Pelvic Contents

Question 1

Female Peritoneum

Answer 1

Question 2

Male Peritoneum

Answer 2

Question 3

Bladder

Answer 3

Partial covering of peritoneum - stuck against pubic bones

Transitional epithelium and rugae

Rises into suprapubic region as it fills

Apex is posterior to the pubic symphysis

Question 4

Trigone

Answer 4

Triangular base of bladder - internal area of smooth mucous membrane

Urethra exit and ureters enter at trigone

Sphincter vesicae not complete

Question 5

Prostate and urogenital diaphragm

Answer 5

Question 6

Bladder Supply

Arteries, veins and nerves

Answer 6

2x superior arteries and inferior vesical from each side - corresponds to vaginal in females

Vesical plexus of veins

ANS inferior hypogastric plexus

Question 7

Lymphatic Drainage of Bladder

Ureter

Answer 7

Lumbar, common iliac, external iliac, internal iliac nodes as they descend towards bladder

Question 8

Lymphatic Drainage of Bladder

Urinary bladder

Answer 8

Main drainage to internal iliac nodes (some superior to external iliac and some lymph from neck to sacral nodes)

Question 9

Lymphatic Drainage of Bladder

Urethra

Answer 9

Main drainage to internal iliac.

Males: Spongy urethra to deep inguinal

Females: Some to sacral nodes

Question 10

Rectum

Answer 10

Upper 1/3 covered by visceral peritoneum, middle 1/3 by peritoneum on anterior surface and lower 1/3 is infraperitoneal.

3rd sacral vertebra to tip of coccyx

Question 11

Rectum

Answer 11

Question 12

Rectum Supply

Arterial

Answer 12

Superior rectal artery (from inferior mesenteric)

Middle rectal artery (from internal iliac)

Inferior rectal artery (from internal pudendal)

Question 13

Rectum Supply

Veins

Answer 13

Superior (to portal)

Middle ( to internal iliac)

Inferior (to internal pudendal)

Question 14

Rectum Supply

Lymph

Answer 14

Pararectal to inferior mesenteric and internal iliac

Question 15

Rectum Supply

Nerve

Answer 15

Inferior hypogastric plexus

Question 16

Lymphatic Drainage of Rectum

Superior rectum

Answer 16

Aortic nodes at L3 (inferior mesenteric)

Question 17

Lymphatic Drainage of Rectum

Inferior rectum

Answer 17

Internal iliac nodes

Question 18

Lymphatic Drainage of Rectum

Anal canal superior to pectinate line

Answer 18

Internal iliac nodes

Question 19

Lymphatic Drainage of Rectum

Anal canal inferior to pectinate line

Answer 19

Superficial inguinal nodes

Question 20

Uterus - Broad Ligament

Answer 20

Big sheet formed in middle and either side of body of uterus. Overy sits on posterior surface.

Carries nerves, vessels and lymphatics mostly

Question 21

Uterus Features

Answer 21

Question 22

Cervix

Answer 22

Question 23

Uterine Tube

Answer 23

Isthmus is a small, narrowed area

Question 24

Uterine Ligaments

Answer 24

Question 25

Orientations of Uterus

Answer 25

Question 26

Ovaries

Attachment

Answer 26

To back of broad ligament by mesovarium

Question 27

Ovaries

Arterial supply

Answer 27

From abdominal aorta (ovarian artery at L2)

Question 28

Ovaries

Venous drainage

Answer 28

Ovarian vein to IVC on R and left renal vein on L

Question 29

Ovaries

Nerve

Answer 29

Aortic plexus

Question 30

Uterine Ligaments

Answer 30

Question 31

Arterial Supply to Uterus

Answer 31

Question 32

Uterine Lymphatics

Answer 32