2i8 THE POCKET ANATOMY 



Relations of the Ureter in the Abdomen. 



Behind. In front. 



Psoas. Peritoneum. 



Genito-crural nerve. Colic vessels. 



Common or external iliac Spermatic vessels, 

 artery. Ileum (right side). 



Pelvic colon (left side). 



The right ureter lies close to the outer side of the inferior 

 vena cava. 



in the pelvis. 



In the Male. Each ureter enters the fold of peritoneum 

 limiting laterally the recto - vesical pouch (posterior false 

 ligament of bladder) and reaches the base of the bladder, 

 below which it runs downwards and forwards under the 

 obliterated hypogastric artery, crossing the vas deferens 

 externally ; it reaches bladder 2 inches from its fellow and 

 the same distance from prostate ; finally it enters the interiro 

 of the bladder by passing very obliquely through its coats at 

 the posterior angle of the base. 



In the Female. Passes in posterior false ligament of uterus, 

 over side of cervix below uterine artery and lateral to upper 

 part of vagina, to posterior part of base of bladder, and ends 

 as in the male. 



THE BLADDER. 



The bladder receives the urine from the kidneys by the 

 ureters. 



Position. In infancy it lies partly in the abdomen. In the 

 adult it lies in the pelvis behind the pubes ; in the male in 

 front of the rectum ; in the female it is placed in front of the 

 uterus and vagina. 



Differences in the sexes : the female bladder is larger trans- 

 versely. 



The apex is connected to the umbilicus by the urachus and 

 by the obliterated hypogastric arteries, the part posterior to 

 the urachus being covered with peritoneum. 



The body is uncovered anteriorly by peritoneum, and in 

 front are the triangular ligament, the symphysis and body 

 of the pubis, and pubo-prostatic ligaments. Superiorly it 

 is covered by peritoneum in the upper part, and is in 

 relation with the pelvic colon in the male, and uterus in 

 the female, and with small intestines in both. Crossing 



