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Male Urogenital Triangle

• Penis
• Scrotum

Penis
Location & Description
1. Root of Penis
• Made up of 3 masses of erectile tissue
o Bulb of penis
 Situated in midline
 Attached to urogenital diaphragm
 Traversed by urethra
 Covered by bulbospongiosus muscles
 Continue into the body of penis and forms corpus spongiosum
o Right & Left crura of penis
 Attached to the side of pubic arch
 Covered by ischiocavernosus muscles
 Converge anteriorly and lie side by side in the dorsal part and forms corpora cavernosa.

2. Body of penis
• Composed of 3 cylinders of erectile muscles enclosed in Buck’s fascia.
o 2 corpora cavernosa (dorsal)
o 1 corpus spongiosum (ventral)
• At distal extremity, corpus spongiosum expands to form glans penis which cover the distal ends of corpora
carvernosa.
• At tip of the glans penis – slitlike orifice of urethra (external urethra meatus)
• Prepuce & foreskin covers the glans and connected to frenulum (below urethral orifice)
• Supported by two deep fascia
Blood supply
1. Arteries
• Corpora cavernosa - supply by deep arteris of penis
• Corpus spongiosum - supply by artery of bulb Branches of internal pudendal artery
• Dorsal artery of penis

2. Veins
• Drain into internal pudendal veins.

Lymph Drainage
• Skin - drain into medial group of superficial inguinal nodes
• Deep structures - drain into internal iliac nodes

Nerve Supply
• Pudendal nerve
• Pelvic plexuses
Scrotum
Location & Description
• Outpouching of the lower part of the anterior abdominal wall.
• Contains testes, epididymides & lower end of spermatid cord.
• Wall of Scrotum: {SKIN is SUPERFICIAL, Eyes Cry In Tear}
a. Skin
b. Superficial fascia
• Dartos muscle – smooth muscle, replaces fatty layer of the anterior abdominal wall
• Colles’ fascia – membranous layer (Scarpa’s fascia)
c. External spermatic fascia
• Derived from external oblique
d. Cremasteric fascia
• Derived from internal oblique
e. Internal spermatic fascia
• Derived from fascia transversalis
f. Tunica vaginalis
• Closed sac that covers anterior, medial & lateral surfaces of each testis

Blood Supply
1. Ateries
• External pudendal branches of femoral artery
• Scrotal branches of internal pudendal artery

2. Veins
• Accompany corresponding arteries
Lymph Drainage
• Wall – Drain into medial group of superficial inguinal lymph nodes.
• Testis & Epididymis – Ascends in spermatic cord & ends in lumbar (para-aortic) lymph nodes at the first lumbar vertebra.
• During development, testes migrated from high up on the posterior abdominal wall, down the inguinal canal, into the
scrotum, dragging blood supply and lymph vessels after it.

Nerve Supply
• Anterior – Ilioinguinal nerves & genital branches of genitofemoral nerves
• Posterior – Branches of perineal nerves & posteior cutaneous nerves of thigh
Superficial Perineal Pouch
• Root of penis + Muscles

1. Bulbopsongiosus muscles
• Situated one of each side of the midline
• Cover the bulb of the penis & posterior portion of corpus spongiosum
• Function: Compress penile part of urethra & empty residue urine / semen.
• Anterior fibers compress deep dorsal vein of penis, impedeing (hinder) venous drainage of the erectile tissue and
assist in erection.

2. Ischiocavernous muscles
• Cover crus penis on each side
• Function: Compress crus penis and assist erection.

Perineal Body
• Small mass of fibrous tissue attached to the center of posterior margin of urogenital diaphragm.
• Serve as point of attachment for
o External anal sphincter, bulbospongiosus, superficial transverse perineal

Nerve Supply
• Supply by perineal branch of pudendal nerve
o Terminate in the superifcial perineal pouch by supplying muscles & skins

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