Lecture 20: Perineum Flashcards

1
Q

Where is the perineum?

A

Below pelvic floor

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2
Q

What does the urogenital triangle contain?

A

Openings of urinary and reproductive systems

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3
Q

What does the anal triangle contain?

A

Anus and external sphincter

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4
Q

How do the vagina, urethra and rectum exit the body?

A

On an angle, form functional sphincters (anal canal angulated in posterior direction)

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5
Q

What is the cloaca?

A

Common ejection chamber in development for urogenital system and GIT

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6
Q

What germ layer is the cloaca?

A

Endoderm

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7
Q

What is the perineal membrane and where is it?

A

Strong supporting membrane, fills urogenital triangle

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8
Q

Where is the deep perineal pouch?

A

Below pelvic diaphragm and above perineal membrane

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9
Q

What is present in the deep perineal pouch?

A

Urethra and vagina (females), transverse perineal muscels

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10
Q

What are the features of the external urethral sphincter?

A

Skeletal muscle, slow twitch

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11
Q

What are the additional sphincteric components in females?

A

Urethrovaginalis, compressor urethrae - need to maintain nerve supply to these to maintain continence

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12
Q

What is the superficial perineal pouch?

A

Outlet for urethra, vagina and anus

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13
Q

What is the function of bulbospongiosus?

A

Additional support for urethra, skeletal muscle, contracts to expel last bit or urine, attached to perineal body

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14
Q

Where is erectile tissue present?

A

Corpora cavernosa and corpus spongiosum, external genitalia, clitoris

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15
Q

What happens if the bulb is damaged at the level of the apex of prostate?

A

Extravasation of urine into the extraperitoneal cavity

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16
Q

What happens if the bulb is damaged at the penis?

A

Extravasation of urine into superficial perineal space

17
Q

What makes up the external genitalia of the female

A

Vulva, labia majora, labia minora, glans

18
Q

What are the features of the ischio (rectal) anal fossa?

A

Contains fat and inferior rectal nerve - allows distension of rectum and anus during defeacation - prone to abscess formation

19
Q

What is the internal anal sphincter?

A

Smooth muscle wall thickening of anal canal - under reflex control

20
Q

Where does the inferior rectal nerve branch from?

A

S4 - pudendal nerve