Urogenital triangle

It is bounded in front by the

pubic arch & laterally by the
. ischial tuberosities
Fatty layer
Superficial fascia
The fatty layer is continuous with the fat of -1
the ischiorectal fossa & the upper part of the
thigh. It is replaced by the dartos muscle in
.the scrotum
The membranous layer is attached -2
posteriorly to the posterior border of the
urogenital diaphragm & laterally to the
margin of the pubic arch & anteriorly it is
continuous with the membranous layer of
the of the anterior abdominal wall . This
fascia is continued over the penis or clitoris
as a tubular sheath . In the scrotum or labia
. majora it forms a distinct layer
Superficial fascia of the thigh
The fatty layer of the fascia extends into the
thigh & continues down over the lower limb
.without iterruption
The membranous layer extends into the
thigh & becomes attached to the deep fascia
after about a fingerbreadth ( 8 cm ) below
. the inguinal ligament
Superficial Perineal Pouch

It is bounded below by the

membranous layer of the
superficial fascia & above by the
.urogenital diaphragm

It is closed behind by the fusion of

.its upper & lower walls

Laterally , it is closed by the

attached membranous layer with
the urogenital diaphragm to the
. margins of the pubic arch
Anteriorly, It communicates with
the space lying between the
superficial fascia & the muscles of
. the anterior abdominal wall

Perineal body
Small mass of fibrous tissue which is attached
to the center of the posterior margin of the
urogenital giaphragum. The external anal
. sphincter and 1 ( o ) & 3 ( In) are attached to it
Superficial Perineal Pouch In Male
It contains structures forming the root of the
.penis,with the muscles that cover them
The bulbospongiosus Ms.,are situated one on-1
each side of the midline & cover the bulb of the
penis & the posterior portion of the corpus
.spongiosum
Ischiocavernosus Ms., they cover the crus -2
.penis on each side
Superficial Transverse Perineal Ms.,Each muscle
arises from the ischial tuberosity & inserted into
the perineal body. The function of them is to fix
.the perineal body in the center of the perineum
.Nerve Supply : perineal branch of the pudendal N
Penis
It has a fixed root & a body . Its root is made up of 3 masses of erectile tissue called
bulb of penis and R.& L. crura of penis. The bulb is attached to the undersurface of the
urogenital diaphragm and is continued forward into the body to form Corpus Spogiosum
( spongy urethra is present within them ). Each crus is attached to side of pubic arch and
.lie side by side in the dorsal part of the body of penis, forming the corpora cavernosa
Body Of Penis :It is made up of 2 dorsally placed corpora cavernosa, which communicate with each
other . & a single corpus spongiosum applied to ventral surface. The 3 are erectile tissue. The
corpus spongiosum expands to form the glans penis. On the tip of the glans penis is the external
urethral meatus. Arteries from internal pudendal & veins into
internal pudental. The corpora cavernosa by the deep arteries of the penis& the corpus spongiosum
by the artery of the bulb & dorsal artery of the penis.
Nerve supply: pudental N. & pelvic plexuses. Lymph Drainage: The skin into medial
. group of superficial inguinal nodes. The deep structures into internal iliac nodes
 Superficial Perineal Pouch In
Female

It contains the root of the clitoris &

.muscles that cover them
Bulbospongiosus muscles : they -1
surround the orifice of the vagina &
cover the vestibular bulbs. Their
fibers extend forward to gain
attachment to the corpora
. cavernosa of the clitoris
The ischiocavernosus muscles : -2
They cover the crus of the clitoris
Superficial T. perineal muscles :
.like male
Nerve supply : The perineal branch
.of the pudendal nerve

Perineal Body : Is larger than

male . It is a wedge- shaped mass
of fibrous tissue situated between
the lower end of the vagina & anal
canal . It supports the posterior wall
.of the vagina
 Female Urogenital Triangle

