Pelvis and Perineum Flashcards

1
Q

1) What is the pelvis (region)?
2) what does it consist of?
3) What is the osseous pelvis?
4) What does the pelvic viscera include?
5) What are the pelvic cavity boundaries?

A

1) caudal region of trunk
2) pelvic viscera within a pelvic cavity bounded on 5 sides
3) sacrum (axial) + os coxae of each side (append)
4) rectum and anal canal; distal ureters, urinary bladder and urethra; male or female genitalia; blood vessels, lymphatics and nerves
5) cranial opening - pelvic inlet (opening) bounded by sacrum, ilium and pubis

cavity walls - osseus pelvis + obturator and gluteal mm and sacrotuberous ligament

caudal boundary - perineum

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2
Q

What is the perineum?

A

botha region and the caudal wall of pelvic cavity

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3
Q

1) describe the perineum as a region
2) describe the perineum as a caudal wall

A

anus to scrotal attachment or vulva (bound dorsally in tail; between ischiatic tuberosities (bound laterally)

2) muscles, fascia and skins surrounding anal canal and urogential tract

includes 5 parts = pelvic diaphragm, urogenital diaphragm, external anal sphincter m, genital striated m and smooth mm

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4
Q

1) What is the pelvic diaphragm composed of?
2) What is the urogenital diaphragm composed of?
3) What is the difference in cat involving external anal sphincter m?
4) What are the genital striated mm in the female and male?
5) What does the smooth mm include?

A

1) levator ani and coccygeus mm and associated fascia (prevent things from coming out)
2) external urethral sphincter (urethralis m - striated) and assoc deep fascia
3) involved in voluntary fecal continence and in the cat, part of it comes down as levator scrotis - holds down gonads when running (no cremaster muscle)
4) male - bulbospongiosus m and paired ischiocavernosus mm

female - constrictor vestibuli, constrictor vulvae and ischiocavernosus mm

5) innervated by VE neurons, rectococcygeus m (anchors rectum) and retractor penis/clitoris m

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5
Q

1) What are the parts of the urinary bladder? (name ligaments too)
2) What’s the trigone?
3) Describe female and male urethra
4) Define micturition

A

1) apex, body, neck; 2 lateral ligaments and 1 median ligament

region of neck demarcated by ureters and urethra

3) female - termianates in vestibule (external urethral opening)

male - pelvic urethra (prepostatic (cat only), prostatic and postprostatic regions) and penile urethra

4) urination

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6
Q

Describe the muscles involved in micturition and their functions

A

1) Detrusor m = smooth muscle (VE) coat of apex and body of urinary bladder

innervated by pelvic nerve and is used for micturition

2) internal urethral sphincter = smooth m, innervated by hypogastric nerve; fns in all day use

female - vesical neck and cranial half of urethra

male - neck (dog); neck and preprostatic urethra (cat)

3) external urethral sphincter = urethralis m (striated - voluntary); innervated by pudendal nerve; for immediate response

female - caudal half of urethra

male - postprostatic urethra)

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7
Q

What occurs with urine storage?

What happens with spinal injury patients (paraplegics)

A

sphincters active via spinal reflexes and detrusor m inhibited

  • internal sphincter exerts tonic activity after bladder is half full
  • external sphincter is activated voluntarily or flexly during phasic pressure increase

can’t completely empty bladder –> more susceptible to cystitis

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8
Q

1) What is the vulva composed of?
2) What is present ventrally

A

1) left and right labia which bound a vulval cleft –> constrictor vulvae m (striated) is in each labial wall
2) an indentation, fossa of clitoris

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9
Q

1) Where is the clitoris located?
2) What is it a homologue to in the male?
3) What is it composed of?

A

1) deep (cranial) to fossa of clitoris
2) penis
3) glans = erectile tissue

body = fat in a CT capsule

crus = scant erectile tissue enclosed in fibrous CT

-covered by ischiocavernosus m

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10
Q

1) Where is the vestibule located?
2) What opening is found in vestibule?
3) What is it composed of?

A

1) extends from vulval cleft to transverse fold (hymen) that marks vestibulo-vaginal junction
2) external urethral opening (on a tubercle in dog, in a slit in cat)
3) constrictor vestibuli m (striated) is in the wall as well as vestibular glands (mucous)
- in dog, the wall also contains vestibular bulbs (accumulation of erectile tissue)

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11
Q

1) Where is the vagina located within the female genital tract?
2) What does it display when not expanded?

A

1) extends from vestibue to a fornix at level of cervix (uterus)
2) longitudinal folds

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12
Q

1) What are the three parts of the uterus?

