pelvic diaphragm, urogenital diaphragm and perineum sanjaya adikari department of anatomy
TRANSCRIPT
Pelvic diaphragm,
urogenital diaphragm and
perineum
Sanjaya AdikariDepartment of Anatomy
Describe/draw
• Pelvic diaphragm/floor
• Urogenital and anal triangles
• Urogenital diaphragm
• Deep perineal pouch & contents
• Superficial perineal pouch &
contents
Pelvic diaphragm/Floor
• Consists of
– Levator ani
– Coccygeus
– Superior and inferior pelvic fascia
Pelvic diaphragm
Obturator fascia
IschiococcygeusIliococcygeusPubococcygeus
Pelvic diaphragm…
Levator ani Coccygeus
White line(tendinous arch)
Puborectalis
Pubovaginalis
Urogenital hiatus
PubovaginalisLevator prostatae
Anococcygeal raphe
Anorectal junction
Puborectalis
Puborectalis, pubovaginalis, levator prostatae
Levator prostatae
Puboprostatic ligaments
Urogenital triangle
Anal triangle
Coccyx
subpubic angle
Ischiopubic ramus
Sacrotuberous ligament
Anterior end of ischial tuberosity
Perineum
Perineal triangles
Sacrotuberous ligament
Perineal body
Perineal body/central perineal tendon
Pubis
Fibromuscular mass to which pelvic diaphragm and perineal muscles are attached
Deep perineal pouch
Perineal membrane/inferior fascia UD
Perineal body/central perineal tendon
External Sphincter
Prostate
Urogenital diaphragm
Urogenital diaphragm
• Consists of
– Superior fascia (blends with inferior pelvic
fascia)
– Inferior fascia (perineal membrane)
– Sphincter urethrae muscle
– Deep transverse perineal muscles
Deep perineal pouch• Space between the superior and inferior
fasciae of the urogenital diaphragm
• Contents– Membranous urethra
– Internal pudendal vessels
– Dorsal nerve of penis
– Perineal nerve
– Bulbourethral glands (Bartholin glands in superficial
pouch)
– Sphincter urethrae and deep transverse perineal muscles
Deep transverse perineal muscles
Bulbourethral glands
Deep perineal pouch
Sphincter urethrae
Vessels and nerves
Membranous layer of superficial fascia of abdomen/ fascia Scarpa
Superficial perineal pouch
Superficial perineal fascia/Colles
Superficial perineal pouchCorona of glans penis
Attachment of superficial perineal fascia
Perineal membrane
Superficial perineal pouch…. Cont.
superficial perineal fascia
superficial transverseperineal muscle
bulbospongiosus
ischioanalfossa
ischiocavernosus
Superficial perineal pouch
• Space between the superficial
perineal fascia and the perineal
membrane
• Contents– Bulbospongiosus muscle
– Ischiocavernosus muscle
– superficial transverse perineal muscles
– Root and the body of the penis
– testicles
Root
Body
Glans
Bulb
Crus
Corpus spongiosum
Corpus cavernosum
Bulbospongiosus
Ischiocavernosus
Parts of the penis & muscle attachments
Anal canal
Levator ani
External anal sphincter
Tube within a funnel
External anal sphincter
skeletal muscle
Internal anal sphincter
smooth muscle
Ischioanal (ischiorectal) fossa
Ischial tuberosity
Obturator internus and fascia
Skin
External anal sphincter
Deep
Superficial
Subcutaneous
Anococcygeal body
Nerve to obturator internus
Internal pudendal artery
Pudendal nerve
Sacrospinous ligament
Ischial spine
Penis
Deep p. pouch
Pudendal canal
Nerve to obturator internus
Internal pudendal artery
Pudendal nerve Inferior rectal nerve & artery
Dorsal nerve of penis
Perineal nerve
Dorsal artery of penis
Perineal artery
Deep artery of penis