Urogenital triangle Flashcards

1
Q

what forms the boundaries of the urogenital triangle

A

imaginary line between the ischial tuberosities (base) and the apex of the triangle at the pubic symphysis

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2
Q

the urogenital diaphragm is found in the urogenital triangle - what structures must pass through this in both sexes

A

urethra

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3
Q

scarpa’s fascia is called what as it passes into the labia/scrotum

A

colles’ fascia

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4
Q

colles’ fascia attaches where

A

posterior border of the urogenital diaphragm at a small dense piece of connective tissue called the perineal body

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5
Q

what is the fatty fascia of the abdominal wall called

A

camper’s

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6
Q

what is campers fascia continuous with

A

ischiorectal fossa and thigh

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7
Q

in the scrotum, campers fascia is replaced with what

A

dartos smooth muscle

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8
Q

where is the urogenital diaphragm found

A

fills the urogenital triangle - closes off the space between the pubic bones

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9
Q

what is the function of the urogenital diaphragm

A

prevents structures passing out of the pelvic cavity (prolapse) and provides an area of attachment for structures of the superficial perineal pouch

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10
Q

how many layers is the urogenital diaphragm

A

3 layers

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11
Q

what is the superior (deep) layer of the urogenital diaphragm composed of

A

fascia that blends with the perineal body and membrane

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12
Q

describe the middle layer of the urogenital diaphragm

A

contains the voluntary sphincter that controls urination - sphincter urethrae, and deep transverse perineal muscles

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13
Q

the middle layer of the urogenital diaphragm is also described as containing an anatomical space called the

A

deep perineal pouch

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14
Q

describe the inferior (superficial) layer of the urogenital diaphragm

A

the perineal membrane

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15
Q

structures that lie between the perineal membrane and the skin are described as being where

A

in the superficial perineal pouch

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16
Q

the deep perineal pouch lies where

A

between the fascial layers of the urogenital diaphragm

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17
Q

what happens to the fascial layers of the urogenital diaphragm anteriorly

A

fuse, leaving a small gap near pubic symphysis

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18
Q

anteriorly, the fascial layers of the urogenital diaphragm fuse leaving a small gap near pubic symphysis - what passes through this gap

A

vessels to the clitoris and penis

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19
Q

what happens to the fascial layers of the urogenital diaphragm posteriorly

A

layers fuse with the perineal body

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20
Q

the fusing of the fasical layers of the urogenital diaphragm posteriorly with the perineal body helps to do what

A

helps to connect the fascia of the urogenital diaphragm to the rest of the fascia in the pelvis and is involved in the transmission of stress across the pelvic floor

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21
Q

posteriorly the fascial layers of the urogenital diaphragm fuse with what

A

eachother, membranous superficial fascia and the perineal body

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22
Q

structures that need to pass from the pelvic cavity to the perineum must pass through the urogenital diaphragm and therefore the middle layer of the diaphragm the ___

A

deep perineal pouch

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23
Q

what passes through the deep perineal pouch in both sexes

A

urethra

branches of the internal pudendal artery and pudendal nerve

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24
Q

what passes through the deep perineal pouch only in males

A

small bulbourethral glands that add fluid to the urethra
membranous urethra
penile arteries
dorsal nerves of penis

