Description: The urinary bladder is the hollow, muscular
organ central in the pelvis anteriorly. This muscle is called the detrusor
m. The bladder receives tubular ureters
one from each side. They enter at the postero-lateral portion externally,
pass obliquely through the detrusor m. and open into the base of the trigone
internally. At the apex of the trigone of the bladder inferomedially,
the internal urethral os, the outlet of the bladder merges with
the urethra.The bladder is loosely attached to the lower portion of the
uterus, and the trigone rests anterior to the vagina. The
vesico-uterine pouch lies posterior to the extraperitoneal bladder,
and the Space of Retzius is anterior, allowing upward expansion of the
organ, and surgical access to the urethra. The
circulation of the bladder is via the superior and middle vesical
a., and the innervation from the inferior hypogastric plexus; S2-S4 (parasympathetic).
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