Perineum and External Genitalia - Anatomy Flashcards
What divides the perineum into the urogenital and anal triangle?
Imaginary line between ischial tuberosities
What does the anal triangle contain?
- Anal opening
- Anal aperture
- Ischioanal fossa x2
What is ischioanal fossa?
Fat filled space between ischium and anus
What does ischioanal fossa allow for?
Expansion during defecation
What forms the lateral boundary of the ischioanal fossa?
Obturator internus
What forms the medial boundary of the ischioanal fossa?
Levator ani
What forms the inferior boundary of the ischioanal fossa?
Subcutaneous fat and tissue
Describe the course of the internal pudendal artery / nerve / vein
Leaves pelvis via greater sciatic foramen, loops around sacrospinous ligament and enters into perineum via lesser sciatic foramen
What branches does the internal pudendal artery give off?
Branches to levator ani, inferior rectal branches
Where does the pudendal neurovascular bundle course?
In ischioanal fossa
Describe the course of the piriformis muscle
Leaves pelvis via greater sciatic foramen to attach to the femur
What can the urogenital triangle be divided into?
Superficial and deep perineal pouches
What separates the superficial and deep perineal pouches?
Perineal membrane
Where does the perineal membrane project from/to?
Membrane projects from ischiopubic ramus to ischial tuberosities
What are the only openings that the perineal membrane contains?
Opening for urethra and vagina in female
What does the perineal membrane act as?
Perineal membrane acts as an attachment point for the external genitalia, so external genitalia hang and are located in the superficial perineal pouch
What is found deep to the perineal membrane?
The external urethral sphincter and deep transverse perineal muscles
What is found superficial to the perineal membrane?
Erectile tissues and associated muscles
Where does the bulb of the penis hang from?
Perineal membrane in the midline
What muscle surrounds the bulb of the penis?
Bulbospongiosus