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25
what passes through the deep perineal pouch only in females
the vagina | dorsal nerves of clitoris
26
where do small glands associated with the vagina lie in the female
in the superficial perineal pouch
27
what is found in the deep perineal pouch
``` urethra sphincter urethrae deep transverse perineal muscles internal pudendal vessels and branches pudendal (perineal) nerve ```
28
where is the superficial perineal pouch
between the perineal membrane and the skin
29
what is found in the superficial perineal pouch
reproductive structures of the perineum in both sexes
30
what are the contents of the superficial perineal pouch
small muscles, pieces of erectile tissue, nerves and vessels that supply them and the urethra
31
what is the erectile tissue found in the superficial perineal pouch
crura bulb of vestibule (female) bulb of penis (male)
32
what muscles are found in the superficial perineal pouch
ischiocavernosus bulbospongiosus superficial transverse perineal
33
what nerves supply ischiocavernosus and bulbospongiosus
perineal branches of the pudendal nerve
34
ischiocavernosus and bulbospongiosus are
small skeletal muscles
35
ischiocavernosus and bulbospongiosus lie over
erectile tissues of the perineum in box sexes
36
how do ischiocavernosus and bulbospongiosus help to maintain erection
contract to impede venous return - retaining the blood inside the erectile tissue
37
ischiocavernosus overlie
crura
38
bulbospongiosus overlies
bulb of the penis in males and bulb of vestibule in females
39
describe how bulbospongiosus differs between males and femlaes
males: bulbospongiosus muscles meet in the midline and surround the bulb of the penis females bulb of vestibule is in two parts one on either side of opening to vagina - over vestibule
40
what muscles support the edge of the urogenital triangle in both sexes
the superficial transverse perineal muscles
41
what is the equivalent of the superficial transverse perineal muscles in the deep pouch
deep transverse perineal muscles
42
what structure sits at the posterior edge of the urogenital diaphragm
perineal body
43
what does the perineal body provide attachment for
EAS bulbospongiosus superficial transverse perineal muscles
44
erectile tissues are ____ in females
smaller
45
what is the erectile tissue lying next to the ischiopubic rami
crura (Singular crus)
46
in females the crura continue to form what
clitoris
47
in males the crura continue to form what
corpora cavernosa
48
in males the bulb of the penis continues to form what
corpus spongiosum of the penis
49
the corpus spongiosum will also form what
glans penis
50
the bulb of the vestibule surrounds the
opening of the vagina
51
the bulb of the vestibule continues to form what
glans of the clitoris
52
what are the erectile tissues of the penis
2 corpus cavernosum | 1 corpus spongisum
53
the urethra lies within what
corpus spongiosum (spongy/penile urethra)
54
what is the erectile tissue of the penis supported by
surrounded by connective tissue that contains the vessels and nerves that supply the erectile tissue and skin
55
what arteries supply the penis
branches of the internal pudendal artery - scrotal artery and transverse perineal artery deeper vessels to the bulb and erectile tissues are also branches of internal pudendal - deep artery of penis, dorsal artery of penis, artery of bulb
56
what nerves supply the penis
sensory branches of the pudendal nerve | erectile tissue is innervated by ANS
57
describe the female urethra
only a few cm long and passes from the trigone of the bladder through the deep perineal pouch and opens in the superficial perineal pouch
58
why are females more prone to UTI
straight muscular tube and short length and uncomplicated pathway
59
how many parts does the male urethra have
4
60
what are the 4 parts of the male urethra
pre-prostatic prostatic membranous penile (spongy)
61
describe the pre-prostatic urethra
short between the trigone and the prostate gland
62
describe the prostatic urethra
passes through the prostate gland and is joined by the ejaculatory ducts
63
describe the membranous urethra
passes through the urogenital diaphragm
64
describe the penile or spongy urethra
passes through the corpus spongiosum to open at the glans of the penis
65
what is the narrowest part of the male urethra
membranous
66
why is the membranous urethra the narrowest
slightly compressed as it passes through the layers of the urogenital diaphragm
67
when might the membranous part not be the narrowest
usually is in healthy people but if prostatic enlargement then the prostatic part will be the narrowest
68
branches of what nerve supply sensory innervation to the penis and scrotum
pudendal nerve branches
69
the perineal branches of the pudendal nerve also contain what
motor fibres to the small muscles in the superficial perineal pouch
70
what notch does the pudendal nerve pass through
greater and lesser sciatic notches
71
describe the path of the pudendal nerve
passes through the greater sciatic notch, around the ischial spine and through the lesser sciatic notch
72
what is the clitoris formed from
erectile tissue derived from the crura and the bulb of the vestibule
73
the erectile tissue of the clitoris is also supplied by the
ANS
74
the blood supply of the clitoris is from
branches of the internal pudendal artery
75
sensory nerve supply of the clitoris is from
branches of the pudendal nerve