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Perineum
The perineum in humans is the space between the anus and scrotum in the male, or between the anus and the vulva in the female. The perineum is the region of the body between the pubic symphysis (pubic arch) and the coccyx (tail bone), including the perineal body and surrounding structures. There is some variability in how the boundaries are defined. The perineal raphe is visible and pronounced to varying degrees. The perineum is an erogenous zone. The word perineum entered English from late Latin via Greek περίναιος ~ περίνεος ''perinaios, perineos'', itself from περίνεος, περίνεοι 'male genitals' and earlier περίς ''perís'' 'penis' through influence from πηρίς ''pērís'' 'scrotum'. The term was originally understood as a purely male body-part with the perineal raphe seen as a continuation of the scrotal septum since masculinization causes the development of a large anogenital distance in men, in comparison to the corresponding lac ...
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Anal Triangle
The anal triangle is the posterior part of the perineum. It contains the anal canal. Structure The anal triangle can be defined either by its vertices or its sides. * ''Vertices'' ** one vertex at the coccyx bone ** the two ischial tuberosities of the pelvic bone * ''Sides'' ** perineal membrane (posterior border of perineal membrane forms anterior border of anal triangle) ** the two sacrotuberous ligaments Contents Some components of the anal triangle include:Daftary, Shirish; Chakravarti, Sudip (2011). Manual of Obstetrics, 3rd Edition. Elsevier. pp. 1-16. . * Ischioanal fossa * Anococcygeal body * Sacrotuberous ligament * Sacrospinous ligament * Pudendal nerve * Internal pudendal artery and Internal pudendal vein * Anal canal * Muscles ** Sphincter ani externus muscle ** Gluteus maximus muscle ** Obturator internus muscle ** Levator ani muscle ** Coccygeus muscle Additional images Image:Gray320.png, Articulations of pelvis. Posterior view. Image:Gray542.png, The sup ...
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Urogenital Triangle
The urogenital triangle is the anterior part of the perineum. In female mammals, it contains the vagina and associated parts of the internal genitalia. Structure The urogenital triangle is the area bound by a triangle with one vertex at the pubic symphysis and the two other vertices at the iliac tuberosities of the pelvic bone. Components As might be expected, the contents of the urogenital triangle differ greatly between the male and the female. Some of the components include:Daftary, Shirish; Chakravarti, Sudip (2011). Manual of Obstetrics, 3rd Edition. Elsevier. pp. 1-16. . * Posterior scrotal nerves / Posterior labial nerves * Urethra * Vagina * Bulbourethral gland / Bartholin's gland * Muscles ** Superficial transverse perineal muscle ** Ischiocavernosus muscle ** Bulbospongiosus muscle * Crus penis / Clitoral crura * Bulb of penis / vestibular bulb * Urogenital diaphragm * Muscular perineal body * Superficial and Deep perineal pouch * Blood vessels and lymph ...
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Human Anus
In humans, the anus (from Latin ''anus'' meaning "ring", "circle") is the external opening of the rectum, located inside the intergluteal cleft and separated from the genitals by the perineum. Two sphincters control the exit of feces from the body during an act of defecation, which is the primary function of the anus. These are the internal anal sphincter and the external anal sphincter, which are circular muscles that normally maintain constriction of the orifice and which relaxes as required by normal physiological functioning. The inner sphincter is involuntary and the outer is voluntary. It is located behind the perineum which is located behind the vagina or scrotum. In part owing to its exposure to feces, a number of medical conditions may affect the anus such as hemorrhoids. The anus is the site of potential infections and other conditions, including cancer (see Anal cancer). With anal sex, the anus can play a role in sexuality. Attitudes toward anal sex vary, a ...
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Vulva
The vulva (plural: vulvas or vulvae; derived from Latin for wrapper or covering) consists of the external female sex organs. The vulva includes the mons pubis (or mons veneris), labia majora, labia minora, clitoris, vestibular bulbs, vulval vestibule, urinary meatus, the vaginal opening, hymen, and Bartholin's and Skene's vestibular glands. The urinary meatus is also included as it opens into the vulval vestibule. Other features of the vulva include the pudendal cleft, sebaceous glands, the urogenital triangle (anterior part of the perineum), and pubic hair. The vulva includes the entrance to the vagina, which leads to the uterus, and provides a double layer of protection for this by the folds of the outer and inner labia. Pelvic floor muscles support the structures of the vulva. Other muscles of the urogenital triangle also give support. Blood supply to the vulva comes from the three pudendal arteries. The internal pudendal veins give drainage. Afferent lymph ve ...
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Human Penis
The human penis is an external male intromittent organ that additionally serves as the urinary duct. The main parts are the root (radix); the body (corpus); and the epithelium of the penis including the shaft skin and the foreskin (prepuce) covering the glans penis. The body of the penis is made up of three columns of tissue: two corpora cavernosa on the dorsal side and corpus spongiosum between them on the ventral side. The human male urethra passes through the prostate gland, where it is joined by the ejaculatory duct, and then through the penis. The urethra traverses the corpus spongiosum, and its opening, the meatus (), lies on the tip of the glans penis. It is a passage both for urination and ejaculation of semen (''see'' male reproductive system.) Most of the penis develops from the same embryonic tissue as the clitoris in females. The skin around the penis and the urethra share the same embryonic origin as the labia minora in females. An erection is the stiffeni ...
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Vagina
In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hymen. At the deep end, the cervix (neck of the uterus) bulges into the vagina. The vagina allows for sexual intercourse and birth. It also channels menstrual flow, which occurs in humans and closely related primates as part of the menstrual cycle. Although research on the vagina is especially lacking for different animals, its location, structure and size are documented as varying among species. Female mammals usually have two external openings in the vulva; these are the urethral opening for the urinary tract and the vaginal opening for the genital tract. This is different from male mammals, who usually have a single urethral opening for both urination and reproduction. The vaginal opening is much larger than the nearby urethral openi ...
