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Male Pelvic O
Male Pelvic Organs
| Question | Answer |
|---|---|
| Describe the route of the ductus deferens starting with the testicle | Inguinal ring, external , internal rings, prostate |
| Where is the bladder in relation to the prostate? | It is on top of the prostate |
| Where are the ductus deferens in relation to the seminal vesicles? | They are medial to them |
| Where do the gonadal arteries branch off? | Off of the aorta inferior to the superior mesenteric artery |
| Where do the gonadal arteries go through what ligament in females? | Suspensory ligament |
| Where does the left gonadal vein drain into? | Left renal vein |
| Where does the right gonadal vein drain into? | IVC |
| If the temperature in the testicle raises what happens to the cremaster muscle? | It relaxes. The testicles are allowed to droop to the scrotum to dissipate heat |
| What can happen due to the fact the left gonadal drains into the renal? | The drainage can get backed up and they can become engorged |
| If engorged veins are wrapped around the spermatic cord what happens? | The vas deferens are constantly being bathed in excess body temperature |
| As the testicles descend what is dragged along with it? | The peritoneum from the abdominal |
| Name the layers of the spermatic cord | Transversalis fascia, cremaster fibers and external oblique |
| What is the hydrocele filled with? | Fluid |
| What happens if the processus vaginalis is not obliterated what happens? | The hydrocele can communicate with the peritoneal cavity and that is called a communicating hydrocele |
| Is there communication if the processus vaginalis is obliterated? | No it is just called a hydrocele |
| Is an indirect hernia inside or outside of the cord? | Inside |
| True or False: Fluid transilluminate | True |
| What is the golden window for tissue death? | 6-12 hours |
| What is an epididymal orchitis? | Inflammation of the epididymis due to venous stasis |
| Where is the pain located with an incarcerated hernia? | At the external rings |
| What kind of symptoms do you have with a epididymal orchitis that you don't have with a hernia? | Tenderness at the right upper pole of testicle |
| What innervation is around the external ring? | T12-L1 |
| What can go wrong with a vasectomy? | The testicle engorges, it shrivels up and disappears due to lack of venous drainage, individuals can form antibodies to the sperm |
| Where are seminal vesicles in relation to the ductus deferens? | Lateral |
| Describe seminal vesicles | Glandular tissue that provides nutrients, lubricating fluid and joins the ductus deferens to enter the ejaculatory duct |
| Where is the prostate in relation to the rectum? | Anterior |
| What sphincter does the prostate contain? | Urethral |
| Is it better to go posterior or anterior to the rectalvesical septum in surgery? | Anterior |
| What nerves are in the rectalvesical septum? | Nerves essential for preserving sexual function |
| Where is the vestigial blind pouch located in the prostate? | At the seminal colliculus |
| What symptom can you have if you have a large prostate? | Constipation |
| Where would you feel the pain of the rectal being stretched? | Below the pelvic pain line |
| Describe hypospadias | Where the urethra comes out somewhere proximal to where it is supposed to be. You have urinary continence but problems with sexual function |
| What can fracture during rough sex? | Tunica albuginea and bucks fascia |
| Repeated sexually transmitted diseases can cause what? | Stricutures in perineum formation |
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