Deep Perineal Pouch

• Space between two

fascial layers ( superior
& Inferior fascia of
urogenital diaphragm)
• Extends across the
pubic arch
• Closed on all sides
Boundaries
• Above – Superior fascia
of Urogenital diaphragm
• Below – Inferior fascia of
urogenital diaphragm
(perineal membrane).
• In front – transverse
perineal ligament
• Behind – fusion of
superior & inferior fascial
layers.
• Laterally – inner surface
of ischio-pubic rami
Contents
• Membranous urethra
• Bulbo-urethral glands in
male
• Vagina behind urethra in
female.
• Muscles :
1. Deep transverse
perinei
2. Sphincter urethrae
• Vessels :
Internal pudendal artery
• Nerves :
Dorsal nerve of penis or
clitoris
Superior fascia of
urogenital diaphragm
• Blends with perineal
membrane anteriorly.

• Continuous with obturator

fascia on each side.

• Reflected on sides of
urethra in midline and
continuous with inf.
Layer.
Inf. Layer of urogenital
diaphragm (perineal
membrane)
• Seperates the superficial
& deep perineal pouch
• Extends along pubic arch,
▲ in shape, apex in front.
• In males crus of penis is
attached to inf. surface of
perineal membrane.
• Attached to ischio-pubic
rami on each side
• Thickened in the front to
form tr. perineal lig.
• Posterioly attached to
perineal body.
Structures piercing perineal
membrane
• Posterior scrotal or labial
vessel (apex)

• deep artery of penis or clitoris

(middle- attached margin)

• Dorsal artery of penis or clitoris

(apex – attached margin)

• Urethra

• In male - Duct of bulbo-urethral

gland & artery of bulb of penis.

• In female – Vagina behind

urethra
Urogenital diaphragm
• Seperates the pelvic
cavity from antr. part of
pelvic outlet.
• Pierced by urethra &
vagina behind urethra in
female.
• Formed from inside
outwards
• Superior layer of
urogenital diaphragm
• sphincter urethra & deep
transverse pernei muscle
• Inf. Layer of urogenital
diaphragm (perineal
membrane)
• Deep transverse perinei –
behind sphincter urethrae

• From Pelvic surface of ischial

ramus.
• Inserted in to perineal body
and joins with muscle of
opposite side.

• Sphincter urethrae –
superficial & deep fibers

• Both fibers encircle the urethra

• Superficial fibers from pubic

arch, trans. Per. lig attached to
perineal body

• Deep fibers arise from ischio-

pubic rami encircle the urethra
and continuous with opposite
muscle.
Actions of urogenital
diaphragm
• supports prostate in male,
bladder in female.
• constricts vagina
• fixes the perineal body
• sphincter urethra exerts
voluntary control of
micturition.
• Rupture of urethra below
perineal membrane -
Extravasation of urine
Perineal Body

• Central point of perineum

• Between anal canal urogenital

apparatus

• Fibro muscular node receives

muscles in 3 strata.

• Levator ani – deep stratum.

• Sphincter urethra & deep trans.

Perinea. Ext. anal. Sph. –
intermediate stratum.

• Sup. Trans. Perinea, bulbo

spongiosus, sup. Part of ext.
anal sph. in superficial stratum.

• Applied anatomy - Episiotomy.

Pudendal Canal

• Fascial canal along the

lateral wall of Ischio-rectal
fossa.

• Extends from lesser

sciatic foramen to postr.
limit of Deep. Per. Pouch.

• Contents
1.Int. pudendal vessels
2.Pudendal nerve (dorsal

nerve of penis / clitoris

& perineal nerve)