Ureter Relation Confusion!! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam

Thread Tools Search this Thread Display Modes
Old 07-26-2012
numbndumb's Avatar
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 529
Threads: 57
Thanked 284 Times in 152 Posts
Reputation: 294
Question Ureter Relation Confusion!!

The ureter passes under the Uterine artery in the transverse cerival ligament..is what FA says. So there is risk of accidental ligation of ureter while doing a hysterectomy.

But at some other places, it says the Ureter passes under the suspensory ligament of tha ovary and hence it can be ligated during oophorectomy!! How i am confused.

Does pass under BOTH of these arteries?? If id does, then what are we supposed to asnwer when bpth those arteries/ligaments shopw up in the options????????????????????

I hope someone can clear this confusion for me. Thanks
I've become so numb
Reply With Quote Quick reply to this message

Old 07-27-2012
Steps History: ---
Posts: 197
Threads: 9
Thanked 98 Times in 64 Posts
Reputation: 108

Depends on the procedure, I guess. Ureter is initially medial to the suspensory ligament/ovarian artery and then passes below it at around the level of pelvic brim.

Its posterior to the uterine artery and hooks under it in the broad ligamemt. This is where its injured during a hysterectomy(while ligating the travservse/mackenrodts ligament).
Reply With Quote Quick reply to this message
The above post was thanked by:
doc1811 (11-10-2016), numbndumb (07-27-2012)
Old 07-27-2012
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 791
Threads: 76
Thanked 673 Times in 317 Posts
Reputation: 691

hmmmm..ill try clear the air in my way

first, at the suspensory ligament level-the ureter is situated medial to the ovarian vessels and in close relationship to them. Hence ureters can be accidentally ligated while performing oophorectomy (which could be a part of total hysterectomy or just ovaries removal)

at the transverse cervical ligament--ureter lies deep and medial to uterine artery and again they are prone for accidental ligation while severing this ligament---which is invariably a part of hysterectomy

so if they give oophorectomy, the correct choice is suspensory lig and if they mention hysterectomy, the answer could well include both ligaments(in this scenario, only one of the ligaments will be listed in the options)

i found one question in a NBME(dont remem exactly) where they listed only suspensory lig in hysterectomy case so do not panic, the options shall be clear......
Reply With Quote Quick reply to this message
The above post was thanked by:
doc1811 (11-10-2016), numbndumb (07-27-2012), umernisar (06-21-2014)


Anatomy-, Figures-, Renal-

Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Hysterectomy Ureter Injury and Arterial Ligation! plasticsurgeon USMLE Step 1 Forum 12 11-16-2012 01:31 PM
VLDL and HDL Relation! Kabutar111 USMLE Step 1 Forum 2 03-13-2012 03:03 PM
Ureter relation to Uterine Artery! heman466s USMLE Step 1 Forum 2 11-26-2011 02:21 PM
Ureter Obstruction and Filtration Fraction! docusmle9 USMLE Step 1 Forum 2 11-07-2011 11:46 PM
how ureter goes? chienpolska USMLE Step 1 Forum 1 07-14-2011 11:59 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)