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53 Cards in this Set

  • Front
  • Back
what is the anatomical perineum?
defined as the entire outlet of the pelvis; rhomobid shaped region inferior the pelvic diaphragm
what is the clinical perineum?
unlike anatomical perineum, the term is more restricted to the region between the scrotum and anus in the male or the vulva and the anus in the female .
anterior triangle of anatomical perineum also known as
urogenital triangle
posterior triangle of anatomical perineum also known as
anal triangle
are the anterior and posterior triangles in the same plane?
No
urogenital triangle and anal triangle orientation?
urogenital- horizontally
anal- more posteriorly
in the region of the urogenital triangle region, pelvic diaphragm has what type of opening and what is it called?
a u-shaped opening, called the urogenital hiatus
urogenital hiatus allows passage of what in male vs female?
male-urethra
female-urethra and vagina
perineal membrane spans the
urogenital triangle
perineal membrane is
Thick, fascial membrane attached to the bones of the pubic arch.
in anatomical position, perineal membrane is oriented how?
in a horizontal plane
does the perineal membrane have a free, posterior margin?
yes
inferior/superificial to the perineal membrane is the
superifical perineal pouch/space
inferiormost boundary of the superficial perineal pouch/space is
Colles' fascia
superficial perineal membrane lies b/w
perineal membrane and the membranous layer of superficial fascia
membranous layer of superficial fascia is called
Colle's fascia
Colle's fascia continuous w/
Scarpa's fascia of the abdominal wall
Dartos fascia of scrotum and penis
Colle's fascia laterally is tightly adherent to
pubic and sichial rami
Colle's fascia posteriorly is tightly adherent to
edge of the perineal membrane
contents of superficial perineal space
erectile tissues
muscle
superficial transverse perineal muscle
Gallaudet's fascia
branches of internal pudendal vessels
pudendal nerve
specific contents of MALE superifical perineal space
crura of the corpora cavernosa
corpus spongiosum
bulb of the penis
specific contents of FEMALE superfiical perineal space
contains homologous structures and the greater vestibular glands (Bartholin glands).
penis is made up of
Three erectile masses:

Two corpora cavernosa, each surrounded by a dense, fibrous capsule, the tunica albuginea.

One corpus spongiosum.
root of penis is attached to
pubic arch
perineal membrane
Ischiocavernosus muscles cover
the crura
Bulbospongiosus covers
the bulb
which part of the penis is the free part?
the body
muscles of penis are what type of muscle?
skeletal muscle
skeletal muscle of penis is innervated by
perineal nerve (which is branch of pudendal nerve (S2-S4))
erection involves what type of reflex?
sacral spinal reflex
erection occurs under the influence of
acetylcholine and NO
what allows greater blood flow into penis during erection?
relaxation of the helicine arteries
what happens to corpora cavernosa and corpora spongiosum during erection?
become engorged with blood
what fxn do ischiocavernous and bulbospongiosus muscles play during erection?
compress veins and prevent venous return
tunica albuginea of penis helps maintain
turgidity
Sympathetics (L1-L2) cause peristalsis to move semen (sperm and glandular secretions) to the prostatic urethra via the ejaculatory ducts.
Know this.
Ejaculation is
the expulsion of semen from the urethra
scrotum is
cutaneous sac with 2 layers
2 layers of scrotum are
heavily pigmented thin skin
dartos fascia
Dartos fascia
Fat-free fascial layer containing smooth muscle
what happens to scrotum when it is cold?
muscle contracts, reduces scrotal surface area and helps cremasteric muscle keep testes against the body
innervation of scrotum
Anterior scrotal nerve
Branches of Ilioinguinal and genitofemoral nerves
Posterior scrotal nerves from pudendal nerve
Labia majora are innervated by
the anterior labial nerves from ilioinguinal and the posterior labial nerves from the superficial perineal.
in the male, what organs are contained in deep perineal pouch
bulbourethral glands or Cowper’s glands.
sheet of skeletal muscle of deep pouch functions as
sphincter for the urethra in the male and for the urethra and vagina in the female
in the deep pouch, female has two additional muscles, which are
Sphincter urethrovaginalis.
Compressor urethrae.
In males and females, deep transverse perineal muscles parallel the
free margin of the perineal membrane and help stabilize the perineal body
anal triangle is bounded posteriorly by
the coccyx
ischioanal fossae aka
ischiorectal fossae
ischioanal fossae lies where?
on either side of anal canal
ischioanal fossae is
Large fascia-lined, wedge shaped spaces between the skin and the inferior fascia of the pelvic diaphragm.
the ischioanal fossae communicate with each other via
the deep postanal space superior to the anococcygeal ligament
abcess in the ischioanal fossa
Can be very painful.
Inflammation in anal canal can lead to a fistula between the anal canal and the ischioanal fossa.
Can spread to the anterior recess and posteriorly through the deep postanal space to the opposite side.