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Perineum

Perineum. Perineum. Urogenital Triangle. Divisions. Deep perineal pouch. Perineal membrane. Superficial perineal pouch. Coronal section on urogenital. Deep perineal pouch. Boundaries: Sup & inf & 2lateral Post closed Ant closed. Deep perineal pouch.

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Perineum

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  1. Perineum

  2. Perineum

  3. Urogenital Triangle • Divisions Deep perineal pouch Perineal membrane Superficial perineal pouch Coronal section on urogenital

  4. Deep perineal pouch • Boundaries: Sup & inf & 2lateral Post closed Ant closed Deep perineal pouch Posterior view Deep perineal pouch Lateral view

  5. Deep perineal pouch

  6. Deep perineal pouch • Contents in male: • Membranous urethra • Sphincter urethrae • Deep transversus perinei • Bulbourethral gland • Internal pudendal vessels • Vessels of the bulb • Dorsal nerve of penis Urogenital diaphragm

  7. Deep perineal pouch • Contents in female: • Vagina • Urethra • Sphincter urethrae • Deep transversus perinei • Internal pudendal vessels • Vessels of the bulb • Dorsal nerve of clitoris

  8. Anal triangle • Post. division of perineum • Boundaries • Contents: a) anal canal b) ischiorectal fossa Isch. F

  9. Ischiorectal fossa • Wedge-shaped • Fascial lined space on each side of the anal canal • Filled with fat to accommodate the dilatation of anal canal during defecation

  10. Ischiorectal fossa • Boundaries: Inf. (base) Skin of perineum lateral to anal canal Sup. (edge) white line

  11. Ischiorectal fossa • Boundaries: Medial levator ani muscle & fascia & external anal sphincter Lateral obturator int. Muscle & fascia

  12. Ischiorectal fossa • Boundaries: Ant. Superf. And deep transversus perinei separated by perineal membrane Post. Sacrotuberous lig & gluteus maximus

  13. Ischiorectal fossa • Contents: Fat

  14. Ischiorectal fossa • Contents: Inferior rectal vessels& nerves

  15. Ischiorectal fossa • Contents: Inferior rectal vessels& nerves Transvers perineal vessels

  16. Ischiorectal fossa • Contents: Perineal branch of 4th sacral nerve

  17. Ischiorectal fossa • Contents: Scrotal (labial) nerves &vessels

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