Lecture 42 - The Perineum Flashcards
diamond-shaped area when observed inferiorly
perineum
anterior triangle name
urogenital triangle
posterior triangle name
anal triangle
anterior boundary of perineum
symphysis pubis
posterior boundary of perineum
tip of coccyx
anterolateral boundary of perineum
ischial tuberosities
posteriolateral boundary of perineum
imaginary line connecting ischial tuberosities with the coccyx
blood supply to the anal canal
superior and inferior rectal arteries
anal columns forming transverse semilunar folds that are at the lower end
anal valves
the lower end has vertically running folds in its mucosa called the
anal columns (of Morgagni)
the anal sphincters can be divided into the
involuntary internal sphincter and voluntary external sphincter
the internal sphincter is surrounded by the external sphincter and has 3 parts:
subcutaneous, superficial, deep
encircles the lower end, has no bony attachment
subcutaneous
attached to the coccus posteriorly and the perineal body anteriorly
superficial
encircles the upper part, also has no bony attachment
deep
wedge-shaped space located on each side of the anal canal
ischiorectal fossa
allows the dilation of the anal canal during defecation and passage of the pudendal nerve and internal pudendal vessels in the pudendal canal
ischiorectal fossa
cross the fossa to reach the lower part of the anal canal
inferior rectal vessels and nerve
a space in the lateral portion of the ischiorectal fossa
pudendal (Alcock’s) canal
the two muscles of the urogenital diaphragm
deep transverse perineus and the sphincter urethrae
muscles located superficial to the deep transverse perineus
superficial transverse perineus
the superficial transverse perineus runs from the ischial tuberosities to the
perineal body
muscles that attach to the perineal body
bulbospongiosus, ischocavernosus, superficial/deep transverse perineus
the root of the penis is made of 3 erectile tissues:
bulb of the penis and the left and right crura
the bulb of the penis is covered by the
bulbospongiosus muscle
the crura of the penis are covered by the
ischiocavernosus muscles
deep fascia of the penis
Buck’s fascia
3 erectile tissues in the penis
corpus cavernosa (2) and corpus spongiosum (1)
the corpus spongiosum expands to form the
glands penis
associated structures of the glans penis
external urethral meatus, corona, prepuce (foreskin) and the frenulum
contains the testis and contains the dartos muscle
scrotum
blood supply of corpus spongiosum
artery of the bulb
blood supply of corpus cavernosa
deep arteries of the penis
bloody supply of all penile tissue
dorsal arteries of the penis
venous drainage of the penis
dorsal vein
helps maintain erection
suspensory ligament, fungiform ligament (thickening of scarpa’s fascia; a “sling”)
innervation of the penis
pudendal nerve (branches include dorsal nerves of the penis)
the root of the clitoris is made up of 3 erectile tissues:
bulb of vestibule and right and left crura
bulb of clitoris is covered by the
bulbospongiosus muscles
the crura are covered by the
ischiocavernosus muscles
lower vestibular glands of vagina
skene’s glands
help secrete fluid in vagina
Greater vestibular (bartholins) glands
parts of vagina
prepuce, frenulum, labia majora, labia minoris