G34 Q&A
The female pelvic viscera from ant to posterior (overall) goes in what order? - (correct
answer)Urinary Bladder/Urethra, Internal Genetalia (Vagina, Uterus, Uterine (Fallopian
tubes), Ovaries), Rectum
The female urethra is short, membranous tube (4 cm) that lies posterior and ____
(direction) to the ____, homologous to what two parts of the male urethra? - (correct
answer)Posterior and inferior to the pubic symphysis. Homologous to the prostatic and
membranous urethra of the male.
In females, the rectum lies posterior to the ___ and ___. - (correct answer)Urinary
Bladder/Urethra and Vagina
Clinical - Unrelieved obstructed labor can interrupt pelvic blood supply leading to tissue
necrosis and the creation of ___ btwn the ____ and adjacent organs. (3 types - ? &
what problem does this lead to?) - (correct answer)Creation of a FISTULA between the
vagina and adjacent organs. (1) Vesicovaginal (2) urethrovaginal (3) rectovaginal -
these fistulas will allow urine and/or feces to drain uncontrollably from the vagina
The transversely oriented fold of peritoneum that encloses most of the female pelvic
peritoneum is the ____. What does it actually enclose and what does it divide? - (correct
answer)Broad ligament of the uterus. Encloses the uterine body, uterine tubes and
ovaries. Divides the pelvis into anterior and posterior regions (do NOT communicate
btwn these two regions in the female pelvis)
What defines the peritoneum-lined recesses? - (correct answer)Peritoneal reflectiosn
from the surfaces of the uterus onto adjacent structures. (1) Vesicouterine pouch and
(2) Rectouterine pouch (of Douglas)
The rectouterine pouch (of Douglas) is specfically between the anterior surface of the
rectum and what 3 posterior surfaces? How is the inferior portion of the pouch anchored
to the perineal body? - (correct answer)Between anterior rectum and posterior uterus,
cervix and posterior fornix of vagina. Peritoneum lining of inferior pouch anchored to the
PERINEAL BODY by the RECTOVAGINAL SEPTUM (fascial condensation)
, The vagina is a fibromuscular tube (~8 cm in length from cervix of uterus to vestibule of
vagina). The vagina is inferior to the ____, posterior to the __ and ___ and anterior to
the ____. - (correct answer)Inferior to the uterus, posterior to the urinary bladder and
urethra, anterior to the rectum.
The vagina courses ____ to penetrate the ___ and ___ to open onto the ___. - (correct
answer)Anteroinferiorly to penetrate both the UG and PELVIC diaphragms to open on
the vaginal vestibule.
The vaginal walls are usually in contact (apposition) with each other except at the ____
end (aka ____) where they are separated by the ___. Which wall of the vagina is
longer? - (correct answer)Superior end of the vagina (Vaginal vault) the vaginal walls
are separated by the cervix. The posterior wall of the vagina is longer than the anterior
wall (~1 cm).
The urethra is very closely associated with the vagina. Explain this relationship? What
are BOTH the urethra and the vagina surrounded by? - (correct answer)The urethra is
very closely associated and partially surrounded by the anterior wall of the vagina.
Together they pass through the UG diaphragm and are encircled by fibers of the
SPHINCTER URETHROVAGINALIS m.
Clinical / Functional - what does the proximity of the urethra and the vagina have to do
with the G-spot? - (correct answer)There is an opening on either side of the vaginal
orifice and placed between the vagina and urethra are a series of glands =
PARAURETHRAL GLANS "Skene's glands" which are the homolog of the prostate
gland. It is hypothesized that the proximity of the urethra and vagina = simulation of
these glands during intercourse leading to increased secretion (aka "female ejaculate")
What is the functional implication/relationship of the proximity of the urethra and the
vagina? - (correct answer)Important relationship for urinary continence, things like the
muscular urethral sphincter and urethral vaginalis compress the urethra against the
anterior wall of the vagina to maintain (w/ diaphragm and bladder) urinary continence
The female pelvic viscera from ant to posterior (overall) goes in what order? - (correct
answer)Urinary Bladder/Urethra, Internal Genetalia (Vagina, Uterus, Uterine (Fallopian
tubes), Ovaries), Rectum
The female urethra is short, membranous tube (4 cm) that lies posterior and ____
(direction) to the ____, homologous to what two parts of the male urethra? - (correct
answer)Posterior and inferior to the pubic symphysis. Homologous to the prostatic and
membranous urethra of the male.
