Perineum Flashcards
(35 cards)
diamon shaped external surface around the anus and reproductive organs
perineum
external perineum is bounded by
anteriorly - mons pubis
laterally - medial thighs
posteriorly - gluteal folds
internal perineum is bounded by
anterior - pubic symphysis
anterolaterally - inferior pubic rami and ischial rami
laterally - ischial tuberosities
posterolaterally - sacrotuberous ligaments
posteriorly - coccyx
roof - pelvic diaphragm
inferior - flesh/skin
triangle which is posterior to the perineal body
anal triangle
area which contains the root of the scrotum in males and external genitalia in females
urogenital triangle
midpoint of the line dividing the perineum into 2 triangles is
perineal body
what 4 muscles converge upon the perineal body
- bulbospongiosus m
- external anal sphincter
- superficial transverse perineal m
- deep transverse perineal m
inferior fascia of the urogenital diaphragm
perineal membrane
serves to separate the superficial from the deep perineal pouch
perineal membrane
what 2 structures attach superior to the perineal membrane
- deep transverse perineal muscles
2. external urethral sphincter
what attaches posterior to perineal membrane
perineal body
subcutaneous fascia which consists of superficial fatty layer and a deep layer (colles’ fascia)
superficial perineal fascia
females: fatty layer persists into the labia and to the mons pubis where it becomes camper’s fascia
superficial perineal fascia
males: fatty layer is replaced by ______ while the membranous layer is continuous with the _____ of the penis and scrotum in the SUPERFICIAL fascia
dartos (smooth) muscle
dartos fascia
fascia which invests the ischiocavernosus, bulbospongiosus, and superficial transverse perineal muscles
deep perineal fascia (gallaudet’s fascia)
males contents within the superficial perineal fascia
- bulb and crura of penis
- ischiocavernosus and bulbospongiosus m
- proximal spongy urethra
- superficial transverse perineal muscles
- perineal arteries/nerves
females contents within the superficial perineal fascia
- bulb of vestibule
- crura of clitoris
- ischiocavernosus and bulbospongiosus m
- superficial transverse perineal m
- greater vestibular glands
- perineal nerves/arteries
deep perineal pouch for both males and females contain
branches of the dorsal nerve/artery/vein
ischioanal fossae is also known as
ischiorectal fossae
what is the roof, lateral wall, and medial wall of the ischioanal fossae
roof - pelvic diaphragm
lateral - ischium and obturator internus muscle
medial - anal canal
the lateral walls of the ischioanal fossae contain what canal
pudendal canal of Alcock
what are the contents within the pudendal canal of Alcock
internal pudendal vessels, pudendal nerve, dorsal nerve of penis/clitoris
what 3 nerves does the pudendal nerve split into
- perineal nerves
- dorsal nerve to penis or clitoris (deepest)
- inferior rectal nerve (S4)
skeletal muscle located around the inferior end of the anal canal; blends superiorly with the puborectalis muscle
external anal sphincter