It contains the external genitalia

and orifice of the urethra & vagina
Clitoris : It corresponds to penis. Is
situated at the apex of the vestibule
anteriorly.
Root of clitoris is made of 3 erectile
masses , the bulb of the vestibule
& R. and L. crura .
The bulb is divided into 2 halves
The crura become the corpora
cavernosa anteriorly.
Body of clitoris :It consists of the 2
corpora cavernosa .
Glans of the clitoris It is a small
mass of erectile tissue that caps
the body . The glans is partly
.hidden by prepuce

Blood supply, Lymph drainage ,

Nerve supply are similar to those of
. the male penis
1
Vulva ( Female external genitalia )
3-Labia minora : their posterior ends are
united to form the fourchette . Anteriorly,
they enclose the clitoris , forming
prepuse & posterior frenulum. 4-
Vestibule : is a triangular area bounded
laterally by the labia minora Anterior by
the clitoris .Posterior by fourchette.
5- Vaginal
2 Orifice : it is protected by hymen.
6Orifices of the ducts
of the greater vestibular glands are
found in the groove between the hymen
& the posterior part of the labium minus.
Blood supply : external & internal
pudendal arteries .
Nerve supply : Anterior parts are
supplied by ilioinguinal & genital branch
of genitofemoral . The posterior parts
are supplied by branches of the perineal
nerves & posterior cutaneous nerves of
the thigh .
Lymph drainage : into medial group of
. superficial inguinal nodes
 Urogenital Diaphragm
It is a triangular musculofascial
diaphragm. It fills the gap of the pubic
arch .It is formed by the sphincter
urethrae & the deep transverse perineal
ms.These muscles are enclosed between
a superior & inferior layers of fascia of
this diaphragm.
The inferior fascia is called perineal
membrane.
The closed space that is between the 2
layers of the fascia is known as the deep
perineal pouch
Anteriorly , the 2 layers of fascia fuse ,
leaving a small gap beneath the symphysis
pubis . They form the anterior transverse
.perineal ligament

Posteriorly , the 2 layers of fascia fuse with

each other & with the membranous layer of
. the superficial fascia & the perineal body
 Deep perineal pouch in Male
It contains the membranous part of the
urethra; sphincter urethra; bulbourethral
glands; the deep transverse perineal
muscles; the internal pudendal vessels &
their branches and the dorsal nerves of the
.penis
Membranous part of the urethra: It
is about 1.3 cm long & lies within the
urogenital diaphragm & is surrounded by the
sphincter urethra muscle. It continuous above
with the prostatic urethra & below with the
penile urethra . It is the shortest & least
.dilatable part of the urethra
Bulbourethral Glands: they lie beneath the
sphincter urethrae muscle. Their ducts pierce
the perineal membrane & enter the penile
Sphincter Urethae Muscle : It surrounds the urethra portion of the urethra. Their secretion is as a
in the deep perineal pouch. It arises from the pubic result of erection. Deep
arch on the 2 sides & passes medially to encircle the transverse perineal muscles: They lie P. to
urethra. Its nerve supply is the perineal branch of sphincter urethrae. It arises from the ischial
pudendal nerve. It is the means by which micturition ramus & passes medially to be inserted into
can be voluntary stopped. .the perineal body
Dorsal Nerve of Penis: It arises from pudendal N. It
Internal Pudendal Artery : It enters the deep
pass forward through deep perineal pouch to skin of
perineal pouch & gives rise to the As. Of bulb
.penis
 Deep Perineal Pouch in Female

It contains part of the urethra & part of

. vagina

The sphincter urethrae, which is pierced

.by the urethra & vagina. ( like male )

The deep transverse perineal muscles(like

. male )

Internal pudendal vessesls & their

branches and the dorsal nerves of the
clitoris ( their arrangement similar to male)

Urethra : it opens into the vestibule about

2.5 cm below the clitoris. It traverses the
sphincter urethrae & lies immediately
infront of the vagina. At the sides of the
external urethral meatus are small
openings of the ducts of the paraurethral
. glands