Urinary Bladder Flashcards

1
Q

THE URINARY BLADDER
•Is a hollow viscus organ with strong muscular walls
T/F

A

THE URINARY BLADDER
•Is a hollow viscus organ with strong muscular walls
•It is highly distensible
•It is a temporary reservoir for urine
•It varies in size, shape, location and relations according to its content and the state of neighboring viscera

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2
Q

THE URINARY BLADDER

•It is semi distensible
T/F

A

F

highly distensible

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3
Q

THE URINARY BLADDER

•It is a (temporary or permanent ?) reservoir for _____

A

Temporary; urine

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4
Q

The urinary bladder

  • When empty, the adult urinary bladder lies in the ______, (anterior or posterior ?) and slightly (superior or inferior?) to the pubic bones
  • It is separated from these bones by the potential ____ space and lies (superior or inferior?) to the peritoneum where it rests on the pelvic floor
A

lesser pelvis

Posterior

Inferior

retropubic

Inferior

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5
Q

The urinary bladder is relatively free except the ____ which is held firmly by the ____ ligaments in males and the _____ ligament in females

A

neck

puboprostatic

pubovesical

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6
Q

In infants and children, the urinary bladder is in the ______ (even or except ?) when empty

  • It enters the greater pelvis by the age of __ yrs
  • Lies in the lesser pelvis after ____
A

abdomen

Even

6

puberty

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7
Q

In adults, as the urinary bladder fills, it (ascends or descends?) and enters the _____

A

Ascends

Greater pelvis

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8
Q

A full bladder may ascend to the level of the _______

A

umbilicus

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9
Q

When empty, the bladder is somewhat _____ in shape

A

tetrahedral

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10
Q

Urinary bladder

Has 4 surfaces:
______ surface
2 _____ surfaces
________ surface

A

Superior

inferolateral

Posterior

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11
Q

Parts of the urinary bladder

  • ____
  • ____
  • _____
  • ____ and
  • ____
A

Apex

Body
Fundus

Neck

Uvula

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12
Q

Parts of the urinary bladder

•Apex
●_______ end
●Points towards the (superior or inferior?) edge of the _____

•The body
●Lies between the ______ and ______

•Fundus/Base
●Formed by ____ wall which is somewhat (concave or convex?)

A

Anterior

Superior; pubic symphysis

apex and the fundus

posterior

Convex

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13
Q

The fundus is related to:
●_____ in males
●(Anterior or Posterior?) wall of _____ in females

•Neck of bladder
●Where ______ and _____ surfaces meet

A

Rectum

Anterior; vagina

fundus and inferolateral

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14
Q

The uvula

Is a slight _____ of the ____ of the bladder
Usually more prominent in ______ people

A

projection

trigone

older men

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15
Q

Trigone of bladder

•The _______ and the _____ are at the angles of the trigone of the bladder

A

ureteric orifices

internal urethral orifice

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16
Q

The ureters pass ______ through the bladder wall in an (superior or inferior?) (medial or lateral?) direction

A

obliquely

inferior
Medial

17
Q

An increase in bladder pressure presses the walls of the ____ together

Therefore preventing the pressure in the bladder from forcing ___ up the ureters

A

ureter

urine

18
Q

Muscle fibers of the urinary bladder

The bladder is enveloped by ________ fascia

A

loose CT- vesical

19
Q

The wall of the bladder is composed chiefly of _____ muscle

A

detrusor

20
Q

Urinary bladder

Towards the neck, the muscle fibers form the (voluntary or involuntary?) ______ sphincter

In males, the muscle fibers in the neck are continuous with the fibromuscular tissue of the —————
In females, these muscle fibers are continuous with muscle fibers in the wall of the _____

A

Involuntary

internal

prostate

urethra

21
Q

The bladder bed is formed on:

–Each side by the:
•______ bones
•_________
•_________

–Posteriorly by the
•______ or ____

A

Pubic

Obturator internus

Levator ani

Rectum or vagina

22
Q

The _______ pouch of peritoneum between the bladder and uterus, is empty except when the uterus is inclined (anteriorly or posteriorly ?) (___verted); in this case it may contain a __________

