The ureters are muscular tubes that convey urine from the kidneys to the urinary bladder. Each ureter has three parts - the pelvis, abdominal part, and pelvic part. The urinary bladder is a hollow, sac-like structure that acts as a reservoir for urine. It has a base, neck, and apex. When empty it is tetrahedral in shape but becomes ovoid when distended with urine. The bladder's capacity is typically 120-320mL but it can tolerate up to 500mL before the onset of pain.
location, length, and relation of right an left ureter, raletion of male an female ureter, n physiological site of ureteric constriction, bloo supply an inerve supply of ureter, clinical sinificance of ureter with hysteriectpomy
ANATOMY OF UTERUS
ANATOMY OF OVARY
ANATOMY OF FALLOPIAN TUBES
ANATOMY OF UTERUS &ITS APPENDAGES
ANATOMY OF CERVIX
ANATOMY OF UTERUS PPT
BLOOD SUPPLY, NERVE SUPPLY, LYMPHATIC DRAINAGE
HISTOLOGY
USMLE REPRODUCTIVE 04 Female Reproductive System UTERUS VAGINA .pdfAHMED ASHOUR
The surgical importance of the female reproductive system encompasses a wide range of procedures aimed at addressing various conditions related to reproductive health, gynecological disorders, fertility issues, and the management of reproductive cancers. Understanding the surgical importance of the female reproductive system is essential for gynecologists, reproductive endocrinologists, and pelvic surgeons.
This lecture help the students such as medical ,nursing , and any health care provider to understand the basic information about anatomy of Genitourinary system
There will be scientific program,pre and post congress workshops covering vast topics like Repeated IVF failures,Endometriosis,Stimulation Protocols-Review & new strategies,Oocyte,Hands on Laparascopic suturing and Operative
hysteroscopy,Advanced Reproductive techniques,Rise & fall of Metformin,Fitness for Fertility,Letrozole in infertility and
ART,Recent Advances in ART,Ovarian Pathology,Monitoring Ovarian Function,Antagonist,Oocyte Cryo banking,Unexplained Infertility,Ovulation Induction,Embryology,Cyro Preservation& Vitrification,Oocyte Retrieval,IVF
lite,Ovarian Imaging,Ovarian Tumor,Egg donation,Oocyte Donation,GnRH antagonist in IUI,Repeated IVF failures
Incharge,Endometriosis,Reproductive Endocrinology,Oocyte Incharge,Reproductive Surgery,Androlgy for the gynecologist and more.
The meeting is been jointly organized by ISAR - Indian Society of Assisted Reproduction & MOGS - Mumbai Obstetric & Gynecological Society.
It will be an exciting & wide ranging programme designed to engage all delegates on topics of vital importance related to the ovary.The event will be the perfect occasion for the international experts to share their leading edge knowledge on innovation and technology balanced by critically important insight into their practical application.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
location, length, and relation of right an left ureter, raletion of male an female ureter, n physiological site of ureteric constriction, bloo supply an inerve supply of ureter, clinical sinificance of ureter with hysteriectpomy
ANATOMY OF UTERUS
ANATOMY OF OVARY
ANATOMY OF FALLOPIAN TUBES
ANATOMY OF UTERUS &ITS APPENDAGES
ANATOMY OF CERVIX
ANATOMY OF UTERUS PPT
BLOOD SUPPLY, NERVE SUPPLY, LYMPHATIC DRAINAGE
HISTOLOGY
USMLE REPRODUCTIVE 04 Female Reproductive System UTERUS VAGINA .pdfAHMED ASHOUR
The surgical importance of the female reproductive system encompasses a wide range of procedures aimed at addressing various conditions related to reproductive health, gynecological disorders, fertility issues, and the management of reproductive cancers. Understanding the surgical importance of the female reproductive system is essential for gynecologists, reproductive endocrinologists, and pelvic surgeons.
This lecture help the students such as medical ,nursing , and any health care provider to understand the basic information about anatomy of Genitourinary system
There will be scientific program,pre and post congress workshops covering vast topics like Repeated IVF failures,Endometriosis,Stimulation Protocols-Review & new strategies,Oocyte,Hands on Laparascopic suturing and Operative
hysteroscopy,Advanced Reproductive techniques,Rise & fall of Metformin,Fitness for Fertility,Letrozole in infertility and
ART,Recent Advances in ART,Ovarian Pathology,Monitoring Ovarian Function,Antagonist,Oocyte Cryo banking,Unexplained Infertility,Ovulation Induction,Embryology,Cyro Preservation& Vitrification,Oocyte Retrieval,IVF
lite,Ovarian Imaging,Ovarian Tumor,Egg donation,Oocyte Donation,GnRH antagonist in IUI,Repeated IVF failures
Incharge,Endometriosis,Reproductive Endocrinology,Oocyte Incharge,Reproductive Surgery,Androlgy for the gynecologist and more.
