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The relationship between the two can be remembered using the phrase 'water under the bridge'. Fig 2 Relationship between the ureter and uterine artery. Male In men, instead of the uterine arteries, the vas deferens cross the ureters anteriorly.. The relationship between the uterine artery and the ureter has important clinical significance, and is remembered by the phrase "water (ureter) under the bridge (uterine artery)".
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Typically, the ureter enters the pelvis over the common iliac artery and medial to its bifurcation at the pelvic brim [1] . It then descends medially toward the cardinal ligament and courses beneath the uterine artery (a concept commonly learned in medical school as "water under the bridge") at approximately 2 cm lateral to the cervix.. The gonadal vessels descend laterally and cross anterior to the ureter, "water under the bridge", a third of the way to the bladder. The gonadal vessels cross the left ureter after running parallel to it for a small distance As the left ureter approaches the pelvis, it is crossed by the left colic vessels, the sigmoid colon, and its mesocolon