Term
what binds the perineum, what side |
|
Definition
pubic symphysis anteriorly, coccyx posteriorly, ischial tuberosity (laterally) |
|
|
Term
what is the shape of the perineum |
|
Definition
|
|
Term
what is above the perineum |
|
Definition
|
|
Term
what is the urogenital triangle |
|
Definition
anterior part of the pubic symphysis |
|
|
Term
what is the anal triangle |
|
Definition
the posteior part of the pubic symphys |
|
|
Term
in a male, what is the order of the openings in the perinerum from pubic symphysis to coccyx |
|
Definition
urethra, perineal body, anus |
|
|
Term
what forms the pelvic diaphragm |
|
Definition
levator ant, coccygus, their fascia |
|
|
Term
why is the pelvic diaphragm incomplete and where |
|
Definition
anteriorly it has an opening for urethra or vagina |
|
|
Term
what opening marks the midline of the pelvic diaphragm |
|
Definition
|
|
Term
what is the ischial recta fossa |
|
Definition
fat filled fossa on each side of the anus |
|
|
Term
what nerve supplies the skin by the anus |
|
Definition
|
|
Term
where does the lymph of the anus go to |
|
Definition
medial superificial inguinal nodes |
|
|
Term
what marks the lateral sides of the pelvic diaphragm |
|
Definition
|
|
Term
what is the sacrotuberous ligament |
|
Definition
ligament that is by the ischial tuberosities and has the gluteus max msucle above it |
|
|
Term
what is tposterior to the anal canal |
|
Definition
|
|
Term
what is the anococcygeal body |
|
Definition
mass of fibrous tissue that lies between anal canal and coccyx |
|
|
Term
what is lateral to the anal canal |
|
Definition
|
|
Term
what is anterior to the anal canal in male |
|
Definition
perineal body, urogenital diaphragm, membranous urethra, blub of penis |
|
|
Term
what is anterior to the anal canal in females |
|
Definition
preineal body, urogenital diaphgram, lower vagina |
|
|
Term
where is the muscosal lining of the upper half of the anal canal derived from |
|
Definition
|
|
Term
what is the endothelium type of the upper anal canal |
|
Definition
simple columnar epithelium |
|
|
Term
|
Definition
muscos in verticle folds joined at elower ends by anal valves in the muscos in the upper half of the anal canal |
|
|
Term
|
Definition
semilunar folds ar teh ends of the anal columns in the mucosa of the upper half of the anal canal |
|
|
Term
what are the remnents of the cloacal membrane |
|
Definition
anal columns, anal valves |
|
|
Term
what nerves supply the upper anal canal |
|
Definition
autonomic hypogastric plexus |
|
|
Term
what stimulation is the anal canal sensitive to |
|
Definition
|
|
Term
what artery supplies the anterior upper anal canal, where does it come from |
|
Definition
superior rectal artery, inferior mesenteric |
|
|
Term
what vein drains the upper anal canal, where does it train to |
|
Definition
superior recctal, inferior mesenteric and portal |
|
|
Term
where does the lymph from the upper anal canal go |
|
Definition
along superior rectal a to pararectal nodes and then inferior mestnteric nodes |
|
|
Term
where is the mucosa from the lower anal canal derived from |
|
Definition
|
|
Term
what type of epithelium is the lower anal canal |
|
Definition
stratified squamous epithelium |
|
|
Term
what is the perianal epiderms |
|
Definition
what the stratified squamous epithelium gradually merges with at the anus |
|
|
Term
what are the lower anal canal anal columns |
|
Definition
|
|
Term
what nerve supplies the lower anal canal |
|
Definition
somatic inferior nectal nerve |
|
|
Term
what stimulus is the lower anal canal sensitive to |
|
Definition
pain, temp, touch, and pressure |
|
|
Term
what arteries supply the lower anal canal, where does it come from |
|
Definition
inferior rectal from the internal pudenal a |
|
|
Term
what veins drain the lower anal canal, what does that drain into |
|
Definition
inferior rectal vein to the internal pudendal vein to the internal iliac |
|
|
Term
where does the lymph from the lower anal canal go |
|
Definition
dow to the medial group of superificial inguinal nodes |
|
|
Term
what is the pectinate line |
|
