Perineum: anal & urogenital triangles Flashcards

1
Q

what is the anal triangle?

A

the posterior half of the perineum

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2
Q

what is the anal triangle bounded by?

A

the coccyx, sacrotuberous ligaments and an imaginary line between the ischial tuberosities

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3
Q

components of the anal triangle?

A

Anal aperture
External anal sphincter muscle
Two ischioanal fossae

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4
Q

what is the anal aperture?

A

the opening of the anus

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5
Q

what is the External anal sphincter muscle

A

voluntary muscle responsible for opening and closing the anus

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6
Q

what are the Two ischioanal fossae?

A

paces located laterally to the anus

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7
Q

where is the anal aperture located?

A

located centrally in the triangle with the ischioanal fossae either side

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8
Q

what do the ischioanal fossae contain?

A

fat and connective tissue

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9
Q

what is the function of the ischioanal fossae?

A

aid expansion of the anal canal during defecation

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10
Q

where do the ischioanal fossae extend?

A

extend from the skin of the anal region inferiorly to the pelvic diaphragm superiorly

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11
Q

what does the urogenital triangle comprise of?

A

the anterior half of the perineum

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12
Q

what is the urogenital triangle bounded by?

A

the pubic symphysis, ischiopubic rami, and an imaginary line between the two ischial tuberosities

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13
Q

what are the urogenital triangle associated with?

A

the structures of the urogenital system – the external genitalia and urethra

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14
Q

brief structure of the urogenital triangle?

A

complex, with a number of fascial layers and pouches

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15
Q

what is addition in the urogenital triangle that is not present in the anal triangle?

A

the urogenital triangle has an additional layer of strong deep fascia, known as the perineal membrane

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16
Q

what does the perineal membrane contain?

A

pouches on its superior and inferior surfaces

17
Q

what are the different layers of the urogenital triangle? (deep to superficial)

A
Deep perineal pouch
Perineal membrane
Superficial perineal pouch
Deep perineal fascia
Superficial perineal fascia
Skin
18
Q

what is the deep perineal pouch?

A

A potential space between the pelvic floor superiorly, and the perineal membrane inferiorly

19
Q

what does the deep perineal pouch contain?

A

part of the urethra and the external urethral sphincter

20
Q

what else is contained within the deep perineal pouch in males?

A

the bulbourethral glands and the deep transverse perineal muscles

21
Q

what is the perineal membrane?

A

A layer of tough fascia

22
Q

what is the perineal membrane perforated by?

A

the urethra and vagina

23
Q

what is the role of the perineal membrane?

A

to provide attachment for the muscles of the superficial external genitalia, and to help support the pelvic viscera

24
Q

what is the superficial perineal pouch?

A

A potential space between the perineal membrane superiorly, and the perineal fascia inferiorly

25
Q

what does the superficial perineal pouch contain?

A

contains the erectile tissues that form the penis and clitoris, and three muscles

26
Q

what are the 3 muscles contained within the superficial perineal pouch?

A

the ischiocavernosus, bulbospongiosus and superficial transverse perineal muscles

27
Q

what else is located within the superficial perineal pouch aside from the erectile tissues that form the penis and clitoris, and three muscles?

A

The greater vestibular glands (Bartholin’s glands) are also located in the superficial perineal pouch

28
Q

what is the deep perineal fascia?

A

Fascia covering the superficial perineal muscles

29
Q

what is the superficial perineal fascia continuous with?

A

continuous with the superficial fascia of the abdominal wall

30
Q

how can the superficial perineal fascia be divided?

A

into superficial and deep layers

31
Q

what is the superficial layer of the superficial perineal fascia like in structure?

A

fatty in structure

32
Q

what does the superficial layer of the superficial perineal fascia form in women?

A

the labia majora and mons pubis in women

33
Q

which structures open out onto the skin?

A

The urethral and vaginal orifices open out onto the skin