The meeting is been jointly organized by ISAR - Indian Society of Assisted Reproduction & MOGS - Mumbai Obstetric & Gynecological Society.
It will be an exciting & wide ranging programme designed to engage all delegates on topics of vital importance related to the ovary.The event will be the perfect occasion for the international experts to share their leading edge knowledge on innovation and technology balanced by critically important insight into their practical application.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
2. URETERS
A pair of muscular tubes ,convey urine
From the kidneys to the urinary bladder.
•narrow ,cylindrical tubes.
•Length- 25-30 cm,diameter -3 mm
•3 parts –
•Pelvis of ureter,abdominal and pelvic parts
1.Pelvis –funnel shaped dilatation of upper part of uereter.
formed by union of major calyces within renal sinus..
3. Pelvis is continuous with abdominal part of the
Ureter at level of lower end of corresponding
Kidney.
-capacity – 5-7 ml
2. Abdominal part-
passes downwards and slightly medially
beneath peritoneum of posterior abdominal
wall and enters pelvic cavity by crossing the
bifurcation of common iliac artery.
4. Relations –
Behind-
1)psoas major and its fascia.
2)Genitofemoral nerve
3)Tip of transverse processes of all lumbar vertebrae
In front –
Right ureter – parietal peritoneum,right gonadal vessels,2 and 3rd part of duodenum
right colic and ileo-colic branches of superior mesentric vessels,
root of mesentry,terminal part of ileum
Left ureter- parietal peritoneum,left gonadal vessels,left colic and sigmoid branches
of inferior mesentric vessels,apex of inverted V of sigmoid mesocolon.
5. 3) Pelvic part –
a)passes downwards beneath peritoneum of lateral pelvic wall.
along anterior margin of greater sciatic notch.reaches level of ischial spine.
b)From ischial spine,passes forwards and medially through extraperitoneal tissue
above levator ani,reaches superolateral angle of base of bladder 5 cm away from
opposite ureter.
c)Finally pierces musculature of bladder ,undergoes oblique submucosal course
medially and downwards through bladder wall and opens into the interior of bladder.
Ureteric openings are -2.5 cm apart-when bladder is empty
5 cm apart- when bladder is distended
Relations-posterior-(from before backwards)-
-internal iliac artery and its anterior division
-internal iliac vein
-lumbosacral trunk
-sacroiliac joint
6. Medially- covered with peritoneum
Laterally- from above downwards-
obliterated umbilical artery ,obturator nerve and vessels,internal vesical
artery ,middle rectal artery,in females-uterine and vaginal arteries
2nd part of ureter-
In male-
Below and laterally- levator ani and its fascia
Above and medially –covered by peritoneum.
At the lateral angle of base of bladder –
Above and medially – crossed by vas deferens
Below – upper end of seminal vesicle
7. In female –
Above-
1.Lower attached margin of broad ligament of uterus.
2.Uterine artery- it crosses above and in front of ureter from lateral to medial side.
Below-
1.Mackenrodt’s ligament
2.Lateral fornix of vagina
3.Levator ani
Medially – 1.supravaginal part of cervix uteri
2. anterior vaginal wall
Laterally – uterine artery
8. 3rd part of ureter –
in interior of bladder where there is a ureteric fold of mucous
Membrane which extends upwards and laterally from corresponding ureteric
Orifice .
•Factors preventing reflux of urine from the bladder to ureters-
1.Oblique direction of intra –vesical part of ureter.
2 obliquity of ureter is maintained by construction of trigonal muscle,which acts
from posterior wall of proximal urethra.
3.Peristalsis of ureteral muscles –passes downwards at rate of 2-5 times/min.
4.normally,luminal pressure of upper ureter -15cm of water
luminal pressure of lower ureter- 30 cm of water
Intravesical pressure (of 400 ml urine)- 10 cm of water
9. INTERNAL STRUCTURE-
3 coats-fibrous ,muscular,mucous
1.Fibrous –consists of elastic fibres, continuous with fibrous capsule of kidney
in the floor of renal sinus.
2. Muscular – 2layers of myocytes
in upper 2/3 – inner longitudinal and outer circular
In lower 1/3 – 3 layers – outer longitudinal,middle circular,inner longitudinal
circular muscles help to squeeze urine from ducts of Bellini to minor calyces.
