Repro: Male Manual Flashcards
Part of the prostate that is continuous to the neck of the bladder
Base
Lies inferior to neck of Urinary Bladder and is the most inferior aspect of pelvic cavity
Prostate gland
Part of the prostate which is in contact with a combination of fascia and muscle found in perineum and rests on the pelvic fascia and levator ani muscle
Apex
Anterior surface of prostate, separated from pubic bone by
Retropubic space
Prostate is in contact laterally with
Levator ani muscle
Posterior surface of the prostate is in contact with the most inferior part of the ______, this relation is important for it can be palpated by a finger placed in the rectum through the anal canal.
Rectum
The most important aspect of prostate is the part , penetrated by _______ from _____ to _____.
Urethra. Apex. Base.
Exhibits a midline crest, posteriorly, in the middle of which is a depression. This blind sac is the _______, which corresponds to vagina in female.
Prostatic urethra. Prostatic utricle.
The prostate gland produce ______ material which at the time of sexual excitement emptied into the urethra by several openings.
Alkaline
Stimulate the prostatic gland musculature during ejaculation
Sympathetic fiber from L1-L2
The arteries of the prostate gland are from branches of _______ & ______ braches of ________ arteries.
Inferior vesical. Middle rectal. Internal Iliac.
The venous plexus of the prostate empty into the
Internal iliac vein
Common after middle age
Hypertrophy of the prostate
Prostate may be examined by
DRE
Affects a high proportion of older men and is a common cause of urethra obstruction leading to urgency, nocturia and dysuria.
Benign prostatic hypertrophy
Need to void during night
Nocturia
Difficulty/Pain during urination
Dysuria
Sudden desire to void
Urgency
Is common in men older than age 55.
Prostatic cancer
Removal of the prostate
Prostatectomy
An instrument that is inserted through the external urethral orifices and spongy urethra into the prostatic urethra.
Restoscope
The prostate gland is divided into
Two lateral and One middle lobes
The duct that conveys the products of the testis and epididymis from scrotum to pelvis
Vas deferens
Vas deference begins at the _______. Runs upward at the back of _______. Meets other contents of spermatic cord and ascends from scrotum to _______ then traverse the inguinal canal, to deep inguinal ring. To lateral pelvic wall to posterior surface of Urinary bladder.
Lower end of epididymis. Testis. Superficial inguinal ring.
The vas deferens then curves medially above _______ to end behind neck of bladder by joining the duct of seminal vesicle to form _______.
Seminal vesicle. Ejaculatory duct.
The part behind the bladder is dilated and is called _______ where some of the sperms are deposited and become mature in this portion.
Ampulla
Sympathetic fibers of vas deferens are from these and are responsible for contraction of smooth muscle fiber during ejaculation.
L1 & L2
Parasympathetic fibers of the vas deferens are from these which probably serve to inhibit the sympathetic impulses.
S2,S3 & S4
Veins of the prostate drain into
Pelvic venous plexus
Common method of sterilizing males through ligation is
Deferentectomy/Vasectomy
Is vasectomy reversible or not
Reversible (pxs under 30 y/o & 7 yrs postoperation)
Lobulated sac which is blind at one end and joins with the distal end of the vas deferens to form ejaculatory duct at the other end.
Seminal vesicle
Length of seminal vesicle
2 inches
Diameter of seminal vesicle
1/2 inch
Seminal vesicle is above the _____ and lateral to _________.
Prostate gland. Ampulla of vas deferens.
Anterior portion of the seminal vesicle is attached to the
Bladder
Posterior portion of the seminal vesicle is in contact with
Rectum
Laterally the seminal vesicle is in contact with
Levator ani
Contain an alkaline materials secreted by mucosa of this organ
Seminal vesicles
The combined fluid enter the prostatic urethra via the
Ejaculatory ducts
These are involved in the contraction of smooth muscle component of the seminal vesicle during ejaculation
Sympathetic fibers from L1 & L2
Localized collection of pus
Abscess
Very slender tube formed by the union of vas deferens and duct of seminal vesicle
Ejaculatory duct
Length of ejaculatory duct
Less than 1 inch
In testis, usually the left gland is ______ than right.
Right
Spermatozoa produced by seminiferous tubules in these lobe enter the head of epididymis. First enter the straight tubule. These tubules form a network of tubule called
Rete testis
Is joined to the head of epididymis be ductus efferentes
Rete
The artery of the testis is the _______ from abdominal aorta.
Testicular artery
The veins of testis form ________ and drain to ______ on left side and ____ on the right.
Pampiniform plexus. Renal vein. IVC.
The nerves from and to the testis are visceral afferent and efferent arising from
10th & 11th thoracic segment of SC
In the early months of intrauterine life, the testis lie in the upper posterior portion of
Abdominal wall
Beginning 3rd month owing to growth changes which have occurred, testes is found in the
Iliac fossa
The testes projects forward into the peritoneal membrane called
Mesorchium
At seventh month the testes is forced lying immediately above
Inguinal ligament
A diverticulum that is projected through the inguinal posterior of the abdominal wall into the scrotum, by its passage, it produces the inguinal canal.
Processes vaginalis
During 8th month the testes reached the ________, during the ninth month it comes to rest near the lower end of the _______.
Superficial inguinal ring. Scrotum.
Causes the descent of the testis by traction from below produced by musculo-fibrous cord which develops in the inguinal part of abdominal wall and is attached inferiorly to the tissues of scrotum and superiorly to the testis and adjacent peritoneum.
Gobernaculum
Long rounded bundle that extends from deep inguinal ring to scrotum. Formed by BV, nerves, lymph vessels & vas deferens.
Spermatic cord
Tubular sheath that us derived from aponeurosis of external oblique
External spermatic fascia
Tubular sheath that us derived from lower fiber of internal oblique
Cremaster muscle & fascia
Tubular sheath that us derived from transversalis fascia
Internal spermatic fascia
A pendulous purse-like arrangement of skin and fascia for the lodgment of the testis
Scrotum
The scrotum has ruddy tint which is due to the presence of involuntary muscular fibers called
Darto’s muscle