Pelvic ureter

Question 1

Describe the course of pelvic ureter

Answer 1

1. enters the pelvis at CIA bifurication level
2. Runs downwards & slightly backwards along lower border of IIA
3. At level of ischial spine, it curves forewards & medially (in females it runs below root of broad ligament of uterus)
4. it enters urinary bladder in from posterosuperior angle, for 2 cm, it has an intramural part

Question 2

medial relation of pelvic ureter

Answer 2

peritoneum
* in females = upper end of Vagina (below the root of broad ligament)

Question 3

Lateral relation of pelvic ureter

Answer 3

from up downwards:
1. EIA (external Iliac A)
2. EIV
3. Obturator N
4. Obturator A
5. Obturator V

Question 4

In males, plevic ureter is crossed by:

Answer 4

Vas deferens

Question 5

In males, plevic ureter crosses:

Answer 5

upper end of seminal vesicle

Question 6

In females, plevic ureter is crossed by:

Answer 6

Uterine Artery

Question 7

Arterial supply of pelvic ureter

Answer 7

🚹: Inferior Vesical A
🚺: Vaginal A or Uterine A

Question 8

parasympathetic Nerve supply of Pelvic ureter

Answer 8

2nd to 4th sacral spinal segments (S2 to S4)

Question 9

sympathetic Nerve supply of Pelvic ureter

Answer 9

Lower thoracic & first lumbar segments (T12 & L1)

Question 10

ureteric Colic pain is reffered in

Answer 10

Areas supplied cutnaeously by same spinal segments as Ureter:
* commences in Loin
* shoots down to groin, Scrotum/ labia majora
* may extend of upper front of thigh (supplied by genitofemoral N)