Definition
level where the upper and lower anal canals join, where valves are located |
|
|
Term
which anal spinctor is involuntary, what is it made of, where is it located |
|
Definition
internal, smooth muscle, upper |
|
|
Term
what anal sphinctor is voluntary, what is it made of, where is it located |
|
Definition
external, skeletal muscle, lower |
|
|
Term
what is the deep external sphinctor |
|
Definition
|
|
Term
what is the superificial external sphinctor |
|
Definition
attached to coccyx in back and perineal body in front |
|
|
Term
what is the subcutanous external sphinctor |
|
Definition
|
|
Term
|
Definition
|
|
Term
what is the relationship between the puborectalis and rectum |
|
Definition
it makes a sling around the rectal junction on the external sphinctor |
|
|
Term
where is the puborectalis attached, what is this called |
|
Definition
to the pubic symphysis in the acute angle |
|
|
Term
what is the analrectal ring |
|
Definition
junction of the internal sphinctor, rectum, anal canal, deep external, puborectalis |
|
|
Term
what does the ischiorectal fossa do |
|
Definition
supports anal canal, fat allows for distension |
|
|
Term
what forms the medial wall of the ischiorectal fossa |
|
Definition
slope of levator ani and anal canal |
|
|
Term
what forms the lateral wall of the ischiorectal fossa |
|
Definition
lower obturator internus and pelvic fasica |
|
|
Term
what is the pundendial canal also called |
|
Definition
|
|
Term
what is in the pundendial canal |
|
Definition
pudendial nerve, internal pudendial vessels, |
|
|
Term
what do the pudendial NOT INTERNAL, and internal pudendial vessels have to cross to get into the anal canal |
|
Definition
|
|
Term
where are the pudendial nerve and INTERNAL pudendial vessels located |
|
Definition
on lateral wall of ischerorectal fossa |
|
|
Term
where does the pudendial nerve originate |
|
Definition
|
|
Term
desscribe the path of the pudendial nerve |
|
Definition
exits pelvic cavity > greater sciatic foramen > gluteal m > lesser sciatic foramen pudendial canal > skin, muscles, external anal sphinctor |
|
|
Term
what are the main branches of the pudendial nerve |
|
Definition
inferior rectal, dorsal, perineal |
|
|
Term
where is the inferior rectal nerve located |
|
Definition
|
|
Term
what does the inferior rectal nerve supply |
|
Definition
external anal sphinctor, mucosa of lower anal canal, perineal skin |
|
|
Term
what does the dorsal nerve of the penis supply |
|
Definition
|
|
Term
what does the perineal nerve supply |
|
Definition
urogenital triangle, skin of posterior scortum or labia majora |
|
|
Term
where does the interior pudendial artery come from |
|
Definition
|
|
Term
describe the path of the interior pudendial artery |
|
Definition
pelvis > greater sciatic foramen > enters perineum at lesser sciatic foramen > branches |
|
|
Term
what are the branches of the interior pudendial artery |
|
Definition
inferior rectal artery, penis / labia clitoris |
|
|
Term
what does the inferior rectal artery supply |
|
Definition
|
|
Term
what veins drain the pudendial canal |
|
Definition
|
|
Term
what arteries supply the pudendial canal |
|
Definition
|
|
Term
what are the boundries of the urogenital triangle |
|
Definition
pubic arch in front and ischial tuberosities laterally |
|
|
Term
what are the layers of the superficial fascia of the urogenital triangle |
|
Definition
|
|
Term
what is the name of the fatty layer of the urogenital triangle |
|
Definition
|
|
Term
what is the camper's fascia of the urogenital triangle continous with |
|
Definition
fat of the ischiorectal fossa and superficial fascia of the thighs |
|
|
Term
describe the camper's fascia of the scrotum |
|
Definition
it was turned into smooth dartos muscle |
|
|
Term
what is the function of the dartos muscle |
|
Definition
contracts in response to cold and reduces the surface area of the scrotal skin |
|
|
Term
what is the name of the membranous layer of the urogenital triangle |
|
Definition
|
|
Term
where does the colles fascia attach |
|
Definition
