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Anatomy · Abdomen and pelvis: prostatic urethra landmark
Sample itemDuring transurethral resection of the prostate the surgeon identifies a rounded elevation on the posterior wall of the prostatic urethra where the ejaculatory ducts open, and does not resect distal to it. Which landmark is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Seminal colliculus (verumontanum)
The seminal colliculus is a midline elevation on the urethral crest bearing the opening of the prostatic utricle and, on either side, the ejaculatory ducts. It marks the distal limit of resection so that the external urethral sphincter just below it is protected. The bulbourethral ducts open into the spongy urethra, well below.
Option by option
A. Interureteric ridge
The interureteric ridge lies between the ureteric orifices at the back of the bladder.
B. Uvula vesicae
The uvula vesicae is the bladder neck elevation caused by the median lobe of the prostate.
C. Seminal colliculus (verumontanum) (correct)
Correct. The verumontanum carries the openings of the ejaculatory ducts and prostatic utricle.
D. Openings of the bulbourethral ducts
The bulbourethral duct openings lie in the spongy urethra, beyond the membranous urethra.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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