Perineum 1 Flashcards

1
Q

Where is the perineum located

A

inferior to the pelvic diaphragm

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2
Q

What is the roof and the floor of the perineum composed of

A

roof: pelvic diaphragm and fascia
floor: skin and fascia

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3
Q

What are the superior boundaries to the perineum

A

pelvic diaphragm and urogentinal hiatus

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4
Q

What is contained within the urogenital hiatus in males

A

urethra and rectum

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5
Q

What is contained in the urogenital hiatus in females

A

urethra, rectum, and vagina

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6
Q

What is the function of the urogenital diaphragm

A

supports pelvic viscera

reinforces pelvic diaphragm

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7
Q

What is contained within the superficial pouch

A

2 erectile bodies
3 muscles
greater vestibular glands (females)

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8
Q

What are the 2 erectile bodies in the superficial pouch

A
corpus cavernosa (crus)
corpus spongiosus (bulb)
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9
Q

What are the 3 muscles in the superficial pouch

A

superficial transverse perineal
bulbospongiosus
ischiocavernosus

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10
Q

What is contained within the deep pouch

A
deep transverse perineal m
bulbourethral glands (males)
external urethral sphincter
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11
Q

What is the central tendon of the perineum

A

perineal body

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12
Q

What is the structure composition of the perineal body

A

contains collagen, elastic fibers, skeletal and smooth muscle

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13
Q

What muscle will cover the crura

A

ischiocavernosus

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14
Q

What is the superior limit of the superficial pouch

A

perineal membrane

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15
Q

What is another name for the perineal membrane

A

inferior UGD

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16
Q

What muscles attach to the perineal body

A

levator ani
bulbospongiosus
deep and superficial transverse perineal
external anal sphincter

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17
Q

What forms the roof of the deep perineal pouch

A

Deep (superior) fascia of the UG diaphragm

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18
Q

What fascia will attach to the perineal body

A

Colle’s fascia
Perineal membrane
Superior fascia of UGD
Deep perineal fascia

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19
Q

What are the muscles of the deep perineal pouch of females

A

deep transverse perineal
external urethral sphincter
compressor urethrae
urethrovaginal sphincter

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20
Q

Where is the ischioanal fossa found

A

between pelvic diaphragm and gluteus maximus

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21
Q

What are the muscles in the deep perineal pouch in males

A

deep transverse perineal
external urethral sphincter
compressor urethrae

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22
Q

What structures are at risk during a medial episiotomy

A

central tendon

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23
Q

What is the function of the ischioanal fossa

A

allows expansion during defecation and child birth

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24
Q

What are the divisions of the ischioanal fossa

A

anterior and posterior recesses

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25
What are the two layers of the superficial perineal fascia
fatty subcutaneous and | deep membranous fascia
26
What is the name for the deep membranous fascia of the superficial perineal fascia
Colle's fascia
27
What is Colle's fascia continuous with
Scarpa's fascia
28
What does the superficial perineal fascia attach to
fascia lata in thigh pubic arch posterior border of perineal membrane
29
Where does the superficial perineal fascia extend to
extends over penis and scrotum
30
What is the name of the fascia that extends over penis and scrotum
Dartos fascia
31
What does the tunic of the Dartos fascia contain
smooth muscle
32
What is Darto's fascia a continuation of
Scarpa's fascia
33
What is the deep perineal fascia continous with
fascia of external oblique and external spermatic fascia
34
What will deep perineal fascia be continuous with over the penis
Buck's fascia
35
What does Buck's fascia surround
all three cavernous bodies 2 dorsal arteries and nerves deep dorsal vein
36
What does Buck's fascia separate
corpus spongiosum from the two corpora cavernosa
37
Where will urine collect if the urethra is ruptured above the perineal membrane
pelvic cavity
38
Where will urine collect if the urethra is punctured but buck's fascia remains in tact
penis shaft
39
Where will urine collect if urethra is ruptured and bucks fascia is also torn
superifical perineal space and under colle's fascia | into the scrotum
40
Where will urine collect from a ruptured membranous urethra
deep perineal space
41
in which part of the penis the urethra contained
corpus spongiosum
42
What are the different parts of the male external genitalia
bulb corona glans crura
43
What is the bulb of the penis
enlarged region at the bas of the corpora spongiosum
44
What is the bulb of the penis penetrated by
urethra
45
What is the glans of the penis
expanded cap-like portion
46
What does the glans of the penis contain
external urethral orifice
47
What is the corona of the penis
edge of glands that extends backwards over corpora cavernosa
48
What is the crura of the penis
legs of the corpus cavernosa
49
What is the crura of the penis attached to
ischiopubic ramus
50
What is the function of the bulbospongiosus muscle in males
to empty the urethra compress deep dorsal vein and erectile tissue contracts during ejaculation
51
What is the function of the ischiocavernosus muscle in males
moves blood caudal to rostral compress deep dorsal vein restricts venous outflow
52
What is the function of the superficial transverse perineal muscle
stabilize perineal body
53
What is the fundiform ligament
extension of linea alba superior to the pubic symphysis forms a sling
54
What is the suspensory ligament
deep fascia arising from the pubic symphysis to form a sling
55
What is peyronie's disease
fibromatosis of tunica albuginea and buck's fascia
56
What is varicocele
dilation of the spermatic vein due to impaired drainage
57
What side are varicoceles more common
left
58
What causes varicoceles
SMA syndrome
59
What artery supplies the perineum
internal pudendal artery
60
What are the branches of the pudendal artery
superficial and deep dorsal arteries inferior rectal artery of bulb posterior scrotal
61
What does the external pudendal artery (deep/superficial) supply
supplies to the penile and scrotal skin
62
Where does the deep dorsal vein drain
prostatic venous plexus
63
Where does the superficial dorsal vein drain
external pudendal veins
64
What do the dorsal arteries of the penis supply
penis
65
What do the deep arteries of the penis supply
inside corpora caverosa | involved in erection
66
What do the arteries of the bulb supply
corpora spongiosum | bulbourethral glands