openings for ejaculatory ducts
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6
Q
  • Where is the spongy urethra located?
  • What are the components of the spongy urethra?
A
  • Corpus spongiosum
    • Intrabulbar fossa
      • Internal expansion of spongy urethra in bulb of penis
      • Receives secretions from bulbourethral glands
    • Navicular fossa
      • Internal expansion of spongy urethra in glans penis
    • Urethral glands
      • Mucus secreting glands that empty directly into spongy urethra
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7
Q
  • Rectum
    • Transverse rectal folds
    • Anorectal flexure
    • Ampulla
A
  • Transverse rectal folds
    • Three, superior middle and inferior of mucosa and submucosa layers
    • Anorectal flexure
      • At levator ani muscles
      • Important for fecal continence
    • Ampulla
      • Holds fecal mass until defecation
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8
Q
  • Anal canal
    • Anal columns
    • Anal valves
    • Anal sinuses
A
  • Anal columns
    • Ridges that run longitudinally
    • Contain terminal branches of superior rectal a. and v.
  • Anal valves
    • pockets in mucosa that define anal sinuses
    • Exist at inferior ends of anal columns
  • Anal sinuses
    • Small recesses, when compressed, exude mucus to aid in evacuation of anal canal
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9
Q
  • Penile raphe
  • Scrotal raphe
  • Perineal raphe
A
  • Midline skin fold between glans penis and scrotum
  • Midline skin fold between penile raphe and perineal raphe
  • Midline skin fold between scrotal raphe and anus
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10
Q
  • Ductus deferens
A
  • Muscular tube
  • Conveys sperm
  • Continuation of duct of epididymis
  • Begins at tail of epididymis
  • Travels thru inguinal canal as part of spermatic cord
  • Enters pelvis
  • Swells to ampulla of ductus deferens and joins with ducts of seminal vesicles to form ejaculatory duct
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11
Q
  • _ of the ductus deferens is the part closest to the ejaculatory duct
A
  • Ampulla
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12
Q
  • Deferentectomy/Vasectomy
A
  • Ligation and or excision of ductus deferens thru incision in superior scrotum
  • Rendering ejaculation of spermatozoa
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13
Q
  • Testicular artery branches directly off of _ and supplies testis
  • Pampiniform venous plexus drains into _ vein
  • _ innervates the cremaster m.
  • Lymphatics of the spermatic cord drain into _ lymph nodes
  • Artery of ductus deferens comes from _ vessel
  • Cremasteric a. comes from _ and supplies cremaster m.
  • _ nerve produces anterior scrotal nerve
A
  • abdominal aorta
  • testicular
  • Genital branch of genitofemoral n.
  • Lumbar
  • Inferior vesical a.
  • Inferior epigastric a.
  • Ilioinguinal n.
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14
Q
  • Layers of the Scrotum (superficial to deep)
A
  • Skin
  • Dartos fascia
  • Dartos m.
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15
Q
  • Layers of the spermatic cord (superficial to deep)
A
  • External spermatic fascia (from external oblique aponeurosis)
  • Cremasteric fascia (from internal oblique aponeurosis)
  • Internal spermatic fascia (from transversalis fascia)
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16
Q

Layers of the testis

A
  • Tunica vaginalis
    • Parietal layer-adherent to internal spermatic fascia (from parietal peritoneum)
    • Visceral layer-adherent to tunica albuginea (from visceral peritoneum)
      • Sinus of epididymis-small recess in visceral tunica vaginalis between epididymis and testis
  • Tunica albuginea
    • Fibrous coat adherent to testis
17
Q
  • Parts of the testis
A
  • Seminiferous tubules
  • Straight tubule
  • Rete testis
  • Septum
18
Q
  • _ fascia surrounds the erectile tissue and deep vasculature of the penis (made of deep perineal fascia)
A
  • Deep fascia of penis
19
Q
  • Regional organization of the penis
A
  • Root
    • Attached
    • Includes:
      • Bulb
      • Crura
      • Bulbospongiosus m. and ischiocavernosus m.
  • Body
    • Free
    • Includes:
      • CT
      • Paired corpora cavernosa
      • Corpus spongiosum
      • Spongy urethra
  • Glans penis
    • Distal expansion
    • Continuous with corpus spongiosum proximally
20
Q
  • What makes up the ventral cylinder of penile erectile tissue (central, unpaired from proximal to distal)
A
  • Bulb of penis (erectile tissue at root of penis-continuous with corpus spongiosum)
  • Corpus spongiosum (transmits spongy urethra)
  • Glans penis
    • Corona of glans penis
    • Neck of glans (separation of body and glans penis)
21
Q
  • What makes up the dorsal cylinder of penile erectile tissue (paried, from proximal to distal)?
A
  • Crura of penis
  • Corpus cavernosum
    • House deep a. of penis
22
Q
  • Prepuce
A
  • Skin and fascia of the penis that covers glans penis
23
Q
  • Prostate gland
A
  • Largest accessory sex gland
  • Prostatic fluid (20% seminal)
  • Prostatic ducts (convey prostatic fluif from parenchyma of gland to prostatic sinus)
24
Q
  • Seminal vesicles
A
  • Paired elongated structure between urinary bladder and rectum
  • Secretes fluid that becomes part of ejaculatory sperm
25
Q
  • Ejaculatory ducts
A
  • Formed from joining of seminal vesicles and ampulla of vas deferens
  • Near neck of urinary bladder
  • Empty into prostatic urethra thru paired opening on seminal colliculus (on either side of prostatic utricle)
26
Q
  • Bulbourethral glands
A
  • Pea sized glands
  • Posterolateral to membranous urethra
  • Produce mucus substance during sexual arousal
  • Duct of bulbourethral glands conveys bulbourethral secretions to intrabulbar fossa of spongy urethra