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Perineum

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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. - PowerPoint PPT Presentation

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Page 1: Perineum
Page 2: Perineum
Page 3: Perineum

• Divisions

Coronal section on urogenital

Superficial perineal pouch

Deep perineal pouchPerineal membrane

Page 4: Perineum

Lateral view

Posterior view

• Boundaries:

Sup & inf & 2lateral

Post closed

Ant closed

Deep perineal pouch

Deep perineal pouch

Page 5: Perineum
Page 6: Perineum

Urogenital diaphragm• Contents in male:1. Membranous urethra

2. Sphincter urethrae

3. Deep transversus perinei

4. Bulbourethral gland

5. Internal pudendal vessels

6. Vessels of the bulb

7. Dorsal nerve of penis

Page 7: Perineum

• Contents in female:1. Vagina

2. Urethra

3. Sphincter urethrae

4. Deep transversus perinei

5. Internal pudendal vessels

6. Vessels of the bulb

7. Dorsal nerve of clitoris

Page 8: Perineum
Page 9: Perineum

• Post. division of perineum

• Boundaries

• Contents:

a) anal canal

b) ischiorectal fossa

Isch. F

Page 10: Perineum

• Wedge-shaped

• Fascial lined space on each side of the anal canal

• Filled with fat to accommodate the dilatation of anal canal during defecation

Page 11: Perineum

• Boundaries:

Inf. (base) Skin of perineum lateral to anal canal

Sup. (edge) white line

Page 12: Perineum

• Boundaries:

Medial levator ani muscle & fascia & external anal sphincter

Lateral obturator int. Muscle & fascia

Page 13: Perineum

• Boundaries:Ant. Superf. And deep transversus perinei separated by perineal membrane

Post. Sacrotuberous lig & gluteus maximus

Page 14: Perineum

• Contents:

Fat

Page 15: Perineum

Inferior rectal vessels& nerves

• Contents:

Page 16: Perineum

• Contents:

Transvers perineal vesselsInferior rectal vessels& nerves

Page 17: Perineum

• Contents:

Perineal branch of 4th sacral nerve

Page 18: Perineum

• Contents:

Scrotal (labial) nerves &vessels