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Coccyx
The coccyx ( : coccyges or coccyxes), commonly referred to as the tailbone, is the final segment of the vertebral column in all apes, and analogous structures in certain other mammals such as horses. In tailless primates (e.g. humans and other great apes) since '' Nacholapithecus'' (a Miocene hominoid),Nakatsukasa 2004, ''Acquisition of bipedalism'' (SeFig. 5entitled ''First coccygeal/caudal vertebra in short-tailed or tailless primates.''.) the coccyx is the remnant of a vestigial tail. In animals with bony tails, it is known as ''tailhead'' or ''dock'', in bird anatomy as ''tailfan''. It comprises three to five separate or fused coccygeal vertebrae below the sacrum, attached to the sacrum by a fibrocartilaginous joint, the sacrococcygeal symphysis, which permits limited movement between the sacrum and the coccyx. Structure The coccyx is formed of three, four or five rudimentary vertebrae. It articulates superiorly with the sacrum. In each of the first three segments may ...
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Perineal Nerve
The perineal nerve is a nerve of the pelvis. It arises from the pudendal nerve in the pudendal canal. It gives superficial branches to the skin, and a deep branch to muscles. It supplies the skin and muscles of the perineum. Its latency is tested with electrodes. Structure The perineal nerve is a branch of the pudendal nerve. It lies below the internal pudendal artery. It accompanies the perineal artery. It passes through the pudendal canal for around 2 or 3 cm. Whilst still in the canal, it divides into superficial branches and a deep branch. The superficial branches of the perineal nerve become the posterior scrotal nerves in men,Essential Clinical Anatomy. K.L. Moore & A.M. Agur. Lippincott, 2 ed. 2002. Page 263 and the posterior labial nerves in women. The deep branch of the perineal nerve (also known as the "muscular" branch) travels to the muscles of the perineum. Both of these are superficial to the dorsal nerve of the penis or the dorsal nerve of the clitoris. ...
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Tuberosity Of The Ischium
The ischial tuberosity (or tuberosity of the ischium, tuber ischiadicum), also known colloquially as the sit bones or sitz bones, or as a pair the sitting bones, is a large swelling posteriorly on the superior ramus of the ischium. It marks the lateral boundary of the pelvic outlet. When sitting, the weight is frequently placed upon the ischial tuberosity. The gluteus maximus provides cover in the upright posture, but leaves it free in the seated position.Platzer (2004), p 236 The distance between a cyclist's ischial tuberosities is one of the factors in the choice of a bicycle saddle. Divisions The tuberosity is divided into two portions: a lower, rough, somewhat triangular part, and an upper, smooth, quadrilateral portion. * The ''lower portion'' is subdivided by a prominent longitudinal ridge, passing from base to apex, into two parts: ** The outer gives attachment to the adductor magnus ** The inner to the sacrotuberous ligament * The ''upper portion'' is subdivid ...
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Dorsal Nerve Of Clitoris
The dorsal nerve of the clitoris is a nerve in females that branches off the pudendal nerve to innervate the clitoris. The nerve is important for female sexual pleasure, and it may play a role in clitoral erections. It travels from below the inferior pubic ramus to the suspensory ligament of the clitoris. At its thickest, the DNC is in diameter, visible to the naked eye during dissection. The DNC splits into two nerve branches on either side of the midline, closely following the crura of the clitoris. Some surgeries—for example, sling surgeries to treat female urinary incontinence—can damage the DNC, causing a loss of sensation in the clitoris. Understanding the nerve is important for urologists and gynecologists who may operate on organs near the DNC. The dorsal nerve of the clitoris is analogous to the dorsal nerve of the penis in males. It is a terminal branch of the pudendal nerve. See also * Posterior labial nerves * Perineal nerve * Dorsal nerve of penis * Dorsal ...
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Anogenital Distance
Anogenital distance (AGD) is the distance from the midpoint of the anus to the genitalia, the underside of the vagina, the clitoris or the scrotum. It is considered medically significant for a number of reasons, in both humans and other animals, including sex determination and as a marker of endocrine disruptor exposure. It is regulated by dihydrotestosterone, which can be disrupted by phthalates common in plastics. The ''anogenital index'' (AGI) is an index used to compare the AGD relative to a model based on body weight. It is computed as the AGD divided by weight GI = AGD/weight (mm/kg) Measurement The AGD is usually measured as follows: from the center of the anus to the posterior convergence of the fourchette (where the vestibule begins) in females (AGD-AF); and from the center of the anus to the junction of the smooth perineal skin with the rugate skin of the scrotum in males (AGD-AS). An alternative measurement, AGD-AC, defined only in females, is measured f ...
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Outlet Of The Pelvis
The lower circumference of the lesser pelvis is very irregular; the space enclosed by it is named the inferior aperture or pelvic outlet. It is an important component of pelvimetry. Boundaries It has the following boundaries: * anteriorly: the pubic arch * laterally: the ischial tuberosities * posterolaterally: the inferior margin of the sacrotuberous ligament * posteriorly: the anterior border of the middle of the coccyx. Notches These eminences are separated by three notches: * one in front, the pubic arch, formed by the convergence of the inferior rami of the ischium and pubis on either side. * The other notches, one on either side, are formed by the sacrum and coccyx behind, the ischium in front, and the ilium above; they are called the sciatic notches; in the natural state they are converted into foramina by the sacrotuberous and sacrospinous ligaments. In situ When the ligaments are in situ, the inferior aperture of the pelvis is lozenge-shaped, bounded as follows ...
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