posterior to the border of the urogenital diaphragm and laterally to the margins of the pubic arch, anteriorly it is continous with the membranous layer of the superficial fascia of the abdominal wall, it covers the sheath of the clitoris or penis and forms a layer in the scrotum or labia majora |
|
|
Term
what forms the superficial perineal pouch |
|
Definition
below is the mambranous superficial fascia, above is the urogenital diaphragm, behind is the fusion of these two layers, lateral it is closed by the membranous layer of the superficial fascia and urogenital diaphragm to the margins of the pubic arch, anterior it freely communicates with the potential space between the superficial fascia of the abdominal wall and anterior abdominal muscles |
|
|
Term
what is the urogenital diaphragm made of |
|
Definition
|
|
Term
what is behind the urogenital diaphragm |
|
Definition
|
|
Term
what fills the gap of the pubic arch |
|
Definition
|
|
Term
what is the inferior layer of fascia of the urogenital diaphragm called |
|
Definition
|
|
Term
anteriorly, at the pubic symphysis, what does the urogenital diaphragm do |
|
Definition
the two layers of fascia (superior and inferior)fuse leaving a small gap beneath the symphysis |
|
|
Term
how does the urogrnital diaphragm fascia end posteriorly |
|
Definition
two layers fuse with eachother and with the membranous layer of the superificial fascia and perineal body |
|
|
Term
how does the fascia of the urogenital diaphragm end laterally |
|
Definition
|
|
Term
what is the deep perineal pouch |
|
Definition
closed space that is contained between the superificial and deep layers of fascia |
|
|
Term
in a male what does the urogenital triangle contain |
|
Definition
|
|
Term
what is the root of the penis |
|
Definition
three masses of erectile tissue called the bulb, left, and right cura that is fixed to the body at the urogenital diaphragm |
|
|
Term
what muscle covers the bulb of the penis |
|
Definition
|
|
Term
what do the cura of the penis attach to |
|
Definition
each side of the pubic arch |
|
|
Term
what covers the curs of the penis |
|
Definition
|
|
Term
what is the continuation of the bulb of the penis into the body of the penis called |
|
Definition
|
|
Term
what is the continuation of the cura of the penis into the body of the penis called |
|
Definition
|
|
Term
what forms the glans penis |
|
Definition
|
|
Term
what is the external urethral meatus |
|
Definition
opening of the urethra at the tip of the glans penis |
|
|
Term
what is another word for foreskin |
|
Definition
|
|
Term
|
Definition
fold of skin that covers the glans of the penis, usually removed via circumcision |
|
|
Term
describe the attachments of the fascia that supports the body of the penis |
|
Definition
extend from the linea alba and symphysis pubis and attach to the fascia of the penis |
|
|
Term
what arteries supply the corpora cavernosa |
|
Definition
deep arteries of the penis |
|
|
Term
what arteries supply the corpus spongiosum |
|
Definition
|
|
Term
what are the branches of the internal pudendal artery that supply the penis |
|
Definition
deep arteries of the penis, artery of the bulb, dorsal artery of the penis |
|
|
Term
where do the veins of the penis drain to |
|
Definition
|
|
Term
where does the lymph of the skin of the penis drain to |
|
Definition
superificial inguinal lymph nodes |
|
|
Term
where does the lymph of the deep penis drain to |
|
Definition
|
|
Term
what nerve supplies the penis |
|
Definition
pudendal nerve and pelcivc plexus |
|
|
Term
what does the superificial pouch contain in males |
|
Definition
structures forming the root of the penis and their coverings, bulbosspongiosus, posterior corpus spongiosum, ischiocavernosus m, |
|
|
Term
what is the function of the bulbosspongiosus muscle in males |
|
Definition
compress penile part of urethra to empty it of residual urine or semen |
|
|
Term
what is the function of the ischiocavernosus muscle |
|
Definition
compress cura and assist in erection of penis |
|
|
Term
where are the superificial transverse perineal muscles in a male |
|
Definition
