Part III: Pelvic Viscera pg 96-99 Flashcards
muscular tube spanning from kidney to urinary bladder that conveys urine
Ureter
How is urine moved through the ureter?
Peristalsis
The pelvic part of the ureter begins where?
Where is crosses beginning of external iliac Artery
Where does the ureter enter the urinary bladder?
The inferior aspect by passing obliquely through inferomedial wall
The ________ section of the ureter is compressed shut as urinary bladder fills to prevent urine reflux
Intramural
In females, what is the arterial supply to the pelvic part of the ureter?
Uterine A which branches from internal iliac A
NOTE: venous drainage is by veins of the same name
In males, what is the arterial supply to the pelvic part of the ureter?
Inferior vesicle A which branches from internal iliac A
NOTE: venous drainage is by veins of the same name
Lymphatic drainage of pelvic part of ureter is to what nodes?
Lumbar, common, external and internal iliac nodes
Sympathetic innervation of pelvic part of ureter?
T11-L2 via renal, aortic and hypogastric plexuses
Afferent pain fibers from the pelvic part of the ureter follow sympathetics to the corresponding spinal ganglia and spinal cord segments and refer pain to _______ dermatomes
T11-L3
Ipsilateral lower quadrant of abdomen and groin
Where is the empty urinary bladder located?
In the lesser pelvis posterosuperior to pubic bones
The urinary bladder is separated from the pubic bones by _______
Retropubic space
Is the bladder retroperitoneal, intraperitoneal or extraperitoneal?
Extraperitoneal
What forms the bladder bed?
- pubic bones
- obturator internus M
- levator ani M
- rectum (in males) or vagina (in females)
The urinary bladder is relatively free in extraperitoneal fat except at its _____.
Neck
Where is the urinary bladder located in infants?
Abdomen
Where is the urinary bladder located in children by the age of 6
Greater pelvis
Where is the urinary bladder located after puberty?
Lesser pelvis
The adult urinary bladder expands int the greater pelvis as it fills and way expand to what level?
To the level of the umbilicus
The Anterior end of the urinary bladder pointing toward superior edge of pubic symphysis
Apex
The central region of the urinary bladder
Body
The posterior convex wall of the urinary bladder.
Fund us
The narrowed inferior outflow region of the urinary bladder
Neck
The fundus of the urinary bladder is related to _____ in males?
Rectum
The fundus of the urinary bladder is related to _____ in females?
Vagina
The Irregular smooth muscle comprising most of urinary bladder wall
Detrusor M
The detrusor muscle thickens at the neck of the urinary bladder to form the involuntary _________.
Internal urethral sphincter
What is the function of the internal urethral sphincter?
Prevents urine from entering urethra
In males: prevents retrograde ejaculate from entering urinary bladder
The 2 ureter openings entering inferiomedially and 1 internal urethral opening exiting inferiorly forms what landmark in the urinary bladder?
Trigone
The rounded eminence in the middle of the trigone of the urinary bladder?
Uvula
NOTE: more prominent in men
Hypertrophy of what part of the bladder may lead to urinary obstructive problems?
Uvula
The peritoneal space in males between the urinary bladder and rectum
Rectovesical pouch