Perineum Flashcards
what is inferior to the pelvic floor ceiling
pelvic diaphragm
what makes up the pelvic diaphragm (2)
leavor ani and coccygeus
what is the peripheral boundary inferior to the pelvic floor
pelvic outlet
what makes up the pelvic outlet (6)
pubic symphysis, ischiopubic rami, ischial tuberosity, sacrotuberous ligament, sacrum, coccyx
what is the inferior to the pelvic floor divided into (2)
urogenital and anal triangles
are the urogenital and anal triangles in the same plane
no
what demarcates the line between urogenital and anal triangles
ischial tuberosity
what is located inferior to the pelvic floor (3)
external openings of genitourinary tracts, external openings of GI tract, external genitalia attachment
what supplies inferior to the pelvic floor (2)
pudendal nerve and internal pudendal artery
what is located in the urogenital triangle (4)
external genitalia roots, urethral opening, vaginal opening, fibromuscular support
what fibromuscular support is located in the urogenital triangle (2)
perineal membrane and deep perineal pouch
what is located in the anal triangle (2)
anus and internal anal sphincter
what is located in the centre of the division between the triangles
centre point of the perineum
what is the perineal membrane (3)
tough fibrous fascia, erectile body attachment, external genitalia attachment
perineal body appearance (6)
irregular, variable, fibromuscular, collagen, elastin, smooth and skeletal muscle
what is located on the anterior inferior aspect of the pelvic outlet
inferior pubic ligament
what are the 3 external anal sphincters
deep, superificial, subcutaneous
which anal sphincter is voluntary
external
perineal body function (2)
associates with perineum and muscle attachment
which muscles attach to the perineal body (4)
levator ani, external anal sphincter, superficial transverse perineal muscle, bulbospongiosus
what muscle lines the anterior rim of the pelvic outlet
ischiocavernosus
perineal fascia deep to superficial (2)
deep perineal pouch and perineal membrane
deep peineal pouch contents (5)
muscles, urethra, vagina, urethral sphincters, bulbouethral glands
what does the perineal membrane divide
deep and superficial perrineal space
muscles for perineal body stabilisation and urethral closure (4)
deep transverse perineal muscle, external urethral sphincter/urethral rhabdosphincter, sphincter urethrovaginalis, compressor urethrae
which muscles for perineal body stabilisation and urethral closure are only in females (2)
sphincter urethrovaginalis and compressor urethrae
what is the superificial perineal pouch between (2)
perineal membrane and membranous superficial fascia
what does the superficial perineal pouch contain (7)
erectile tissue, external genitalia, superficial transverse perineal muscle, ischiocavernosus, bulbospongiosus, skene’s gland, Bartholin’s/vestibular gland
what superifical perineal pouch contents are only in females (2)
skene’s gland, Bartholin’s and vestibular gland
what ligament is attached to the clitoris
suspensory ligament of the clitoris
what ligament slings around the penis
fundiform ligament of the penis
what ligament attaches to the dorsal side of the penis
suspensory ligament of the penis
what is the line down the middle of bulbospongiosus muscle in males
midline raphae
what is posterior to the vagina in females and the urethra in males
urogenital hiatus
Levator ani muscles lateral to medial (3)
iliococcygeus, pubococcygeus, puborectalis
pelvic diaphragm muscles lateral to medial (4)
coccygeus, iliococcygeus, pubococcygeus, puborectalis
what muscle envelopes the bulbourethral gland
deep transverse perineal muscle
what vessels are covered with the perineal membrane
deep perineal vessels
what anterior nerves and vessels are just deep to the perineal membrane (2)
dorsal of the penis and dorsal of the clitoris
Deepest structures (9)
urethra, vagina, urogenital hiatus, rectum, pubococcygeus, iliococcygeus, coccygeux, levator ani, pelvic diaphragm
semi deep structures (6)
external urethral sphincter, compressor urethrae, bulbourethral gland, urethrovaginal sphincter, deep transverse perineum, smooth muscle
where is the bulbourethral gland located
deep transverse perineum
middle structures (3)
dorsal nerve and vessels of penis, dorsal nerves and vessels of clitoris, deep perineal vessels with perineal membrane
semi superficial structures (9)
body of clitoris, urethra, corpus cavernosum, corpus spongiosum, crus, ischial ramus, bulb of penis/vestibule, greater vestibular gland
external structures (10)
urethra, external urethral orifice, vaginal orifice, ischiocavernosus, raphae of bulbospongiosus, bulbospongiosus, superficial transverse perineal, perineal body, anus, external anal sphincter
male urogenital triangle contains (2)
corpora cavernosa and corpus spongiosum
paired bodies of erectile tissue forming body of penis
corpora cavernosa
what attaches corpora cavernosa to pubic arch
crura
single body of erectile tissue, contains urethra
corpus spongiosum
what attaches corpus spongiosum to perineal membrane
bulb
where does the corpus spongiosum extend to
glans penis
important elements of male urogenital triangle (5)
corpora cavernosa, corpus spongiosum with urethra, crus of penis, glans penis, bulb of penis
other elements of the male urogenital triangle (3)
external urethral orifice, navicular fossa of urethra, bulbourethral gland in deep pouch
contents of the female urogenital triangle (5)
corpora cavernosa, crura, body of clitoris, bulbe of vestibule, glans clitoris
where is the greater vestibular gland located
superficial pouch
another name for greater vestibular gland
bartholin’s gland
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