• 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