In females, the rectum lies posterior to the ___ and ___. - (correct answer)Urinary
Bladder/Urethra and Vagina
Clinical - Unrelieved obstructed labor can interrupt pelvic blood supply leading to tissue
necrosis and the creation of ___ btwn the ____ and adjacent organs. (3 types - ? &
what problem does this lead to?) - (correct answer)Creation of a FISTULA between the
vagina and adjacent organs. (1) Vesicovaginal (2) urethrovaginal (3) rectovaginal -
these fistulas will allow urine and/or feces to drain uncontrollably from the vagina
The transversely oriented fold of peritoneum that encloses most of the female pelvic
peritoneum is the ____. What does it actually enclose and what does it divide? - (correct
answer)Broad ligament of the uterus. Encloses the uterine body, uterine tubes and
ovaries. Divides the pelvis into anterior and posterior regions (do NOT communicate
btwn these two regions in the female pelvis)
What defines the peritoneum-lined recesses? - (correct answer)Peritoneal reflectiosn
from the surfaces of the uterus onto adjacent structures. (1) Vesicouterine pouch and
(2) Rectouterine pouch (of Douglas)
The rectouterine pouch (of Douglas) is specfically between the anterior surface of the
rectum and what 3 posterior surfaces? How is the inferior portion of the pouch anchored
to the perineal body? - (correct answer)Between anterior rectum and posterior uterus,
cervix and posterior fornix of vagina. Peritoneum lining of inferior pouch anchored to the
PERINEAL BODY by the RECTOVAGINAL SEPTUM (fascial condensation)
, The vagina is a fibromuscular tube (~8 cm in length from cervix of uterus to vestibule of
vagina). The vagina is inferior to the ____, posterior to the __ and ___ and anterior to
the ____. - (correct answer)Inferior to the uterus, posterior to the urinary bladder and
urethra, anterior to the rectum.
The vagina courses ____ to penetrate the ___ and ___ to open onto the ___. - (correct
answer)Anteroinferiorly to penetrate both the UG and PELVIC diaphragms to open on
the vaginal vestibule.
The vaginal walls are usually in contact (apposition) with each other except at the ____
end (aka ____) where they are separated by the ___. Which wall of the vagina is
longer? - (correct answer)Superior end of the vagina (Vaginal vault) the vaginal walls
are separated by the cervix. The posterior wall of the vagina is longer than the anterior
wall (~1 cm).
The urethra is very closely associated with the vagina. Explain this relationship? What
are BOTH the urethra and the vagina surrounded by? - (correct answer)The urethra is
very closely associated and partially surrounded by the anterior wall of the vagina.
Together they pass through the UG diaphragm and are encircled by fibers of the
SPHINCTER URETHROVAGINALIS m.
Clinical / Functional - what does the proximity of the urethra and the vagina have to do
with the G-spot? - (correct answer)There is an opening on either side of the vaginal
orifice and placed between the vagina and urethra are a series of glands =
PARAURETHRAL GLANS "Skene's glands" which are the homolog of the prostate
gland. It is hypothesized that the proximity of the urethra and vagina = simulation of
these glands during intercourse leading to increased secretion (aka "female ejaculate")
What is the functional implication/relationship of the proximity of the urethra and the
vagina? - (correct answer)Important relationship for urinary continence, things like the
muscular urethral sphincter and urethral vaginalis compress the urethra against the
anterior wall of the vagina to maintain (w/ diaphragm and bladder) urinary continence
