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URETHRA
LEARNING OBJECTIVES
At the end of the lecture the student should be able to
Identify ureter, urinary bladder and urethra
Identify the course and relations of ureter
Identify the parts and relations of urinary bladder
Identify the urethra
URINARY SYSTEM
Consists of
Kidney
Ureter
Urinary bladder
Urethra
URETER
Thick-walled narrow cylindrical tube which is directly continuous near the lower end of
the kidney with the tapering extremity of the renal pelvis
Convey the urine from the kidneys to the urinary bladder.
25 to 30 cm. in length
Has two parts
Abdominal part
Pelvic part
COURSE OF URETER
Completely retroperitoneal
begins in the sinus of the kidney by the union of calyces.
Renal pelvis (or pelvis of the ureter) is dilated and emerges through the
lower part of the hilum.
Runs downward along the medial border of the kidney, tapering to become
the ureter proper near the lower end of the kidney
Ureter proper descends over the back wall of the abdomen, with a slight
medial inclination
Enters the pelvic cavity by crossing the commencement of the external iliac vessels.
Run posteroinferiorly on the lateral walls of the pelvis and then curve anteriormedially
to enter the bladder through the back
RELATIONS OF URETER
Right ureter
RELATIONS OF URETER
LEFT URETER
lateral to the inferior mesenteric vein.
Its pelvis is more exposed than that of the right
After it escapes from behind the renal vessels, it is covered only by
the peritoneum.
Ureter proper, as on the right side, is separated at intervals from the
peritoneum by vessels
Upper left colic artery
Testicular or ovarian artery
Two or more lower left colic
CONSTRICTIONS OF URETER
1.junction of ureter and renal pelvis
2.where ureters cross brim of pelvic inlet
3.during their passage through the wall of the urinary bladder.
These are the potential sites of obstruction by ureteric stones
URINARY BLADDER
Musculo-membranous sac which acts as a reservoir for the urine
Its size, position, and relations vary according to the amount of fluid it
contains.
URINARY BLADDER
Empty bladder is in the lesser pelvis
Tetrahedral in shape
Presents a fundus, a vertex, a superior and an inferior surface.
Lie on the pubic bones, separated by retropubic space.
URINARY BLADDER
When the bladder is moderately full it contains about 0.5 liter
Assumes an oval form
Exhibits
postero-superior
antero-inferior
two lateral surfaces
Fundus
summit.
RELATIONS OF BLADDER
Inferolateral surface
Pubic bones
Levator ani
Obturator internus
Superior surface
Peritoneum
Fundus
In male
Posteriorly by rectovesical septum
Laterally by seminal glands
In female
Vagina
DETRUSOR MUSCLE
The fibers of the detrusor muscle arise from the posterior surface of the body
of the pubis in both sexes (musculi pubovesicales)
In male from the adjacent part of the prostate and its capsule
At the sides of the bladder the fibers are arranged obliquely and intersect one
another.
Trigone of bladder
Trigone is a smooth triangular region of the internal urinary
bladder formed by
Two ureteral orifices
Internal urethral orifice.
Urethra
Tube that connects the urinary bladder to the genitals for
removal out of the body.
In males, Urethra travels through the penis, and carries
semen as well as urine.
In females, the urethra is shorter and emerges above the
vaginal opening.
Male urethra
Urethra is about 8 inches (20 cm) long and opens at the
end of the penis.
In men divided into 4 parts, named after the location:
Intramural (preprostatic) part
Prostatic urethra
Membranous urethra
Penile urethra
Female urethra
Is a narrow membranous canal, about 4 cm. long, extending
from the internal to the external urethral orifice.
Placed behind the symphysis pubis, embedded in the anterior wall of the vagina
Its diameter when undilated is about 6 mm
External orifice is situated directly about 2.5 cm in front of the vaginal opening.
References
KLM clinical anatomy
Grays textbook of anatomy
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