Anatomy Flashcards
(140 cards)
How long and wide is the female urethra
4cm long and 6mm in diameter
Lymph from the bladder drains to several groups of lymph nodes. What are they ?
External iliac nodes - superolateral aspect internal iliac nodes - posterior surface and neck sacral or common iliac nodes - some areas of the neck
Where are the paraurethral glands located?
Superior part of the urethra, they open into the sides of the external urethral meatus
How long is the male urethra
20cm (18 - 22cm)
What are the features of the intramural (preprostatic urethra)
surrounded by internal urethral sphincter, diameter varies on whether bladder is filling or emptying, it is the shortest component of the urethra
Each of the angles of the trigone represent an osmium, what are they?
Two superior - openings of the ureters one inferior - internal urethral orifice
In the adult where is the empty bladder located?
Entirely within the pelvis
What are the mechanisms to prevent reflux of urine from the bladder to the ureters?
Ureters pass obliquely through the detrusor muscle to the ureteric orifice fibres of the detrusor muscle encircle the ureteric orifices and theses tighten when bladder contracts
The ureters pierce the bladder wall obliquely what is the purpose of this?
Provides a valve like action which prevents a reverse flow of urine toward the kidneys as the bladder fills.
What is the blood supply for the male urethra?
proximal - middle rectal from inferior vesicle from internal iliac distal part - internal pudendal
What is the secretion of the prostate?
Secretes a milky fluid containing citric acid and acid phosphatase which neutralises the acidity of the vagina
Why does the trigone not have muscular folds
Mucosa is firmly attached tot he underlying muscle
Describe the pathway of the female urethra
Passes anteroinferior from the internal urethral orifice of the bladder posterior and inferior to pubis symphysis , passes through the pelvic diaphragm with the vagina and perineal membrane, lies parallel to the vagina and passes with it through the pelvic diapraghm, external urethral sphincter and perineal membrane, it exits via the external urethral orifice located in the vestibule, anterior to the vagina.
In the adult where is the full bladder located?
It ascends into the greater pelvis and lies within extra peritoneal fascia of the abdominal wall
What are the functions of the male urethra?
To convey urine and provide a passageway for semen
Describe the relations of the posterior surface of the prostate gland
Ampulla of the rectum
Describe the relations of the anterior surface of the prostate gland
separated from the pubic symphysis by retroperitoneal fat in the retropubic space
The anterior and lateral relations of the bladder are the same in male and female. Describe the lateral relations
Levator ani muscle Obturator interns muscle
The anterior and lateral relations of the bladder are the same in male and female. Describe the anterior relations
Anterior abdominal waal Symphysis pubis Retropubic fat
Describe the structure of the prostate gland
it is a branched tuboalveolar gland which is embedded in a fibromuscular stoma. the glandular part makes two thirds and the other third is fibromuscular. Surrounds the prostatic urethra. It has a fibrous capsule that is dense and contains neurovasculature
What are the mechanisms to prevent retrograde ejaculation of semen into the bladder
Muscles fibres toward the neck of the bladder form an involuntary internal urethral sphincter which contracts during ejaculation
Describe the apex of the bladder?
It lies anteriorly behind the upper margin of symphysis pubis, it is attached to the umbilicus by the median umbilical ligament
Describe the blood supply to the ureter
proximal part - vaginal arteries distal part - internal pudendal
Describe the relations of the base of the prostate gland
neck of the bladder


