Perineum: Ischio-anal fossa, urogenital triangle, anal triangle Flashcards

1
Q

wh is the perineum?

A

the perineum is a diamond-shaped region positioned inferiorly to the pelvic floor between the thighs. Its peripheral boundary is the pelvic outlet; its ceiling is the pelvic diaphragm (the leavtor ani and coccygeus muscles); and its narrow lateral walls are formed by the walls of the pelvic cavity below the attachment of the leavtor ani muscle

the perineum is divided into an anterior urogenital triangle and a posterior anal triangle by an imaginary line between the two ischial tuberosities

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2
Q

borders of perineum

A

anterior: inferior border of the pubic symphysis
posterior: tip of the coccyx
lateral: ischial tuberosity
inferior: pelvic outlet

roof: leavtor ani muscles

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3
Q

external anal sphincter

A

deep part: continuous with leavtor ani muscles
superficial:
subvutaenous part: just beneath the skin
innervation: pudendal nerve

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4
Q

superficial perineal pouch

A

ceiling: perineal membrane
floor: membranous layer of the superificial fascia
content: erectile tissue of the penis and clitoris

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5
Q

corpora cavernosa

A

two cylindrical erectile structures attached to the pelvis at the crura (legs)

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6
Q

crura

A

latin: “legs”

the end of the corpora cavernosa that attached them to the pubic arch

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7
Q

bulbs of vestibule

A

the female equivalent of the corpus spongiosum in men;

two symmetric cylindrical structures found on either side of the glans clitoris

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8
Q

glans clitoris

A

an erectile mass located anterior to the urethra in the midline

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9
Q

corpus spongiosum

A

a single large erectile mass. th eequivalent of the vestibule, glans clitoris, and interconnecting bands of erectile tissue in women

located inferiorly and medially to the corpa cavernosa

contains the urethra

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10
Q

root of clitoris

A

only the two crura

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11
Q

body of clitoris

A

formed by the unattached parts of the corpora cavernosa, embedded in the connective tissue of the perineum

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12
Q

root of penis

A

two crura + bulb of the penis

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13
Q

bulb of penis

A

proximal part of the corpus spongiosum

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14
Q

body of penis

A

the two free parts of the corpora cavernosa and the corpus spongiosum

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15
Q

suspensory ligament of penis

A

a deep ligament anchored to the pubic symphysis

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16
Q

fundiform ligament of penis

A

a superficial ligament attached to the linea alba and the anterior abdominal wal

17
Q

glans penis

A

an expansion of the corpus spongiosum at the distal end of the penis that covers the corpora cavernosa

18
Q

bartholin’s gland

A

female analogues of the bulborethral glands found in the superifical perineal pouch rather than deep

produce secretion during sexual arousal

19
Q

ischiocavernosus muscle

A

two thin muscles that cover the cura of the penis and are attached to the ischial tuberosity
forces blood from the body into the crus of the relevant erectile tissue

20
Q

bulbospongiosus muscle

A

associated with the bulbs of the vestibule in women; base of the corpus spongiosum in men

21
Q

vulva

A

female external genitalia: clitoris, vestibular apparatus, and a number of skin and tissue folds

22
Q

labia minora (minus for singular)

A

inner/ non-skin hood of the vulva, has a medial and lateral fold

23
Q

vestibule

A

the region enclosed on either side by the labia minora; urethra and vagina empty here

24
Q

prepuce of clitoris

A

“hood” of the clitoris, a union of the medial folds of the clitoris

25
Q

frenulum of labia minora

A

a small medial union between the two labia minora posterior to the clitoris

26
Q

hymen

A

a ring-like fold of membrane that ruptures during stress or during initial intercourse

27
Q

paraurethral (Skene’s) glands

A

open on either side of the urethra in females

28
Q

posterior commisure

A

posteriorly the labia majora do not meet, instead they form a commisure

29
Q

raphe

A

a midline remnant of the union of two labiscrotal swellings in the embryo

30
Q

raphe of penis

A

a line of fushion between urethral cushions?

31
Q

frenulum of the glans

A

a medial skin fold attaches the glans to the foreskin in this region

32
Q

corona of glans

A

the outer ring of the glans that meet at the midline

33
Q

prepuce

A

foreskin attached at the neck of the glans with skin lying loosely attached posteriorly

34
Q

Colle’s Fascia

A

a superficial fascia of the urogenital triangle that is continuous with the fascia of the anterior abdominal wall

attachments: anteriorly it descends from the abdominal fascia, posteriorly it is attached to the perineal membrane, laterally it is anchored to the ischiopubic rami

35
Q

ischioanal fossa

A

borders
inferior: perineal membrane
laterally: obdurator muscle
superiorly and medially:levator ani muscles

36
Q

anterior recess of ischioanal fossa

A

base: deep perineal pouch
superiomedial wall: levator ani
superiolateral wal: obturator wall

37
Q

urogenital triangle

A

anterior border: inferior aspect of pubiv symphysis
lateral border: ischiopubic rami bones
posterior: imaginary line between ischial tuberosities