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48 Cards in this Set
- Front
- Back
Boundaries of anatomical perineum
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Anterior: Pubic symphysis
Posterior: Coccyx Lateral: Ischiopubic and Ischial tuberosity |
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Imaginary line to split anal and urogenital triangles goes where?
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Between ischial tuberosities
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What is ischioanal fossa and its boundaries?
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Fat filled space
Lateral wall: Obturator internus Medial wall and roof: Levator ani (pelvic diaphragm) |
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Pudendal canal contents and location?
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Between obturator interns and ischial tuberosity; pudendal nerve and internal pudendal artery and vein
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Boundaries of Anterior Recess of ischioanal fossa
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Laterally: Obturator internus
Roof: Pelvic diaphragm Floor: Urogenital diaphragm |
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Anocutaneous (white) line
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The transition from anal epithelium to skin; changes in arterial supply, venous drainage, lymphatic drainage, innervation
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Urogenital triangle boundaries
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Posteriorly: Imaginary line between ischial tuberosities
Laterally: Isoclinic rami Anteriorly: Pubic symphysis |
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Urogenital diaphragm layers
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Superior fascia
Deep transverse perineal muscle Inferior layer |
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Inferior layer of UG diaphragm also known as?
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Perineal membrane; very thick
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Contents of deep perineal pouch
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Almost entirely filled with deep transverse perineal muscle; also membranous urethra; sphincter urethrae, branches of internal pudendal a/v; pudendal n; bulbourethral glands
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Location of deep perineal pouch
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Region between two fascial layers of UG diaphragm
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Boundaries of superficial perineal pouch
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Superiorly: Perineal membrane
Inferiorly: Layer of superficial membranous fascia |
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Contents of superficial perineal pouch
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Male/female crus of corpora cavernosa and their muscular coverings; bulb of penis; vestibular bulbs and their muscular coverings; neuromuscular bundle
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Scarpa's fascia covers?
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Infraumbilical region
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Dartos fascia covers?
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Scrotum and penis
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Colle's fascia covers?
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Perineum
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Colle's fascia fuses to?
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Deep fascia along entire posterior border of perineal membrane, the perineal body at midline, along ischiopubic rami, and to fascia lata
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Superficial fascia in ischioanal fossa emerges from?
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Lines of fusion and follows contours of superior surface of UG diaphragm, levator any, and obturator internus
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Rupture of spongy urethra
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Urine enters superficial pouch between Bucks fascia and Colle's fascia, descend into fascial plane beneath Dartos fascia and pass up onto anterior abdominal wall beneath Scarpa's fascia
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Contents of Superficial Perineal Space
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Corpora spongiosum, crura of corpora cavernosa, testis, terminal branches of internal pudendal artery and pudendal nerve
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Scrotum contents
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Skin
Dartos fascia External spermatic fascia Internal spermatic fascia Tunica vaginalis Tunica albuginea |
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Why does skin of scrotum appear wrinkled?
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Superficial dartos muscle (smooth muscle)
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Tunica albuginea
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Dense fibrous layer deep to visceral tunica vaginalis that supports testes; sends septa into testes that divides it into lobules
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Mediastinum testis
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Convergence of septa of testes
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Lobules of testes contain?
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Seminiferous tubules
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Tubuli recti
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Connect seminiferous tubules to network of spaces inside mediastinum testes (rete testes)
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Rete testes
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Spaces in mediastinum testes
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Efferent ductules
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Connect rete testes to head of epididymis
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Epididymus function?
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Store sperm
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Ductus deferens
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Thick walled tube contained in spermatic cord that connects to tail of epididymis
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Scrotum supply and lymphatic drainage
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Supplied by anterior and posterior scrotal arteries that are terminal branches of the perineal artery via the internal pudendal artery; first drains to superficial inguinal nodes
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Penile root formed from?
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Two crus and Bulb of penis
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Crura of penis attach where?
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Everted margins of the ischiopubic rami
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Bulb of penis attaches where?
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Perineal membrane
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Muscle that covers bulb of penis and innervated by?
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Bulbospongiosus muscle; motor and sensory branches of perineal nerve (pudendal)
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Crura covered by what muscle and innervated by?
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Ischiocavernosus muscle; motor and sensory branches of perineal nerve (pudendal)
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Deep investing fascia of penis
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Buck's fascia
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Deep artery of penis supplies?
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Corpus cavernosa
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Dorsal artery of penis
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Supplies dorsum of penis
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Superficial dorsal penile vein
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Superficial to Buck's fascia and drains skin of penis
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Deep dorsal penile vein drains
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Contained deep to Buck's fascia and drains corpus cavernosa and glans penis
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Lymph from penile skin drains?
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Superficial nodes
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Lymph from cavernous tissue and urethra drain?
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Internal iliac nodes
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What is attached to perineal body?
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Superficial and deep perineal muscles; levator ani; bulbospongosius muscle; external anal sphincter
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Muscles in female and male urogenital triangles
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Ischiocavernosus and bulbospongiosus
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Corpus spongiosum in females?
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Glans clitoris
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Vestibule boundaries
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Lateral and Medial: labia minor
Anterior: Prepuce Posterior: Frenululm of labia minor or fourchette |
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Path of internal pudendal artery and pudendal nerve
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Leave pelvis via greater sciatic foramen to briefly enter gluteal region but immediately enter the perineum through the lesser sciatic foramen
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