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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]
While it has no official entry in Terminologia Anatomica, the term is still used occasionally to describe the muscular components of the deep perineal pouch. The urethra and the vagina, though part of the pouch, are usually said to be passing through the urogenital diaphragm, rather than part of the diaphragm itself. [2]
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]
Superficial transverse perineal muscle; Ischiocavernosus muscle; Bulbospongiosus muscle; Penile crura / clitoral crura; Bulb of penis / vestibular bulbs; Urogenital diaphragm; Muscular perineal body; Superficial and deep perineal pouch; Blood vessels and lymphatics
The pelvic floor or pelvic diaphragm is an anatomical location in the human body, [1] which has an important role in urinary and anal continence, sexual function and support of the pelvic organs. [2] The pelvic floor includes muscles, both skeletal and smooth, ligaments and fascia.
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.
Posteriorly, the perimetrium covers the entire surface of the uterus deep down to the cervix, where it then folds back onto the adjacent rectum to form the rectouterine pouch, the lowest gutter of the peritoneal cavity. Laterally, the perimetrium blends into the serosae of the broad ligaments. [1] [2]
As it is the furthest point of the abdominopelvic cavity in women, it is a site where infection and fluids typically collect. [5] The rectouterine pouch can be used in the treatment of end-stage kidney failure in patients who are treated by peritoneal dialysis. The tip of the dialysis catheter is placed into the deepest point of the pouch.