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What is the ureter crossed by in the male and female?
- Male: ductus deference
- Female: Uterine artery
What seperates the bladder from the pubic bones?
Retropubic space of Retzius
How is the neck of the bladder secured in the male and female?
- Male: Puboprostatic ligament
- Female: Pubovesical ligament to pelvic diaphragm
What muscle makes up the bladder and how many layers does it contain?
What is the urinary trigone bound by?
- Ureteric openings
- Internal urethral orfice
What innervaton type is the desire to urinate, emptying reflex, and pain from distention done by? What innervation type contracts the internal urethral sphincter during ejaculation?
- Desire to urinate, emptying, pain: Parasympathetic
- During ejaculation: Sympathetic
What are the borders of the prostatic urethra?
- Internal urethral orfice
- Superior fascia of urogenital diaphragm
Describe the structure of the prostatic urethra?
- Median urethral crest with a the prostatic sinus on both sides
- Seminal colliculus is in the center of the urethral crest with a small pit (prostatic utricle)
- On the side of prostatic utricle are 2 ejaculatory ducts
What is found on the side of the membranous urethra?
What is found on the proximal part of the spongy urethra?
Ducts of bulbourethral glands empty here
What forms the ejaculatory duct?
- Ductus deferens
- Duct of seminal vesicle
What do the seminal vesicles and prostate secrete?
- Seminal Vesicle: Thick, alkaline secretion. Most of seminal fluid
- Prostate: Thin, milky fluidy. 1/5th of semen
What is the vaginal recess that surrounds the cervix?
- Anterior fornix
- Posterior fornix
- Lateral fornix
What is the posterior fornix covered by?
Peritoneum of rectouterine pouch
How does the uterus and vagina communicate?
Uterine ostium or external os
What 2 ligaments are derivatives of the gubernaculum?
- Round ligament of the uterus
- Ligaments of ovary
What are the sections of the fallopian tubes?
- Uterine part
What is the main ligament of the ovary? What is its significance?
- Suspensory ligament of hte ovary
- Conducts ovarian vessels and nerves
What ligaments hold the cervix? Where are they located?
- Uterosacral ligament: Sides of cervix to sacrum
- Transverse cervical ligaments: Also called cardinal or meckenrodt's ligaments. Extend along base of broad ligament from cervix to lateral pelvic walls
What ligaments hold the uterus?
- Broad ligament
- Round ligament of uterus
Describe the location of rectovesical, vesicouterine and rectouterine pouches?
- Rectovesical: Between bladder and rectum (M)
- Vesicouterine: Body of uterus and bladder (F)
- Rectouterine: Uterus from rectum. Inferior part of this pouch is on the posterior fornix of vagina. Also called pouch of douglas
What are the 3 named parts of the broad ligament and their location:
- Mesometrium: Sides of uterus
- Mesovarium: Attached to ovaru
- Mesosalphinx: Superior to mesovarium and surrounds uterine tubes
How can you access the rectouterine pouch to drain blood, fluid or pus?
Go through the posterior fornix of vagina