urogenital triangle Flashcards
what are the borders of the urogenital triangle
between the pubic symphysis and the ischiopubic rami, anterior to the ischial tuberosities
what nerves and vessels pass through the lesser sciatic foramen
pudendal nerve, internal pudendal vessels
what are the divisions of the urogenital triangle
divided by the perineal membrane into a superior deep pouch and an inferior superficial pouch
what are the contents of the deep pouch aka urogenital diaphragm
external urethral sphincter and deep transverse perineal muscles with the urethra and vagina passing through
what are the features of the perineal membrane
spans the urogenital triangle
has openings for nerves, urethra and vagina
attaches to the perineal body in the midline, posteriorly
what does the male deep pouch contain
urethra and bulbourethral glands
inf boundary is the perineal membrane, superficial is fascia
what does the superficial pouch contain
genitalia
what are the features in common with the clitoris and the penis
two crura
which become corpora cavenosa that fill with blood to produce erection
a central bulb which is split by the vagina as the bulb of the vestible, in the penis it become the corpus spongiosum that contains the urethra
what are the 3 corpora of the penis
2 dorsal cavenosa
ventral spongiosum
what are the coverings of the penis
loose skin with no fat
superficial dartos fascia (merging of camper’s and scarpa’s)
skin doubles back on itself to form the prepuce and foreskin that is continuous with the glands
what are the features of the penile septum
complete proximally
pectiniform distally to even out pressures and stay straight
what surrounds the corpora cavenosa
thick tunica albuginea
and deep fascia (Buck’s)
what tissue forms the the glans as a cap over the corpora cavernosa
the corpus spongiosum
what muscle surrounds each crus of the penis
ischiocavernosus
what muscle surrounds each bulb of the penis
bulbospongiosus
what is the function of ischiocavernosus and bulbospongiosus
support the penis and contribute to errection, bulbospongiosus compresses the urethra during ejaculation and in order to expel urine
what are the supportive ligaments of the penis
fundiform, triangular(suspensory) from the linea alba and pubic symphysis
describe the fundiform ligament of the penis
acts like a sling around the ventral aspect
what is the foreskin
a fold of skin, continuous with the glans and the mucous membrane of the urethra
what do the sebaceous glands form
smegma
where is the frenulum of the penis
ventrally between the foreskin and the glans
what is balanitis
inflammation of the head of the penis
where are the two bends in the male urethra
between the membranous and bulbar urethra
in the spongy urethra as it becomes pendulous
what is the epithelium of the urethra
urothelium until ejac. ducts, then (pseudo) stratified
columnar, before stratified squamous in distal urethra,
keratinised at ext. orifice
what does the labia majora form
mons pubis anteriorly and the posterior commissure or fourchette posteriorly
describe an episiotomy
must be backwards and angled laterally to avoid cutting the anal sphincter
what does the labia minora form
the prepuce of the clitoris
describe the structure of the clitoris
2 crura make up the body
the bulb contributes as a hood over the glans
the urethra opens inferiorly in the vestible
describe the bulb of the clitoris
divided by the vagina and covered by bulbospongiosus that aids pubovaginalis in its sphincteric effect
what might be a problem with the Bartholin’s glands
cyct or abscess formation
what does the internal pudendal supply
the perineum and in both sexes gives arteries to the: urethra, posterior 2/3 of the scrotum or labia (anterior 1/3 via external pudendal from femoral), cavernous tissue of penis or clitoris, skin of shaft and glans of penis or clitoris
what is the venous drainage of the penile skin and foreskin
superficial dorsal veins to the external pudendals
what is the lymph drainage of the deeper structures
internal iliac nodes
what is the lymph drainage of the superficial structures
superficial inguinal nodes
what is the lymph drainage of the glans
deep inguinal - Cloquet nodes and external iliac nodes
what structure forms the glans penis
c. spongiosum
what does the linea alba form in the penis
fundiform and suspensory ligaments
what tissue makes up the crus of the clitoris
corpus cavernosum