Vejiga UNMSM. MH SAN FERNANDO
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Transcript of Vejiga UNMSM. MH SAN FERNANDO
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VEJIGA
POSICIÓN
RELACIONES: Espacio pre-vesical de Retzius Muscs. Elevador del ano -
obturador interno Art. Vesicales superiores
(delante) Conducto deferente (atrás)
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A. Peritoneal:
Ligamentos falsos anteriores Ligamentos laterales Fondo de saco vesico -
uterino Fondo de saco vesico - rectal
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B. Fijación:
- Lig. Verdadero: Lig. Pubio vesicales:
interno y externo Lig. Pubio prostáticos:
interno y externo
- Lig. Laterales: Lig. Umbilical medio
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Arteria:
Ramas de la art. Iliaca interna- A. Vesicales superiores (art.
Umbilico vesical)- A. Vesicales inferiores - A. Deferenciales (A. uterina)
Venas: 2 plexos:- Prostático- Vesicales
C. Irrigación
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- Linfáticos:
a. tronco colector anterior (a. ganglios iliacos externos)b. tronco colector superior (a.
ganglio medio - iliacos externos)c. tronco colector posterior (a. ganglio superior - iliaco interno - sacra laterales - promontorio)
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FASCIA PELVICA Tejido conjuntivo
Localización: Entre perineo membranoso,
músculos, suelo pelviano.
Componentes: Parietal Visceral
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Fascia Pélvica Parietal:
Capa membranosa Cubre cara pélvica de
musc. del suelo y paredes
m. obturador interno m. periforme m. coccígeo m. elevador ano m. esfínteres de la
uretra
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Fascia Pélvica visceral:
Envuelve los órganos intrapelvicos
Se engruesa y forma el arco tendinoso de la fascia pélvica (lig. Pubioprostático o lig. Pubiovescical).
Lig. Sacrogenitales: Desde el sacro rodea al recto.
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EXPO: DR. SEGUNDO LIZANDRO BUSTAMANTE SAAVEDRA
PROFESOR ASOCIADO DEL DACM. DE LA
FACULTAD DE MEDICINA Universidad Nacional Mayor de San Marcos
Lima-Perú
VIAS URINARIAS: VEJIGA-URETRA.
APARTO GENITAL MASCULINO: TESTICULO - CONDUCTO DEFERENTE - VESICULA SEMINAL - APARATO EYACULADOR-PROSTATA-PENE
FACULTAD DE MEDICINA – SAN FERNANDO
UNMSM
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VEJIGA URINARIA VISCERA HUECA SITUADA CAVIDAD PELVICA TIENE TRES CAPAS: MUCOSA – MUSCULAR - ADVENTICIA CAPACIDAD: 700 – 800 ml RELACIONES CON EL PERITONEO: VARON - MUJER ELEMENTOS DE FIJACION: LIGAMENTOS FALSOS (REFLEXION DEL PERITONEO) LIGAMENTOS VERDADEROS: PUBO PROSTATICO O
PUBO VESICAL LIGAMENTOS LATERALES LIGAMENTO MEDIAL UMBILICO MEDIO URACO
(VERTICE DE LA VEJIGA OMBLIGO) RELACIONES
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A. Peritoneal:
Ligamentos falsos anteriores Ligamentos laterales Fondo de saco vesico -
uterino Fondo de saco vesico - rectal
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B. Fijación:
- Lig. Verdadero: Lig. Pubio vesicales:
interno y externo Lig. Pubio prostáticos:
interno y externo
- Lig. Laterales: Lig. Umbilical medio
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VEJIGAIRRIGACION E INERVACION
ARTERIAS VESICALES SUPERIOR E INFERIOR
INERVACION SIMPATICO
PLEXOS HIPOGASTRICOS
INERVACION PARASIMPATICA
III y IV NERVIOS SACROS
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Arteria:
Ramas de la art. Iliaca interna- A. Vesicales superiores (art.
Umbilico vesical)- A. Vesicales inferiores - A. Deferenciales (A. uterina)
Venas: 2 plexos:- Prostático- Vesicales
C. Irrigación
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- Linfáticos:
a. tronco colector anterior (a. ganglios iliacos externos)b. tronco colector superior (a.
ganglio medio - iliacos externos)c. tronco colector posterior (a. ganglio superior - iliaco interno - sacra laterales - promontorio)
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URETRA DEFINICION: CONDUCTO POR
DONDE SALE LA ORINA DIVISION: *PROSTATICA (3 CM) *MEMBRANOSA(1.5 CM) *ESPONJOSA 12-15 CM DIRECCION DIMENSIONES: 16-17 CM CALIBRE : 3 DILATACIONES
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URETRA ESTRUCTURA:
TUNICA MUSCULAR LISA, DOS PLANOS: LI Y CE
TUNICA MUCOSA VERUMONTANUM LAGUNAS DE MORGAGNI
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URETRA IRRIGACION:
DE VESICAL INFERIOR HEMORROIDAL MEDIA DE PUDENDA INTERNA ART BULBAR Y DORSAL DEL PENE.
INERVACION: DEL PLEXO HIPOGASTRICO NERVIO PUDENDO INTERNO
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TESTICULOGENERALIDADES
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TESTICULO DEFINICION:
GLANDULA DE SECRESION INTERNA Y PRODUCTOR DE ESPERMATOZOIDES.