A

vesicouterine

posteriorly; retroverted

loop of intestine

23
Q

Blood supply of the bladder
●Arterial supply- Branches of __________ artery

➢_________ artery

➢_______ (males);

➢_______ arteries (females)

➢__________ and _____ arteries

A

internal iliac

Superior vesical

Inferior vesical

Vagina

Obturator and inferior gluteal

24
Q

Superior vesical artery
•_________ surface

➢Inferior vesical (males);
•_____ and ____

➢Vagina arteries (females)
•______,_____, and __________ parts

A

Anterosuperior

Neck and fundus

neck, fundus and posteroinferior

25
Q

Venous drainage

•In males, the ____ venous plexus combines with the _____ venous plexus and envelopes the :

●Fundus of the bladder and prostrate
●Seminal vesicles
●Ductus deferens
●Inferior ends of the ureters

A

vesical

prostatic

26
Q

The vesical venous plexus mainly drains through the ______ veins into the _______ veins;

However, it may drain through the ____ veins into the _______ venous plexuses

A

inferior vesical

internal iliac

sacral

internal vertebral

27
Q

In females, the vesical venous plexus envelops the ____ part of the urethra and the ____ of the bladder and receives blood from the ____ vein of the _____ and communicates with the ___________ venous plexus

A

pelvic

neck

dorsal; clitoris

vaginal or uterovaginal

28
Q

Lymphatic drainage of bladder
•In both sexes, lymphatic vessels from the:
●Superior surface of the bladder pass to the _________ lymph nodes
●Fundus of bladder pass to the ______ lymph nodes
●Neck of bladder pass into the ______ or _______ lymph nodes

A

external iliac

internal iliac

sacral or common iliac

29
Q

Innervation of bladder
•Parasympathetic fibers to the bladder are derived from the _______ nerves
•They are _____ to the detrusor muscle and _____ to the internal sphincter
•When the visceral afferent fibers are stimulated by ____, the bladder ____ reflexively the internal sphincter ______ and urine flows into the urethra

A

pelvic splanchnic

motor

inhibitory

stretching

Contracts

relaxes

30
Q

Sympathetic fibers of the bladder

  • Sympathetic fibers to the bladder are derived from ____ through ___ nerves.
  • The nerves supplying the bladder form the vesical nerve plexus which consists of both sympathetic and parasympathetic fibers
  • This plexus is continuous with the ___________ plexus
A

T11; L2

inferior hypogastric

31
Q

The urethra is a tube that carries the urine from the _____ to the exterior

A

bladder

32
Q

Male urethra
•Is a muscular tube
•Measures about _____ cm long

•Conveys urine from the ________ of the urinary bladder to the ________ at the tip of the ________

A

18 – 20

internal urethral orifice

external urethral orifice

glans penis

33
Q

The urethra also provides exit for _____ besides urine

A

semen

34
Q

Male urethra

•It is divided into 4 parts for descriptive purposes:

  1. _____ urethra
  2. ______ urethra
  3. ______ urethra
  4. _____ urethra
A

Preprostatic

Prostatic

Membranous

Spongy

35
Q

Female urethra
•Measures ___ in length and ____ in diameter
•Extends from the _______ of the urinary bladder to the _____ in the _____ of the ____

A

4cm

6 mm

internal urethral orifice

external urethral orifice

vestibule of the vagina

36
Q

Female urethra

Lies (anterior or posterior?) to the orifice of the vagina

It passes with the vagina through the pelvic ______,_______ sphincter and ______

A

Anterior

diaphragm

external urethral

perineal membrane

37
Q

Blood supply of the male urethra
●Arterial supply
–Proximal 2 parts→ Prostatic branches of _______ and ______ arteries
–Distal 2 parts → branches of _________ artery

•Lymphatic drainage
–Proximal 3 parts →______ lymph nodes
–Distal part →_______ lymph nodes

A

Inferior vesical and middle rectal

internal pudendal

internal iliac

deep inguinal

38
Q

Blood supply of the female urethra
•Arterial supply→______ and ____ artery
•Venous drainage→ veins accompany the arteries
•Lymphatic drainage →_____ and _____; few drain into ____ lymph nodes

A

internal pudendal and vagina

Sacral and internal iliac

inguinal