Pelvis Perineum

Before beginning this video lecture, review the following structures in your anatomy atlas. The Lippincott Williams & Wilkins
Atlas of Anatomy (2009 edition) plate references are given for comparable reference.

6-23, 6-24 6-25, 6-26 6-27, 6-28

Sacrotuberous ligament Mons pubis Ischiocavernous muscle
Levator ani muscle Glans clitoris Bulbospongiosus muscle
Piriformis muscle Labium majus Superficial transverse perineal muscle
Urogenital triangle Labium minus External anal sphincter muscle
Anal triangle Vestibule of vagina Bulb of vestibule
Anus Perineal membrane
Ischioanal fossa Urethrovaginal sphincter
External anal sphincter muscle External urethral sphincter muscle

Perineum

1. What is a potential complication of damage to the perineal body in the female?

2. Diagram the urogenital triangle and anal triangle on the image below?

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Images from Lippincott Williams & Wilkins Atlas of Anatomy
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3. Identify the following structures on the image below: anal columns, pectinate line, and anal valve.

4. What nerve provides innervation for the mucosa of the anal canal below the pectinate line?

5. Which anal sphincter (internal or external) is involuntary and which is voluntary?

Involuntary
Voluntary

Clinical Correlation

6. What are hemorrhoids?

7. What is the landmark distinguishes internal hemorrhoids from external hemorrhoids?

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Images from Lippincott Williams & Wilkins Atlas of Anatomy
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Perineum

8. What are the 2 types of erectile tissue found in the perineum?

9. What is the function of the bulbospongiosus muscle in the male? in the female?

10. Label the following structures on the cross sectional image below: corpora cavernosa, corpora spongiosum,
and tunica albuginea.

11. What is the blood supply of the corpora cavernosa and the corpus spongiosum?
Corpora cavernosa
Corpus spongiosum

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Images from Lippincott Williams & Wilkins Atlas of Anatomy
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End of Session Quiz

1. Which rectal vein drains into the portal system, and which rectal veins into the systemic circulation?
Portal system
Systemic circulation

2. Is the external or internal anal sphincter voluntary?

3. What structure keeps blood from flowing out of the penis during an erection?

4. What structure forms the bulb of the penis?

5. What are the vertices of the urogenital triangle, and the anal triangle?

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Images from Lippincott Williams & Wilkins Atlas of Anatomy
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Mock Practical

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Images from Lippincott Williams & Wilkins Atlas of Anatomy
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 Copyright 2012, Doctors In Training.com LLC. All rights reserved.
Images from Lippincott Williams & Wilkins Atlas of Anatomy
Solid Anatomy 2008 Wolters Kluwer Health, Inc. All rights reserved. 6