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Renal Anatomy > Prostate Bladder Perineum > Flashcards

Prostate Bladder Perineum Flashcards

1
Q

Primary site of venous drainage of the urinary bladder

A

Vesicoureteric venous plexus

Rich venous plexus around the bladder draining into the internal iliac vein

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2
Q

Blood supply of the bladder

A
  • Superior vesicle arteries
  • Inferior vesicle arteries

( which are branches of anterior division of IIA )

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3
Q

Lymphatic drainage of parts of Urethra

A

Prostatic urethra - Internal iliac node

Membranous urethra - Internal iliac node ( shortest )

Bulbous urethra - Deep inguinal node

Spongy urethra - Deep inguinal node ( longest )
( penile urethra )

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4
Q

First site of resistance to be encountered on insertion of cathetar ?

A

Membranous urethra

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5
Q

Longest part of male urethra

A

Spongy urethra

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6
Q

Shortest part of male urethra

A

Membranous urethra

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7
Q

Which part of male urethra is entirely surrounded by Bucks fascia ?

A

Spongy urethra

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8
Q

As the cathetar enters prostatic urethra ! What changes will occur ?

A

Resistance will decrease

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9
Q

Lymphatic drainage of female urethra

A

Internal iliac nodes

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10
Q

Blood supply of prostate

A

Inferior vesicle artery ( IIA )

IIA > Internal pudendal , Inferior gluteal artery > Prostato vesicle artery > Inferior vesicle

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11
Q

What nerves passes through the greater sciatic foramen and innatvates the perineum ?

A

Pudendal nerve

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12
Q

Genital branch of genitofemoral nerve exit the abdominal cavity via ?

A

Deep inguinal ring

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13
Q

If there is an injury to the junction of membranous urethra to the bulbar urethra , in which direction is the extravasated urine most likely to pass ?

A

Anteriorly into the connective tissue surrounding the scrotum

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14
Q

Contents of superficial perineal pouch in male

A
  1. Bulbospongiosus
  2. Ischiocavernosus
  3. Anal sphincter
  4. Deep trasnsverse perineal
  5. Superficial transverse perineal
  6. Pelvic diaphragm / Levator ani muscle
  7. Obturator internus
  8. Perineal body
  9. Ano-coccygeal body
  10. Sacrum & Coccyx
  11. Ischial tuberosities
  12. Sacrotuberous ligament
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15
Q

Venous drainage of prostate

A

Prostatic venous plexus

to paravertebeal veins

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16
Q

Lymphatic drainage of prostate

A

Internal iliac nodes

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17
Q

Contents of deep perineal pouch

A
  1. Deep transverse perineal m/s ( UG diaphragm )
  2. Urethra
  3. Sphincter urethrae
  4. Urethreal artery
  5. Vagina
  6. Dorsal nerve of penis
  7. Pudendal A
  8. Pudenal N
18
Q

Nerve responsible for faecal & urinary continence

A

Pudendal nerve

19
Q

Nerve providing voluntary control of urethral sphincter

A

Pudendal nerve

20
Q

Nerve value of external urethral sphincter

A

S2 S3 S4

21
Q

Pudendal nerve root value

A

S2 S3 S4

22
Q

Nerve root value of external anal sphincter

A

S2 S3 S4

23
Q

Which nerve should be anaesthetised for Epiosiotomy ?

A

Pudendal nerve

24
Q

Nerve injured causing symptoms of faecal incontinence

A

Pudendal nerve

S2 3 4
Keeps the poo off the floor

25
Q

In non-descended testes what is the main structure that determines the descent part of the testes ?

A

Gubernaculum

26
Q

Lymphatic drainage of female reproductive organs

A

Ovary

  • Para-aortic nodes

Uterus

• Horn - superficial inguinal
• Upper - Para-aortic
 ( fundus )
• Body - External iliac
  ( mid )
• Cervix - Internal iliac , Sacral

Vagina

  • Superior - Iliac ( External , Internal )
  • Inferior - Superficial Inguinal
27
Q

Lymphatic drainage of ovaries

A

Para-aortic

28
Q

Lymphatic drainage of superior part of Vagina

A

Internal & External iliac

29
Q

Lymphatic drainage of inferior aspect of vagina

A

Superficial inguinal

30
Q

Lymphatic drainage of Uterus body

A

External iliac

31
Q

Most important stucture supporting the uterus

A

Central perineal tendon

32
Q

Autonomic supply to the penis

A

Hypogastric plexus of nerves

33
Q

Lymphatic drainage of scotum

A

Inguinal nodes

34
Q

Cremasteric reflex

A

Reflex - Genitofemoral nerve ( L1 , L2 )

35
Q

Iliohypogastric / Ilioinguinal nerve root

A

L1

36
Q

Layers of Scrotum

A
  • Skin
  • Dartos m/s
  • External spermatic fascia ( EO )
  • Cremasteric fascia ( IO )
  • Internal spermatic fascia ( TF )
37
Q

Outermost layer of spermatic cord derived from

A

External oblique aponeurosis

form external spermatic fascia

38
Q

IMV drains into ?

A

Splenic vein

Splenic V + SMV = Portal vein > Hepatic vein > IVC

39
Q

Contents of spermatic cord

A

3 arteries

  • Testicular artery
  • Cremasteric artery
  • artery to Vas

3 nerves

- genital branch of genitofemoral nerve
  ( to cremasteric m/s )
- sympathetic nerves
- Ilioinguinal nerve 
  ( actually lies on the cord , not within it )

3 others

  • Vas Deferens
  • Panpiniform plexus
  • Lymphatics
40
Q

Innervation of Anterior & Posterior scrotal skin

A

Anterior skin of Scrotum
- Ilioinguinal nerve

Posterior skin of Scrotum
- Pudendal nerve

41
Q

Obturator nerve root

A

L2 , L3 , L4

Renal Anatomy (3 decks)

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