Male Reproductive Wk11 Flashcards

1
Q

Identify the peritoneal reflections over the male
urogenital system

A

Anterior abdominal wall –> bladder –> rectum

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2
Q

Retrovesical

A

Lowest space behind the bladder - UG system can be accessed - reaches the prostate gland during surgery

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3
Q

What are the roles of the sphincters?

A

involuntary and voluntary sphincters control outflow
of bladder (gender differences)

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4
Q

Internal urethral sphinter is what kind of muscle?

A

Smooth

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5
Q

External Urethral sphincter is what muscle?

A

Skeletal

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6
Q

In the urethra what structures can we see?

A

Urethral crest and urethral sinuses, seminal colliculus –> ejaculatory duct openings

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7
Q

Semen and prostatic secretions empty into what?

A

Prostatic urethra

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8
Q

Transurethral resection is important surgical site why?

A

Transurethral resection now used to spare nerves
involved in micturition and erection

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9
Q

Benign prostatic hyperplasia

A

Enlarged prostate impacts the transitional zone of prostate
* Increased urinary frequency & urgency
* Difficult in the initiation of micturition
Compression of bladder and urethra

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10
Q

Anterolateral Abdominal Wall consists of what?

A
  • Rectus Abdominus
  • External oblique
  • Internal oblique
  • Transverse abdominus
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11
Q

Why is abdomen important for spermatic cord?

A

Gonads descend
through ant.
abdominal wall to
scrotum- site
of weakness in
ant abdominal
wall (herniation)
* deep & superficial
inguinal rings and
the inguinal canal
* when abdominal
mm. contract
pressure on
spermatic cord

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12
Q

Inguinal hernia

A

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles.

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13
Q

Scrotum

A

Pouch from ant abdominal wall

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14
Q

What muscles are important for teste function?

A

Cremaster and dartos mm.

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15
Q

What is the scrotum fascia?

A
  • Tunica vaginalis
  • Tunica albuginea
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16
Q

Tunica albuginea covers?

A

Seminiferous tubules and the testes

17
Q

The penis has 3 cylinders of eretile tissue what are they?

A
  • two corpora cavernosum - crus attached to pubic arch
  • corpora spongiosum expands to form glans & transmits
    urine and ejaculate
18
Q

What is the function of the penis?

A

common outlet for urine & seminal fluid

19
Q

Each cylinder of erectile tissue is surrounded by?

A

Semi-elastic sheath

20
Q

What is the anatomical position for the penis?

A

in erectile position

21
Q

What are the 2 arteries of the penis?

A

Dorsal and deep arteries

21
Q

What Muscles in male perineum are important for penile function?

A

Fundiform (linea alba) & suspensory ligs (pubic symphysis) - used for support

22
Q

Ischiocavernosus muscle does what?

A

Compress crus, helps maintain &
stabilize erection

23
Q

Bulbospongiosus muscle helps with?

A

Helps empty urethra after urination, compress erectile tissue, contraction during ejaculation, helps expel semen

24
What is the nerve that innervates the male genitals?
Pudendal nerve (S2-S4)
25
What is the blood supply for the male genitals?
Pudendal artery (internal iliac a)
26
What is the veins for the male genitals?
Deep dorsal vein Prostatic venous plexus Internal pudendal v (internal iliac v --> IVC)
27
Parasympathetic innervation in sexual response
* Vasodilation (erection) * Secretions * Smooth muscle relaxation
28
Sympathetic innervation
Peristalsis of ductus deferens, seminal glands – seminal fluid to prostatic urethra;
29
Pudendal nerves causes
Contraction of bulbospongiosis
30
What chemical innervates through?
Nitric Oxide
31
Bulbospongiosis & Ischiocavernosis is under what control?
Somatic nervous system - impedes venous outflow
32