A

1) cervix - short, thick muscular wall (narrow canal)
2) body - relatively short in carnivores
3) Uterine horns - paired, relatively long

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13
Q

1) What are other names for the uterine tube?
2) where is it located?
3) What does it terminate in?
4) What does Ovary contain?
5) What does ovary produce?

A

1) oviduct, fallopian tube
2) exits laterally from uterine horn; terminates medial to ovary
3) in funnel-shaped infundibulum that has fimbrae (catches ovulated oocytes)
4) ova
5) hormones (estrogen and during pregnancy, progesterone)

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14
Q

1) Where is scrotum situated?
2) What is the scrotum?
3) Describe the parts of the spermatic fascia
4) Where does cremaster muscle extend?
5) What does the dartos m form?

A

1) between penis and anus
2) cutaneous pouch - comprised of smooth smooth cutaneous dartos muscle
3) internal = fibrous membrane bound to parietal vaginal tunic

external = loose areolar CT within dartos

4) from internal abdominal oblique m and attaches to internal spermatic fascia
5) scrotal septum

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15
Q

1) What do the testes produce?
2) What coats it?
3) What do teh seminiferosu tubules connect to?

A

1) spermatozoa and testosterone
2) tunica albuginea (thick, white, CT capsule) and enveloped by visceral vaginal tunic –> vaginal cavity –> parieta vaginal tunic –> internal and external spermatic fascia –> dartos muscle –> skin
3) the rete testis (delivers sperm out)

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16
Q

1) What occurs in epididymis?
2) Name the parts
3) What is the pathway of the sperm out?
4) name the two ligaments
5) what is epididymis continuous with?

A

1) spermatozoa storage and maturation
2) single coiled duct: head, body and tail
3) head –> body –> tail –> ductus deferens
4) proper ligament of the testis - attaches tail of epididymis to testis (homologue with proper ligament of ovary)

ligament of the tail of the epididymis - attaches tail of epididymis to scrotum

5) ductus deferens

17
Q

1) What is ductus deferens covered by?
2) where does it run?
3) What is included in spermatic cord?

A

1) enveloped by visceral vaginal tunic connected to mesoductus deferens
2) traverses inguinal canal, penetrates prostate adn empties into urethra at the colliculus seminalis
3) ductus deferens + testicular vessels + vaginal tunics and spermatic fascia

18
Q

1) What is the function of the accessory genital glands?
2) Name the glands

A

1) contribute to seminal fluid to ejaculate
2) prostate (all males)

bulbourethral glands (paired at ischial arch - cat only)

vesicular glands (seminal vesicles) - neither dog or cat

19
Q

1) What are the regions of the penis?
2) What is the penis composed of?
4) Name the extrinsic penile muscles

A

1) root (contains bulb and crus of penis), body and free part
2) penile urethra, erectile tissue and extrinsic muscles (at root)
4) bulbospongiosus m - unpaired; covers bulb of penis

ischiocavernosus mm - paired, covers crus of penis

ischiourethralis mm - paired; inserts on ring around dorsal vein of penis

retractor penis mm - paired but together at midline; smooth muscle

20
Q

3) Name the three bodies of erectile tissue

A

3) corpus spongiosum - unpaired; surrounds urethra, begins at bulb of penis at root (contracts to increase pressure)

corpus cavernosum - paired, main erectile organ (fibroelastic tunica albuginea –> contributes to making penis rigid)

-forms crus of penis at root - attaches to ischial arch and is covered by ischiocavernosus m and eventually replaced by os penis within free portion

glans (corpus spongiosum glandis):

dog - pars longa glandis and pars bulbus glandis (covers free portion)

cat - glans thin and distal (proximal skin has penile spines - cornified papillae)

21
Q

What is the prepuce?

A

cutaneous sheath which contains free part of penis

22
Q

Describe process of erection (dog)

A

controlled by parasympathetic NS

  • arerial vasodilation adn venous constriction –>

inflow exceeds outflow and blood accumulates –>

pressure increases within fibroelastic capsules of erectile bodies –> starts to swell

pressure compresses internal veins (further impede outflow)

contraction of extrinsic penile mm (bulbo and ischio) force blood into erectile tissues

ischiourethralis m constricts dorsal vein to expand pressure within glans

after intromission –> dorsal vein of penis is constricted –> impedies venous return from glans –> bulbus glandis expands –> “tie” during copulation

23
Q

Describe process of ejaculation

A

controlled by sympathetic pathway

contraction ductus deferens, smooth m in prostate (contribute seminal fluid) and other glands, and internal urethral sphincter (prevent urine contaminatino of ejaculate)

also urethralis ma nd extrinsic penile mm contract to propel ejaculate along urethra