in the posterior portion of the superificial pouch of the male |
|
|
Term
what is the origin and insertion of the transverse perineal muscles in males |
|
Definition
ischial ramus and the perineal body |
|
|
Term
what is the function of the superificial transverse perineal muscle in males |
|
Definition
fix perineal body in the center of the perineum |
|
|
Term
what vessels and nerve supply the muscles of the superificial pouch in males |
|
Definition
|
|
Term
where is the perineal body attached in males |
|
Definition
center of the posterior margin of the urogenital diaphragm |
|
|
Term
what is the function of the perineal body in males |
|
Definition
point of attachment for the external anal sphinctor, bulbospongiosus, superificial transverse perineal muscles |
|
|
Term
where does the perineal branch of the pudendial nerve terminate, what does it then supply |
|
Definition
on each side of the superificial perineal pouch and supplies the muscles and skin |
|
|
Term
what is the shortest part of the urethra |
|
Definition
|
|
Term
what surrounds the membranous urethra, what does this cause |
|
Definition
the sphincter urethrae muscle, cause it to the be least dilatable part |
|
|
Term
what part of the urethre is above the below the membranous in males |
|
Definition
|
|
Term
what is the sphincter urethrae muscle attached to |
|
Definition
|
|
Term
what innervates the sphinctor urethrae |
|
Definition
perineal branch of the pudendal nerve |
|
|
Term
what is the function of the sphinctor urethrae |
|
Definition
compress the membranous urethra and relax during micturition |
|
|
Term
where are the bulbourethral glands located |
|
Definition
beneath the sphincter urethrae muscle |
|
|
Term
where is the opening of the duts of the bulbourethral glands located |
|
Definition
pierce the perineal membrane to enter the penile urethra |
|
|
Term
what is the function of the bulbourethal glands |
|
Definition
secrete a thick alkaline fluid to neutralize the enivornment of the penile urethra prior to ejaculation |
|
|
Term
what is the deep transverse perineal muscle posterior to |
|
Definition
sphinctor urethrae muscle |
|
|
Term
what is the origin and insertion of the transverse perineal muscle |
|
Definition
ischial ramus and perineal body |
|
|
Term
what arteries run through the deep pouch in th emale |
|
Definition
|
|
Term
what nerve passes through the deep pouch in the male, where does it end |
|
Definition
dorsal nerve of the penis, skin of penis |
|
|
Term
what are the steps of an erection |
|
Definition
1. efferent impulses 2. parasympathetic outflow 3. S2-4 nerves 4. inferior hypogastric (synapse) 5. fibers join pudendal arteries 6. enter erectile tissue of the penis 7. vasodilation of the arteries occur 8. blood fills erectile tissue spaces 9. corpoa cavernosa and corpus spongiosum expand and compress veins |
|
|
Term
what are the steps of ejaculation |
|
Definition
1. nervous impulse 2. sympathetic outflow (T1-L2) 3. synapse in 1st and 2nd lumbar ganglia or sacral ganglia 4. inferior hypogastric plexus 5. postganglionic fibers go to smooth muscle: vas deferens, seminal vesicles, prostate 6. smooth muscle contracts 7. semen is ejected from urethra and the sphincter of the bladder contracts preventing reflux of semen into the bladder |
|
|
Term
what is the widest and most able to dilate part of the male urethra |
|
Definition
|
|
Term
what part of the urethra is in the urogrnital diaphragm in males |
|
Definition
|
|
Term
what part of the urethra is in the bulb and corpus spongiosum of hte penis |
|
Definition
|
|
Term
what part of the urethra is in the glans penis |
|
Definition
fossa terminalis (nacivular fossa) of the penile urethra |
|
|
Term
what is in the female urogenital triangle |
|
Definition
external genitalia, orifices of the urethra and vagina |
|
|
Term
what structure corresponds to the penis |
|
Definition
|
|
Term
what marks the apex of the female urogenital triangle |
|
Definition
|
|
Term
what covers the glans of the clitoris |
|
Definition
|
|
Term
what is the root of the clitoris composed of |
|
Definition
three masses of erectile tissue |
|
