Ureters in the pelvis (dave's notes)

Question 1

What length of ureter is found in the pelvis?

Answer 1

one half of the full 25cm length i.e. 12.5cm.

Question 2

What is the course of the ureter in the pelvis?

Answer 2

It crosses the pelvic brim at the bifurcation of the common internal iliac artery , over the external iliac artery then passes in front of the internal iliac artery. It crosses the obturator nerve, obliterated umbilical artery, and the obturator artery and vein. (R appendix ??)

Question 3

What happens to the course of the pelvic ureter at the ischial spine?

Answer 3

Here it turns forwards and medial to enter the bladder at the upper lateral angle.

Question 4

What male structure crosses the pelvic ureter?

Answer 4

The ductus deferens crosses the ureter then runs down medially

Question 5

Where is the latter course of the pelvic ureter in the female? What structure crosses it?

Answer 5

It lies in the base of the broad ligament on the posterior peritoneal layer, crossed superficially by the uterine artery, crossing the lateral vaginal fornix, 1-2 cm from the cervix

Question 6

What structure lies superficial to the ureter in the pelvis?

Answer 6

The ductus deferens or uterine artery