Unit 3 - Thorax, Abdomen, Pelvis, and Perineum: Perineal Spaces (Ex. III) Flashcards
L wall
lower parts of obturator internus
obturator fasciae
roof
I surface of pelvic diaphragm
floor
skin of perineum
What separates perineum into A urogenital triangle and P anal triangle?
imaginary line connecting M and L ischial tuberosities
perineal membrane
tough fibrous sheet
stretches between ischiopubic rami
extends A almost to pubic symphysis
extends P to ischial tuberosities
separates urogenital triangle into deep and superficial perineal spaces
forms platform for attachment of cavernous bodies of external genitalia
superficial perineal space
potential space bounded above by perineal membrane and below by superficial perineal fascia (Colle’s fascia) - extension of membranous layer of superficial fascia (Scarpa’s fascia) on abdominal wall
contents:
- bulbocavernosus
- ischiocavernosus
- superficial transverse perineal muscle
- deep perineal branches of internal pudendal vessels and n.
- MALES: root of penis and proximal spongy urethra
- FEMALES: clitoris and its muscles; vestibular bulb; greater vestibular
glands
deep perineal space
bounded I by perineal membrane and S by pelvic diaphragm
contents:
- part of urethra and I part of external urethral sphincter
- A recesses of ischioanal fat pads
- VANs to penis or clitoris
- MALES: membranous part of urethra; bulbourethral glands; deep
transverse perineal musclel
- FEMALES: compressor urethrae; urethrovaginal sphincter; proximal
urethra; smooth muscle associated w/ perineal body
perimeter of perineum
pelvic outlet:
- pubic symphysis
- ischiopubic rami
- sacrotuberous ligaments
- coccyx