|
Term
what structure corresponds to the bulb of the penis in a female |
|
Definition
|
|
Term
what is different between the bulb of the penis and bulb of the vestible, why |
|
Definition
the vestibule has two halves due to the presence of the vagina |
|
|
Term
where is the bulb of the vestibule attached to |
|
Definition
underside of the urogenital diaphragm |
|
|
Term
what covers the bulb of the vestibule |
|
Definition
|
|
Term
what structure corresponds to the cura of the penis in females |
|
Definition
|
|
Term
what does the cura of the clitoris becone |
|
Definition
|
|
Term
what covers the cura of the clitoris |
|
Definition
|
|
Term
what is the body of the clitoris composed of |
|
Definition
two corpora cavernosa, some erectile tissue |
|
|
Term
what is the cap on the top of the clitoris |
|
Definition
the glans of the clitoris |
|
|
Term
what is the blood supply and lymphatic drainage and nerves of the clitoris |
|
Definition
|
|
Term
what is in the superificial perineal pouch in females |
|
Definition
structures that form the root of the clitoris and the muscles that cover them |
|
|
Term
where is the blubospongiosus muscle located in females |
|
Definition
surroungs oriface of vagina and covers bulb of vestibule, fibers extend to corpora cavernosa |
|
|
Term
what is the function of the bulbospongiosus in females |
|
Definition
reduces size of the vaginal oriface and compresses the deep dorsal vein of the clitoris in erection |
|
|
Term
what does contraction of the ischiocavernosus muscle in females cause |
|
Definition
|
|
Term
do females have a superificial transverse perineal muscle? compare it to the male |
|
Definition
|
|
Term
what are the muscles in the female superificial pernieal pouch supplied by nerve wise |
|
Definition
perineal branch of the pudendal nerve |
|
|
Term
who has a bigger perineal body, male or female |
|
Definition
|
|
Term
where is the perineal body located in females |
|
Definition
between lower end of vagina and anal canal |
|
|
Term
what attaches to the perineal body in females |
|
Definition
perineal muscles, levator ani muscles |
|
|
Term
what does the deep perineal pouch in the female contain |
|
Definition
urethra, vagina, sphincter urethrae, deep transverse perineal muscles, internal pudendal vessels, dorsal nerve of clitoris |
|
|
Term
what pierces the spinctor urethrae in females |
|
Definition
|
|
Term
where is the urethra vestible located in relation to the clitoris |
|
Definition
|
|
Term
what corresponds to the prostate in females |
|
Definition
|
|
Term
where are the greater vestibular glands located |
|
Definition
under posterior part of the bulb of vestibule and labia majora |
|
|
Term
where do the greater vestibular glands drain into |
|
Definition
|
|
Term
what is the function of the greater vestibular glands |
|
Definition
secrete lubricating mucus during sexual intercourse |
|
|
Term
what vessels supply the vagina |
|
Definition
vaginal branch of the internal iliac, vaginal branch of the uretine artery |
|
|
Term
what drains the lymph of the upper third of the vagina |
|
Definition
internal and external iliac nodes |
|
|
Term
what drains the lymph of the middle third of the vagina |
|
Definition
|
|
Term
what drains the lymph of the lower third of the vagina |
|
Definition
superificial inguinal nodes |
|
|
Term
where do the nerves come from that innervate the vagina |
|
Definition
from inferior hypogastric plexus |
|
|
Term
|
Definition
female external genitalia |
|
|
Term
what does the vulva include |
|
Definition
mons pubis, labia majora, labia minora, clitoris, vestibule of vagina, vestibular bulb, greater vestibular glands |
|
|
Term
what vessels supply the vulva |
|
Definition
external internal pudendal arteries on each side |
|
|
Term
what drains the lymph of the vulva |
|
Definition
medial group of the superificial inguinal nodes |
|
|
Term
what nerve supplys the anterior vulva |
|
Definition
ilioinguinal and genitofemoral |
|
|
Term
what nerve supplys the posterior vulva |
|
Definition
branches of the perineal nerves, posterior cutaneous nerve of the thigh |
|
|