Perineal Anatomy Flashcards
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Know IDs in green and what they branch to in yellow
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area contained within labia minora
vestibule
structures found within vestibule
external urethral orifice
vaginal orifice
boundaries of UG triangle
pubic symphysis, ischeal tuberosities
innervation and function of bulbospongious
fx: maintain erection (F/M), ejaculation (M)
innervation: perineal n. (deep branch); S2,3,4
para-pre, symp pre/post
innervation and function of ischeocavernosus
fx: maintain erection (F/M), ejaculation (M)
innervation: perineal n. (deep br.); S2,3,4
para-pre, symp pre/post
innervation and function of superficial transverse perineus
fx: support perineal body
innervation: perineal n. (deep br.)
perineal body fx
central stabilizing point of perineum
bulb of vestibule fx, innervation
fx: erection, sensation, forms glans of clitoris
innervation: cavernous nerves (uterovaginal and vesical plexi)
para post
homologous to bulb of the penis
crura of corpora cavernosa fx, innervation
fx: maintain erection, sensation
innervation: cavernous nerves (uterovaginal and vesical plexi)
parasympathetic
body of clitoris fx, innervation
fx: sensation, erection
innervation: cavernous nerves (uterovaginal and vesicular plexi)
glans of clitoris is formed by tissue of which erectile body?
bulb of the vestibule
greater vestibular glands fx, homology
fx: secrete mucus into vestibule during sexual arousal
homology: bulbourethral glands
perineal membrane is superior boundary of ___ pouch and inferior boundary of ___ pouch
superior boundary of deep pouch (below it)
inferior boundary of superficial perineal pouch (above it)
muscles of UG diaphragm
sphincter urethrae
deep transverse perineus
fx of muscle of UG diaphragm
sphincter urethrae: control exit of urine
deep transverse perineus: support pelvic floor, ejaculation (M)
contents of ischioanal fossa
adipose, inferior rectal vessels and nerves
pudental nerve branches
- inferior rectal n.s (SA, SE)
- perineal n.
–> superficial br –> posterior scrotal (M) or posterior labial n.s
–> deep br –> UG triangle muscles
- dorsal n. of clitoris (F) or penis (M)
pudental nerve origin
sacral plexus
S2,3,4
course pudental n.
thru greater sciatic foramen –> lesser sciatic foramen –> pudental canal –> perineum
internal pudendal a. branches
inferior rectal a.s
perineal a.
posterior labial a.s / posterior scrotal a.s
a. to the bulb
deep a. of clitoris / penis
dorsal a. of clitoris / penis
internal pudendal a. origin
internal iliac a.
internal pudendal v. tributary to…
internal iliac v.
dartos reflex
temperature sensitive wrinkling of the skin, shrinking
external spermatic fascia corresponds to which abd wall layer
ext. abd. oblique aponeurosis
cremaster reflex
elevate testis upward for warmth and protection
can be induced by gently stroking internal thigh
cremaster fascia corresponds to which abd wall layer
int. abd. oblique
epididymus fx
conduct sperm from testis to vas deferens
erectile bodies comprising body of penis
corpora cavernosa
corpus spongiosum
erectile body forming glans of penis
corpus spongiosum
inguinal triangle boundaries
lateral edge of rectus abdominis
medial half of inguinal ligament
position of inferior epigastric vessels
superficial inguinal ring transmits … in M and … in F
spermatic cord (M)
round ligament (F)
walls, floor, roof of inguinal canal
anterior wall: abdominal oblique aponeurosis
posterior wall: transversalis fascia
roof: internal abdominal oblique and transversus abdominus m.s
floor: inguinal ligament
conjoint tendon is formed by aponeurosis of which two layers
fusion of aponeuroses of int abd oblique and transverse abdominis
inguinal ligament forms which boundary of inguinal canal
floor
deep inguinal ring is formed in which layer
transfersalis fascia (makes up posterior wall)
attachments round ligament
gubernaculum and uterus
landmarks of perineum
coccyx
ischeal tuberositis
pubic symphysis
muscles comprising pelvic diaphragm
levator ani
coccygeus
greater sciatic foramen connects which 2 regions
pelvic cavity to gluteal region
lesser sciatic foramen connects which 2 regions
gluteal region to perineum region