male pelvic viscera

Question 1

what structures extends from the apex of the bladder

Answer 1

median umbilical ligament which is a remnant of the urachus

Question 2

what structure is found on the bladder base

Answer 2

the trigone, between the ureteric orifices and the bladder neck

Question 3

what are the relations of the bladder

Answer 3

ilium, sigmoid, rectovesical pouch, rectum, seminal vesicle

Question 4

what is the venous drainage of the bladder

Answer 4

plexus on inferiolateral surface of the bladder, drains to internal iliac veins via vesicle veins

in the male also to the prostatic plexus that also drains to the internal iliac and internal vertebral venous plexus

Question 5

what is the lymph drainage of the bladder

Answer 5

mainly to nodes on external iliac artery

Question 6

what is the nerve supply of detrusor

Answer 6

p’symp derived from the pelvic splanchnic nerves

Question 7

what is the nerve supply to the preprostatic sphincter

Answer 7

symp.

T12, L1, 2

Question 8

what is the secretion of the prostate

Answer 8

slightly acidic seminal secretion, acid phosphatase, amylase, post spc antigen, fibrinolysin

Question 9

how far above the pubic symphysis is the bladder when full

Answer 9

5-7 cm

Question 10

what are the surfaces of the bladder

Answer 10

superior (posterior)
inferolateral x2
base(trigone)

Question 11

what is the base of the bladder related to

Answer 11

prostate gland

sits on the pelvic floor

Question 12

where is the bladder neck

Answer 12

3-4 cm behind the pubic symphysis

male has a preprostatic sphincter

Question 13

what ligaments support the bladder

Answer 13

pubovesical in the female

puboprostatic in the male

Question 14

what are fascial condensations

Answer 14

where fascia joins to form a supportive ligament

Question 15

what is the blood supply of the bladder

Answer 15

internal iliac anterior trunk
superior vesical
inferior vesical/ vaginal
(obturator and inf gluteal)

Question 16

what 3 plexuses are found in the bladder

Answer 16

mucosa
muscle
serosa

Question 17

what is the lymph drainage of the bladder

Answer 17

external iliac artery mainly

Question 18

what is the nerve supply of the bladder

Answer 18

anterior part of pelvic plexus that passes the rectum to reach the bladder creating a surgical risk

Question 19

what is the nerve supply to detrusor

Answer 19

pelvic splanchnics S234 that reach detrusor via the pelvic plexus

Question 20

what is the nerve supply to the internal sphincter

Answer 20

sympathetic

from T12, L1,2 via pelvic plexus

Question 21

what fascia will trap urinary extravasation

Answer 21

scarpa’s and colles’

lower abdo, thighs, penis and scrotum
no further back than the perineal body

Question 22

what urethra is found in the bulb of the penis

Answer 22

spongey

Question 23

where does the preprostatic sphincter end

Answer 23

upper aspect of veru montanum

Question 24

what are the relations of the prostate

Answer 24

denonvillier’s fascia and rectum
pubic symphysis and venous plexus
pelvic floor

Question 25

what part of the prostate is fibromuscular

Answer 25

anterior

Question 26

what prostate zone contains ejaculatory ducts

Answer 26

central

Question 27

what zone is around the urethra and is the site of BPH

Answer 27

transition

Question 28

what zone is around the transition zone is is most likely to get cancer

Answer 28

peripheral

Question 29

what is the blood supply of the prostate and urethra

Answer 29

inferior vesicle

Question 30

what is the blood supply of the female urethra

Answer 30

utero vaginal and internal pudendal

Question 31

what are batson plexuses

Answer 31

valveless veins of the vertebral plexuses

Question 32

what is the lymph drainage of the prostate and proximal urethra

Answer 32

internal iliac nodes

Question 33

what is the nerve supply of the prostate

Answer 33

S2,3,4,
pudendal nerve and perineal branches

sympathetics from L1 and 2 via sup hypogastric plexus to pelvic plexus

p’symp to pelvic plexus

Question 34

what does the M centre in the pons stimulate

Answer 34

preganglionic p’symp neurones - s2-4

Question 35

where are the secondary neurones found

Answer 35

bladder wall ganglia