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Dr.

Nazim Nasir ( jr-


1)
Department of
Anatomy
JNMC AMU Aligarh.
Layer of the pelvis that separates the
deep perineal sac from the upper pelvis.

Lying between the inferior fascia of the


urogenital diaphragm and superior fascia
of the urogenital diaphragm.
Constituents
Deep perineal muscles- sphincter
urethrae & deep transverse perinei.
Sup. & inf. Fascia of UGD.
Anterior - pubic symphysis (PS)
Posterior - coccyx (C)
Lateral - ischial tuberosities (IT)
Anterolateral - ischiopubic ramus
(IPR)
Posterolateral - sacrotuberous
ligament
Dorsal nerve of
penis
Ilioinguinal n. and
genital br. of
genitofemoral n.
Perineal branch of
post. Cut. N. of
thigh
Post.scrotal(labial)
n.
Fascia is firmly
attached to the
IPR along the side
of the UG triangle
and to the
posterior free
margin of the
urogenital
diaphragm.
Root of penis
Muscles –
ischiocavernosus,
bulbospongiosus, sup.
trans. Perineii
Perineal body
Br. of perineal nerve
Long perineal n.
Br. of perineal A.
Duct of B-U gland
Superficial- Colle’s
fascia
Deep- Perineal
membrane
On either side-
Ischiopubic rami
Ant- Open and
continues with the
spaces of scrotum and
ant. Abd. Wall.
Thick triangular
sheet of fascia lying
across pubic arch.
Base is continuous-
Above-sup. Fascia of
UGD
Below- Colle’s fascia
Midline- Perineal
body
On each side- IPR
Urethra, 1 inch below
the pubic symphysis
Ducts of
bulbourethral glands,
close to urethra.
A. and N. to bulb of
penis.
Urethral A.
Deep A. of penis.
Dorsal A. of penis
b/w sup. & inf. Fascia
of UGD.
Contents :
Deep transverse
perineus muscle
Urethral sphincter
Bulbo-urethral gland
(Cowper's gland)
Terminal branches of
the internal pudendal
artery to the bulb of
the penis as well as
the deep artery of
the penis.
After Colles' fascia is
removed, identify the
structures in the
superficial perineal
space
ischiocavernosus
muscle overlying the
crus of the clitoris
bulbospongiosus
muscle overlying the
bulb of the vestibule
perineal body (central
tendon)
urethral opening
vaginal opening
Urethra
Vagina
A. and N. to bulb of
the vestibule
Deep A. of clitoris
Dorsal A. of clitoris
Post. labial N.s and
vessels
Br.s of perineal
nerve.
b/w sup. & inf.
Fascia of UGD.
CONTENTS:
Urethra with
sphincter
Dorsal nerve of
clitoris
Muscular br. Of
pudendal n.
crus of the clitoris
bulb of the
Pyramidal fibromuscular mass in the mid-
line of the perineum at the junction
between the urogenital triangle and the
anal triangle.

In males, it is found between the bulb of


penis and the anus.

In females, is found between the vagina


and anus.
External anal sphincter.
Bulbospongiosus.
Superficial transverse perineal muscle.
Anterior fibers of the levator ani.
Fibers from external urinary sphincter.
Deep transverse perineal muscle.
skin
fatty superficial fascia (Camper's layer)
membranous fascia (Scarpa's layer or Colles' fascia in
perineum)
superficial perineal space
inferior fascia of urogenital diaphragm
deep transverse perineus muscle
superior fascia of urogenital diaphragm
anterior extension of ischiorectal fossa
inferior fascia of levator ani
levator ani
superior fascia of levator ani
pelvic fascia
peritoneum
pelvic cavity
Prof. NAFIS AHMAD FARUQI & Prof. AIJAZ AHMED KHAN,
Manual of Practical Anatomy VOLUME II (Thorax and
Abdomen)
http://en.wikipedia.org/wiki/Deep_perineal_pouch
http://download.videohelp.com/vitualis/med/urogenital_diaphragm_is
http://www.innerbody.com/image_dige04/musc34.html
http://images.google.co.in/images?hl=en&q=UROGENITAL+DIAPHRA
http://www.answers.com/topic/urogenital-diaphragm
http://medical-dictionary.thefreedictionary.com/urogenital+diaphragm
Snell’s clinical anatomy
Thanks to all

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