SITUACION: SON 2 CONTENIDOS EN SACO: BOLSAS DEBAJO DEL PENE
FORMA: OVOIDE APLANADO TRANSVERSALM COLOR BLANCO LECHOSO CONSISTENCIA RESISTENTE
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BOLSAS TESTICULARES
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VASOS Y NERVIOS DE LAS BOLSAS ARTERIAS :
SUPERF: DE PUDENDAS EXTERNAS PROFUNDA: FUNICUL.(EPIGASTRICA)
VENAS: SUPERFIC: DESEMB EN SAFENA INT. PROFUNDAS: DESEMB EN PLEXOS VENOSOS
DEL CORDON NERVIOS:
RAMAS DEL PUDENDO INTERNO.
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ENVOLTURAS TESTICULO PIEL O ESCROTO DARTOS TUNICA CELULOSA SUBCUTANEA TUNICA FIBROSA SUPERF (Espermt.ExT)
CREMASTER TUNICA FIBROSA PROFUNDA
(Espermt. Int.)
TUNICA VAGINAL
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TESTICULO ESTRUCTURA
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VIAS ESPERMATICAS TUBOS RECTOS RETE TESTIS CONDUCTOS EFERENTES EPIDIDIMO CONDUCTOS. DEFERENTE VESICULAS SEMINALES CONDUCTOS EYACULADORES URETRA
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VIAS ESPERMATICAS LOS CANALICULOS SEMINIFEROS SE REUNEN Y
FORMAN UN TUBO RECTO. LOS TUBOS RECTOS DESEMBOCAN EN LA RETE
TESTIS (CUERPO HIGHMORE). DE LA RETE TESTIS PARTEN LOS CONOS
EFERENTES QUE VAN AL EPIDIDIMO. EL COND. DEFERENTE VA DEL EPIDIDIMO A
LAS VESIC. SEMINALES DEFERENTE+VES. SEMIN= COND EYACUL. QUE
LLEGA A URETRA PROSTATICA
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VASOS Y NERVIOS DEL TESTICULO Y VIAS ESPERMATICAS
ARTERIA: ESPERMATICA VENAS:
PLEXOS ANTERIOR - CVI Y V. RENAL PLEXO POSTERIOR - V. EPIGASTRICA PLEXO PAMPINIFORME.
NERVIOS: PLEXO NERV. QUE RODEA ART
ESPERMATICA
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PROSTATA
DEFINICION: ORGANO GLANDULAR SITUACION:
DEBAJO VEJIGA ENCIMA DEL SUELO PERINEAL DELANTE DEL RECTO DETRÁS DE LA SINF. PUBIS
FORMA: CONO APLASTADO
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PROSTATAESTRUCTURA
TEJIDO GLANDULAR LOBULO ANTERIOR 2 LOBULOS LATEROPOSTERIORES LOBULO MEDIO
URETRA INICIAL ESFINTER LISO Y ESTRIADO UTRICULO PROSTATICO CONDUCTOS EYACULADORES
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PROSTATA IRRIGACION:
VESICAL INF. HEMORROIDAL MEDIA
INERVACION: PLEXO HIPOGASTRICO.
GLANDULAS DE COWPER: ENTRE URETRA MEMBR Y BULBO DESEMBOCA EN FS. DEL BULBO
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LITRE
BULBO – URETRAL
PROSTATA
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ORGANOS GENITOURINARIOSDEL HOMBRE
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PENE o VERGA
ORGANO DE LA COPULACION FORMA:
FLACIDO:CILINDRICO APLANADO ERECTO: PRISMA TRIANGULAR
DIMENSIONES: FLACIDO: 10-11 cm LONG. 9cm CIRCUNF ERECTO: 15 cm Y 12 cm CIRCUNF.
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PENECONSTITUCION ANATOMICA
1.= ORGANOS ERECTILES CUERPOS CAVERNOSOS CUERPO ESPONJOSO GLANDE
2.= ENVOLTURAS: PIEL DARTOS PENEAL CAPA CELULOSA ENVOLTURA FIBROELASTICA
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PENEVASOS Y NERVIOS
ENVOLTURAS: ART PUDENDAS EXTERNAS ART PERINEAL SUPERFICIAL
CUERPOS ERECTILES: (PUD. INT) ART CAVERNOSA ART BULBOURETRAL ART DORSAL DEL PENE
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PENEVASOS Y NERVIOS VENAS:
V. SUPERF---DORSAL PROF---SAF.INT V. PROF---PLEXO SANTORINI---PUD.INT
LINFATICOS: A GANGLIOS INGUINALES
NERVIOS: (DEL N PUDENDO INT) PERITONEAL DORSAL DEL PENE
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PENEENVOLTURAS PIEL: PIGMENTADA - RAFE MEDIO DARTOS: ADHERIDO A PIEL CELULOSA: TC LAXO ENVOLT. FIBROELASTICA: VAINA COMUN
A LOS CUERPOS . PREPUCIO: REPLIEGUE LIBRE LIGAMENTO SUSPENSORIO
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CUERPOS CAVERNOSOS FORMA: CILINDRICA AFILADA DIMENSIONES:
15 CM EN FLACIDEZ 20 CM ERECTO
INSERCION: RAMA ISQUIOPUBICA, CUBIERTO POR MUSC
ISQUIOCAVERNOSO. CONVERGEN DEBAJO DEL PUBIS TERMINAN
EN EL GLANDE
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CUERPO ESPONJOSO CILINDRICO DE IGUALES DIMENS. ATRAVESADO POR URETRA ESPONJOSA DESDE EL BULBO, (CUBIERTO POR MUSC.
BULBOCAVERNOSO) HASTA DILATACION: GLANDE
GLANDE : MASA ERECTIL CUBRE LOS EXTREMOS DE LOS CUERPOS CAVERNOSOS Y ESPONJOSO
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