M/F pelvis and peritoneum Flashcards
corrugator cutis ani
most superficial muscle that forms the ext anal sphincter
just over the superficial zone
Pudendal canal
split of obturator fascia that conduts int. pudendal vessels and pudendal nn
Contents of the ischioanal fossa
adipose tissue (continuation of Camper’s Fascia)
internal pudendal vessels
inf rectal vessels
internal pudendal nn.
*Posteriorly R and L can communicate freely
similar communication is prevented within the anterior recess by the UG diaphragm
Alcocks’s canal
split of the obturator fascia that conducts the internal pudendal vessels and the pudendal nn. back into the perineum after they leave the pelvis thru the greater sciatic foramen
layers of fascia surrounding the penis (super to deep)
Skin superficial fascia ( colle's) Deep fascia ( Buck's) Tunica albuginea ( surrounds each CC and CS)
Septum of penis
layer of tunica albuginea that runs b/w L and R CC
highly fenestrated to allow equal filling during erection
Suspensory ligament of penis
arises form PS and inserts into the deep fascia of the penis (Buck’ Fascia)
Bulbospngiosus (M)
surrounds the bulb of penis
compresses urethra to expedite ejaculate
Ischiocavernosus (m)
Erector of the penis
located superior to the crus
superficial penile fascia
extension of Colles’ fascia, just below the skin
extends into the scrotum and is called Dartos fascia
vascular supply to the scrotum
anterior scrotal branches from ext pudendal a. (from femoral al.)
posterior scrotal branches from pudendal —.perineal a.
innervation to the scrotum
anterior scrotal branches (from ilioinguinal)
posterior scrotal branches from the perineal branch of the pudendal n.
labia minora
homolog of urethral folds in the male
join anteriorly around the clitoris to form the prepuce (superior) and the frenulum (inferior)
central tendon (F)
aka perineal body
larger and more prominent than in males
insertion point for super and deep transverse perineal muscles
bulbospongiosus m.
and ext anal sphincter
vestibular bulbs
homologue of SC
lies along base of labia majora
covers the greater vestibular glands,
greater vestibular (bartholin’s) glands
located at posterior aspect of labia majora
(8 and 4)
homolog of the bulbourethral gland
clitoris
formed of CC erectile tissue
buried under prepuce
attached to the Pubic sympth via suspensory ligament of clitoris (from Buck’s fascia)
bulbospongiosus (F)
wraps around the labia minora
ischiocavernosus (F)
from ischiopubic rami to pubic arch to form the crura of clitoris
blood supply to the central tendon
from the transverse perineal a. (i.e. from perineal a.)
branches of int. pudendal a.
artery of bulb
urethral a.
aa. to mm. of deep perineal space
deep and dorsal artery of clitoris or penis
superficial dorsal v. of penis
drain via ext pudendal to femoral v.
located b/w superficial and deep (Buck’s) fascia
deep dorsal v. of penis
single large midline v. deep to deep fascia
drains to prostatic plexus and pudendal plexus
tunica vaginlais
from processus vaginialis
forms partial cover around the testes
** extension of peritoneum
—>fill with fluid in hydrocele (when patent)
—>fill with intestine in indirect hernia (when not patent)
**has visceral and parietal layers
Tunica albuginae
dense CT the covers the testes directly
divides it into lobules
lobules of testes
divided by tunica albuginea
each contains convoluted seminiferous tubules, straight seminiferous tubules, and rete testes
Layers of tissues surrounding the testes
skin
superficial (dartos) fascia
ext spermatic fascia (from EAO)
cremaster muscle fascia and fascia (from IAO)
int spermatic fascia (from transversalis fascia
parietal layer of TV
visceral layer of TV
tunica albuginea
ilioinguinal n.
passes thru inguinal canal, runs with spermatic cord
distributes to: upper and medial thigh
upper ant scrotum
anterior scrotal n. or ant labial n.
genitofemoral n.
L1 L2
genital branch passes thru canal to supply the cremaster and is continuous with scrotum
seminal vesicles
arise as blind pouches that drain into the ducuts deferens
located on posterior surface of bladder just on top of prostate
functional sex glands
add 60% of the seminal flulid
ejaculatory ducts
junction of ductus deferens with seminal vessels
run thru the prostate and empty into the prostatic urethra
development of prostate
formed from 5 outgrowths of the urethra
**middle (above ejaculatory duct) and posterior lobes (below ejaculatory duct)
prostate blood supply
inferior vesicle a.
- -> capsular a. (main portion of gland)
- —>urethral aa.—-> prostatic urethra and adjacent tissues
prostatic venous drainage
both drain back to internal iliac v.
vesicular plexus (on posterior of bladder) prostatic plexus (anterior and lateral)