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The deep perineal pouch is bordered inferiorly by the perineal membrane, also known as the inferior fascia of the urogenital diaphragm. It is bordered superiorly by the superior fascia of the urogenital diaphragm. [1] The deep pouch is now described as the region between the perineal membrane and the pelvic diaphragm. [2]
Older texts have asserted the existence of a urogenital diaphragm, also called the triangular ligament, which was described as a layer of the pelvis that separates the deep perineal sac from the upper pelvis, lying between the inferior fascia of the urogenital diaphragm (perineal membrane) and superior fascia of the urogenital diaphragm.
The region of the perineum can be considered a distinct area from pelvic cavity, with the two regions separated by the pelvic diaphragm. The perianal area (peri-and anal) is a subset of the perineum. The following areas are thus classified as parts of the perineal region: perineal pouches: superficial and deep (see above for details)
Bulbourethral glands are located posterior and lateral to the membranous portion of the urethra at the base of the penis, between the two layers of the fascia of the urogenital diaphragm, in the deep perineal pouch. They are enclosed by transverse fibers of the sphincter urethrae membranaceae muscle.
However, while Bartholin's glands are located in the superficial perineal pouch in females, bulbourethral glands are located in the deep perineal pouch in males. Their duct length is 1.5 to 2.0 cm and they open into navicular fossa. [2] The ducts are paired and they open on the surface of the vulva. [3]
Some sources do not consider "pelvic floor" and "pelvic diaphragm" to be identical, with the "diaphragm" consisting of only the levator ani and coccygeus, while the "floor" also includes the perineal membrane and deep perineal pouch. [6] However, other sources include the fascia as part of the diaphragm. [7]
The perineal membrane is an anatomical term for a fibrous membrane in the perineum. The term "inferior fascia of urogenital diaphragm", used in older texts, is considered equivalent to the perineal membrane. It is the superior border of the superficial perineal pouch, and the inferior border of the deep perineal pouch.
The fascia of perineum (deep perineal fascia, superficial investing fascia of perineum or Gallaudet fascia) is the fascia which covers the muscles of the superficial perineal pouch. The muscles surrounded by the deep perineal fascia are the bulbospongiosus , ischiocavernosus , and superficial transverse perineal .