Perineum
From Wikipedia, the free encyclopedia
Perineum | |
---|---|
The muscles of the male perineum | |
Gray's | subject #120 424 |
Artery | perineal artery, dorsal artery of the penis, deep artery of the penis |
Nerve | perineal nerve, posterior scrotal nerves, dorsal nerve of the penis, dorsal nerve of clitoris |
Lymph | primarily superficial inguinal lymph nodes |
Dorlands/Elsevier | p_13/12627677 |
In human anatomy, the perineum is generally defined as the surface region in both males and females between the pubic symphysis and the coccyx.
It is a diamond-shaped area on the inferior surface of the trunk which includes the anus and, in females, the vagina[1]. Its definition varies: it can refer to only the superficial structures in this region, or it can be used to include both superficial and deep structures.
The perineum corresponds to the outlet of the pelvis.
Contents |
[edit] Boundaries
Its deep boundaries are as follows:[2]
- in front: the pubic arch and the arcuate ligament of the pubis
- behind: the tip of the coccyx
- on either side: the inferior rami of the pubis and ischium, and the sacrotuberous ligament
[edit] Triangles
A line drawn transversely across in front of the ischial tuberosities divides the space into two triangles:
Name | Location | Contents |
Urogenital triangle | the anterior triangle | in females, contains the vagina |
Anal triangle | the posterior triangle | contains the anus |
[edit] Perineal fascia
The terminology of the perineal fascia can be confusing, and there is some controversy over the nomenclature. This stems from the fact that there are two parts to the fascia, the superficial and deep parts, and each of these can be subdivided into superficial and deep parts.
The layers and contents are as follows, from superficial to deep:
- 1) Skin
- 2) superficial perineal fascia: Subcutaneous tissue divided into two layers: (a) A superficial fatty layer, and (b) Colles' fascia, a deeper, membranous layer.
- 3) deep perineal fascia and muscles:
superficial perineal pouch | Contains superficial perineal muscles: transversus perinei superficialis, bulbospongiosus, ischiocavernosus |
inferior fascia of urogenital diaphragm, or perineal membrane | A membranous layer of the deep fascia. |
deep perineal pouch | Contains the deep perineal muscles: transversus perinei profundus, sphincter urethrae membranaceae |
superior fascia of the urogenital diaphragm | Considered hypothetical by some modern anatomists, but still commonly used to logically divide the contents of the region. |
- 4) facia and muscles of pelvic floor (levator ani, coccygeus)
[edit] Areas of the perineum
The region of the perineum can be considered a distinct area from pelvic cavity, with the two regions separated by the pelvic diaphragm. The following areas are thus classified as parts of the perineal region:
- perineal pouches: superficial and deep (see above for details)
- Ischioanal fossa - a fat filled space
- Anal canal
- Pudendal canal - contains internal pudendal artery and the pudendal nerve.
[edit] Riding
This area can become extremely sore among inexperienced bicyclists, horseback riders, motocross riders, and even ATV'ers.[citation needed]
[edit] Slang
There are various slang terms associated with this region of the human body. These include durf, guiche, grundle, chode, taint or t'ain't (as the slang term specifically describes the area that is neither the genitals nor the rectum, but the region between the two).
A guiche piercing is a body piercing on the perineum.
[edit] Additional images
[edit] See also
[edit] References
- ^ Gray, Henry. Anatomy of the Human Body. Philadelphia: Lea & Febiger, 1918; Bartleby.com, 2000.
- ^ perineumboundaries
[edit] External links
Thorax: Mediastinum (Superior, Anterior, Middle, Posterior) - Superior thoracic aperture - Inferior thoracic aperture - Triangle of auscultation - Intercostal space
Thoracic diaphragm: Caval opening - Esophageal hiatus - Aortic hiatus - Central tendon
Abdomen: McBurney's point - Lumbar triangle
Perineum: Urogenital triangle - Anal triangle - Superficial perineal pouch - Perineal membrane - Deep perineal pouch - Urogenital diaphragm - Superior fascia of the urogenital diaphragm - Ischiorectal fossa - Pudendal canal