Outer 2 layers continuous with detrusor muscle of bladder.
Inner longitudinal muscle of ureter forms triangular sheet (muscle of Bell)-blends
with mucous membrane of internal trigone .
10. •Mucous membrane – lined by transitional epithelium and thrown into 6
longitudinal folds when ureter is empty.
3 Constrictions-
1.At pelvi-ureteric region
2.At pelvic brim
3.At point where ureter pierces bladder wall ,narrowest of all other parts.
Blood supply- branches from renal artery,aorta,testicular,common iliac,vesical and
uterine vessels.
Venous drainage- veins accompanying above vessels
Nerve supply- renal ,aortic,superior and inferior hypogastric plexuses
11. Lymphatics –
upper part- para aortic
intermediate part- common iliac
lower part- internal and external nodes
Applied anatomy-
1.Renal colic
2.Ureteric stone
12. URINARY BLADDER
•Synonyme- vesicae
•Hollow,saclike structure
•Reservoir of urine
•Location-
In children – abdominopelvic
In adult – pelvic- when empty
bladder neck lies just above plane of lower border of symphysis pubis
Abdomino-pelvic – when distended
Shape – tetrahedral- empty
ovoid- distended
13.
14. Capacity – 120-320 ml
mean- 220 ml
Micturition takes place – when bladder contains 280 ml urine
Tolerance upto – 500 ml
Above this ,pain starts due to bladder tension and reflux contractions.
T11-L2,S2-S4-supply- bladder as well as same segment of spinal cord.
So pain is experienced in th lower part of the abdominal wall,perineum,
In males-penis
15. FEATURES –
Empty bladder has –
Base ,neck,apex,superior surface and
2 inferolateral surfaces.
1.base/fundus-
triangular,directed backwards and
Downwards.(top portion)
In females-in close relation with aneterior wall of vagina.
In males-in close relation with rectum.
But upper part is separated from rectum by rectovesical pouch of peritoneum.
Below that seminal vesicles and deferent ducts separate the 2 viscera.
16. 2.Neck –
lowest region of bladder and most fixed part.lies 3-4 cm behind lower part of
symphysis pubis.
In males- neck is in direct continuity with base of bladder.
In females- neck surrounds upper part of urethra.
3.Apex-
directed forwards towards upper part of symphysis pubis.
-from it,urachus (median umbilical ligament)is continued upwards on posterior
Surface of anterior abdominal wall to the umbilicus.
4 superior surface-
triangular,bounded on each side by a lateral border,runs from apex to entrance
Of ureter into bladder and by a posterior border (line joining entrances of ureters into
Bladder.
17. In males-
This surface is completely covered with peritoneum ,which is continued behind into
Rectovesical pouch.It is in contact with sigmoid colon and terminal coils of small
Intestine.
In females-
Peritoneum covers large part except area related to supravaginal part of uterine
cervix.
5.Inferolateral surface-
devoid of peritoneum.
In males- related to pubis,puboprostatic ligament,levator ani,obturator internus.
In females –same as above,pubovesical ligament
18. LIGAMENTS-
True-
1.Lateral true ligament- from side of bladder to arch of pelvic fascia.
2.Lateral puboprostatic ligament- anerior end of pelvic fascia to upper part of
prostatic sheath.
3.Medial puboprostatic ligament- from back of pubis to prostatic sheath.
in females –as pubovesical ligament
4.Median umbilical ligament
False –
Median umbilical fold-peritoneal folds which do not support.
19. CAPACITY-
Mean- 220 ml
Beyond 220 ml-desire to micturate
Upto 500 ml-tolerable
Beyond it- painful.
BLOOD SUPPLY-
Superior and inferior vesical arteries,obturator and inferior gluteal arteries
VENOUS DRAINAGE-
Vesical venous plexus- internal iliac veins
LYMPHATIC DRAINAGE-external iliac nodes
NERVE SUPPLY-vesical plexus of nerves
20. INTERIOR-
muscular- detrusor muscle
Outer longitudinal,middle circular,inner longitudinal
Around the opening of urethra,circular fibres form internal sphincters,below those
are external urethral sphincters.
Small triangular area at base of bladder is called as trigone of bladder.At the apex of
Trigone is located internal urethral orifice.Ureters open at posterolateral angles
Of the trigone.
Uvula vesicae- slight elevation on trigone posterior to urethral orifice.
APPLIED ANATOMY-
1.Ectopia vesicae
2.Rupture of bladder
3.Cystoscopy