Urinary Bladder: Shape And Relations

Question 1

Shape

Answer 1

When empty it is 3 sided pyramid having:
1. Superior surface
2. 2 infero-lateral surfaces
3. Apex
4. Base
5. Neck

Question 2

Apex

Answer 2

1. Lies anterior behind symphysis pubis upper part
2. It is continuous with median umbilical ligament which is fibrosed urachus

Question 3

Base

Answer 3

1. Posterior surface
2. Triangular

Question 4

Base: in male upper part

Answer 4

Separated from rectum by rectovesical pouch which contains coils of pelvic colon and terminal ileum

Question 5

Base: in male lower part

Answer 5

Separated from rectum by:
1. 2 vasa deferentia ampullae
2. 2 seminal vesicles
3. Denonviller fascia

Question 6

Base: in female

Answer 6

Related to:
1. Cervix supravaginal part
2. Anterior vaginal wall

Question 7

Superior surface

Answer 7

Covered by peritoneum and ureters join its posterior angles

Question 8

Superior surface in male

Answer 8

Related to:
1. Sigmoid colon
2. Ileum coils

Question 9

Superior surface: in female

Answer 9

Related to:
Uterus and separated from it by uterovesical pouch and cervix supravaginal part with fibro-areolar tissue in between

Question 10

2 inferolateral surfaces: in front

Answer 10

Related to retro-pubic space fat

Question 11

2 inferolateral surfaces: posterior

Answer 11

Related to:
1. Obturator internus above
2. Levator ani below

Question 12

Neck

Answer 12

1. Urinary bladder lowest and most fixed part
2. 3-4 cm behind symphysis pubis lower part
3. It is internal urethral orifice

Question 13

Neck: in male

Answer 13

1. Lies on prostate
2. Continuous with prostatic urethra
3. It gives attachment to pubo-prostatic ligament which blends with prostatic fibrous capsule

Question 14

Neck: in female

Answer 14

1. Lies directly on pelvic fascia
2. Continuous with urethra
3. Gives attachment to pubo-vesical ligament