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54 Cards in this Set

  • Front
  • Back
Name the fascia covering the Pudendal Canal
Obturator Fascia
What portion of the male urethra is most prone to injury?
Membranous urethra
What route is taken by blood and urine which escapes an an injury to the male urethra?
1. Scrotum
2. Penis
3. Anterior Abdominal Wall
Why doesn't urine escaping from an injured male urethra pass into the thigh?
Colle's fascia blends with fascia lata enveloping the thigh muscles just distal to the inguinal ligament
Why doesn't urine escaping from an injured male urethra pass into the gluteal region?
Colle's fascia is adherent to the Urogenital diaphragm posteriorly
Name the principal branches of the PUDENDAL N.
1. INFERIOR RECTAL
2. PERINEAL BRANCH
3. DORSAL N. OF PENIS/CLITORIS
4. POSTERIOR LABIAL/SCROTAL N.
What are the most important direct supports of the uterus?
TRANSVERSE CERVICAL LIGAMENT
PUBOCERVICAL LIGAMENT
What are the most important indirect support of the uterus?
LEVATOR ANI
Name the muscles forming the Pelvic Diaphragm.
LEVATOR ANI
COCCYGEUS
Name the three parts of the Broad Ligament.
1. MESOMETRIUM
2. MESOSALPINX
3. MESOVARIUM
Define Retroflexion
Long axis of body of uterus is bent backwards at the level of the internal os
Define Anteflexion
Long axis of body of uterus is bend forwards at the level of the internal os
Trace the lymphatic drainage of the Fundus of uterus
Follows ovarian vessels to para-aortic nodes

Some follow round ligament to superficial inguinal nodes
Trace the lymphatic drainage of the Body of the uterus
Broad ligament to external iliac nodes
Trace the lymphatic drainage of the Cervix
Internal iliac/sacral nodes
How does the male pelvis differ from the female pelvis?
1. Stronger/Prominent muscular impressions are distinct
2. Pelvic inlet is elliptical
3. Sacrum is longer, thinner and more curved
4. Pubic arch is narrower and less rounded
5. Ischial spines are more pointed and face medially
6. Inferior aperture is smaller
7. Coccyx is less movable
What is the relation of the OVARIAN A. to the URETER at the Pelvic brim?
OVARIAN A. is lateral to URETER
What is the relation of the UTERINE A. to the URETER in the base of the BROAD LIGAMENT?
Artery is anterior/superior (water flows under the bridge)
Name the usual branches of the posterior division of the INTERNAL ILIAC ARTERY
1. ILIOLUMBAR
2. LATERAL SACRAL
3. SUPERIOR GLUTEAL
Describe the lymphatic drainage of the Prostate
Internal Iliac and Sacral nodes
Describe the lymphatic drainage of the Anal Canal
1. Superior 2/3: Internal Iliac -> Common Iliac -> Paraaortic...
2. Inferior 1/3: Superficial Inguinal Nodes & Sacral Nodes
Where are kidney stones most likely to lodge in the ureter?
1. Junction of Renal Pelvis
2. Crossing Pelvic Brim
3. Junction with Bladder
Where does Ureter cross Pelvic brim on X-Ray?
Sacral Iliac Joint
What is relationship of the URETER to lumbar vertebrae on X-ray?
Anterior to their transverse processes
What are the results of sacral neurectomy?
Male: Loss of ejaculation
Female: Possible relief of dysmenorrhea
What three structures are covered by Gallaudet's fascia?
ISCHIOVAVERNOSUS
BULOSPONGIOSUS
SUPERFICIAL TRANSVERSE PERINEAL MUSCLES
What is the embryological origin of the Labia Majora?
Labial-scrotal swelling
What is the embryological origin of the Labia Minora?
Urogenital folds
What is the difference between Labia Majora & Minor?
Majora: hair & pigmented skin
Minora: hairless, fat-fee
What are the boundaries of the Superficial Perineal Pouch?
Inf: Colles Fascia
Sup: Perineal Membrane
Lat: Pubic Arch
Ant: Communication with Anterior Abdominal Wall
What are the contents of the Superficial Perineal Pouch?
Superficial Transverse Perineal M.
Ischiocavernosus M.
Bulbospongiosus M.
Crura of Clitoris/Penis
Bulb of vestibule/Penis
Bartholin's glands (female)
Perineal VAN
What are the boundaries of the Deep Perineal Pouch?
Sup: Superior Fascia of UG Diaphragm
Inf: Perineal Membrane (Inferior Fascia of UG Diaphragm
What is another name for the Perineal Membrane?
Inferior Fascia of the Urogenital Diaphragm
What are the Contents of the Deep Perineal Pouch?
UG Diaphragm
Perineal VAN
Dorsal N. of the Clitoris/Penis
Membranous Urethra (Male)
Cowper's Gland (Male)
Parts of Female Urethra & Vagina (Female)
What two muscles make up the UG Diaphragm?
SPHINCTER URETHRAE
DEEP TRANSVERSE PERINEAL M.
Where is the location of the False Pelvis?
AKA Greater Pelvis
Above Pelvic Brim
Where is the location of the True Pelvis?
AKA Lesser Pelvis
Below Pelvic Brim
What is the nerve supply to the Levator Ani?
S4 & Branches of INFERIOR RECTAL N.
What is another name for the RECTOUTERINE POUCH?
The Pouch of Douglas
What are the three sections of the Urethra from bladder to tip?
Prostatic
Membranous
Penile/Spongy
Name the Peritoneal Pouches in the Male.
RectoVesical Pouch
Name the Peritoneal Pouches in the Female.
RectoUterine Pouch (of Douglas)
VesicoUterine Pouch
What is another name for Denonvillier's Fascia?
RectoVesicle or RectoProstatic Fascia (Significant for invasion by Prostate tumors)
What are the three divisions of the Broad Ligament?
MESOSALPINX (Fallopian Tube)
MESOVARIUM (Ovary)
MESOMETRIUM (Body)
What are the parts of teh Fallopian Tube from Ovary to Uterus?
Fimbriae
Infundibulum
Ampulla
Isthmus
Interstitium
Where is the External Os?
Communication between the Vagina and Cervix
Where is the Internal Os?
Communication between the Uterus and Cervix
What is the ovarian blood supply?
Ovarian A. arising from Abdominal Aorta via Infandibular Ligament
Where do the Ovarian Veins Drain?
L: Left Renal V.
R: IVC
What are the lobes of the Prostate?
Ant: Anterior to Urethra
Pos: Posterior to Urethra, inferior to Ejaculatory duct
Lat: Either side of Urethra (major part)
Median: Between Urethra & Ejaculatory Duct
What is the Innervation of the Ovaries?
Sym: Ovarian Plexus via Ovarian Vessels
Para: S2-S4
Pain: T10-T11
What innervates the Seminal Vesicles?
Symp: Superior Lumbar & Hypogastric
Para: S2-S4
Where does the Rectum begin?
S3
What is the innervation of the Rectum?
Symp: Lumbar trunk
Para: S2-S4