Female: Bladder / Ureter Injuries
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BOARD 1
1. Anterior view: normal female abdominal and pelvic anatomy
2. Anterior view: female abdominal anatomy and pelvic anatomy post-hysterectomy
BOARD 2
1. Blood supply to ureter
BOARD 3
1. Orientation view: urinary system
2. Detail: normal flow of urine
BOARD 4
1. Orientation view: urinary system
2. Obstruction of urine by post-operative scarring
BOARD 5
1. Orientation view: urinary system
2. Coronal view: urinary bladder
3. Sagittal view: female pelvic anatomy post-hysterectomy
4. Sagittal view: the wall layers of the bladder
BOARD 6
1. Coronal view: urinary bladder
2. Sagittal view: the wall layers of the bladder
BOARD 7
1. Orientation view: post hysterectomy
2. Detail: post hysterectomy with adhesions
3. Detail: wall layers of bladder with adhesions
BOARD 8
1. Orientation view: post-hysterectomy
2-5: Necrosis of weakened bladder wall - to vesicovaginal fistula
BOARD 9
1. Orientation view: post hysterectomy
2. Detail: wall of weakened bladder wall with devascularization of tissues
3. Devascularization expands to vaginal wall
4. Expansion of necrosis
BOARD 10
1. Orientation view: post hysterectomy
2. Detail: wall of bladder and vaginal wall
3. Microabscess between bladder and vaginal wall
4. Expansion of abscess with necrosis
5. Delayed fistula forms
BOARD 11
1. Orientation view
2. Detail: vesicovaginal fistula
BOARD 12
1. Orientation view
2. Detail: vesicovaginal fistula
BOARD 13
1. Cystogram: sagittal view of a catheter in urethra and bladder injecting dye
2. Orientation view: anterior bladder in pelvis
3. Example cystogram (photo)
BOARD 14
1. Original position of sling and the eventual placement of sling: sagittal view
2. View of sling coming through bladder wall through scope
BOARD 15
1. Normal anatomy of urinary system
2. Detail: uterosacral ligament in relation to ureter
BOARD 16
1. Scarring of the ureter
2. Scarring constricting blood flow in ureter
BOARD 17
1. Orientation: normal anatomy of kidneys, ureters, and bladder
2-4. Clamping, cutting, and suturing the ureter
5. Anatomy of kidneys, ureters, and bladder with suture on ureter
BOARD 18
1. Surgeon's view: during suturing of vaginal cuff and bleeders
2. Detail of suturing
3. Cross section of suturing: needle
4. Cross section of suturing: suture pulling fascia, kinking ureter