What is the scrotum?
A cutaneous fibromuscular sac that contains the testis and associated structures.
What type of veins are involved in internal hemorrhoids?
Dilated tributaries of the superior rectal vein.
1/178
p.2
Scrotum Anatomy

What is the scrotum?

A cutaneous fibromuscular sac that contains the testis and associated structures.

p.22
Anal Canal Anatomy

What type of veins are involved in internal hemorrhoids?

Dilated tributaries of the superior rectal vein.

p.10
Vulva Anatomy

What does the posterior labial artery supply?

Skin of the posterior part of labia majora and minora.

p.10
Vulva Anatomy

What is the origin of the artery of the bulb of vestibule?

Terminal branch of the perineal artery.

p.3
Scrotum Anatomy

What arteries supply the anterior scrotum?

Anterior scrotal artery (from deep external pudendal artery) and posterior scrotal artery (from perineal artery).

p.18
Anal Canal Anatomy

What marks the commencement of the anal canal?

The anorectal junction, marked externally by the puborectalis sling.

p.3
Scrotum Anatomy

What is the drainage pathway for the scrotum?

External pudendal veins drain into the great saphenous vein.

p.17
Pudendal Canal

What approaches can be employed for males during a pudendal nerve block?

Transperineal or perirectal approaches.

p.3
Scrotum Anatomy

Which nerves innervate the anterior aspect of the scrotum?

Anterior scrotal nerves (from ilioinguinal nerve) and genital branch of genitofemoral nerve.

p.18
Anal Canal Anatomy

What type of muscle is primarily associated with the anal canal?

Smooth muscle of the muscularis externa, under involuntary control.

p.12
Male External Genitalia

What is the homologous structure of the glans penis in females?

Glans clitoris (formed by corpus cavernosum).

p.15
Ischioanal Fossa

Which muscle is associated with the ischioanal fossa?

Levator ani.

p.21
Anal Canal Anatomy

Which vein drains the superior half of the anal canal?

Superior rectal vein, which drains into the portal system.

p.1
Spongy Urethra

What is the intrabulbar fossa?

An expansion of the spongy urethra at the bulb of the penis.

p.18
Anal Canal Anatomy

What are the components of the external anal sphincter (EAS)?

It consists of three parts: deep, superficial, and subcutaneous.

p.4
Penis Anatomy

What is the glans penis?

Distal enlargement of the corpus spongiosum.

p.6
Penis Anatomy

What does the dorsal artery of the penis supply?

Superficial tissue of the penis, corpus spongiosum, and spongy urethra.

p.6
Penis Anatomy

What is the course of the deep artery of the penis?

Runs within the corpora cavernosa.

p.1
Spongy Urethra

What is the primary nerve that innervates the spongy urethra?

Dorsal nerve of the penis.

p.12
Anal Triangle

What are the contents of the anal triangle?

Ischioanal fossa, anal canal and anus, external anal sphincter, anococcygeal ligament, pudendal canal and its enclosed structures, inferior rectal nerves and vessels.

p.17
Pudendal Canal

What is the purpose of a pudendal nerve block?

To diagnose and manage chronic pelvic pain caused by pudendal neuralgia.

p.20
Anal Canal Anatomy

What is the pectinate line (dentate line)?

A serrated line along the anal valves that divides the anal canal into upper and lower halves.

p.22
Anal Canal Anatomy

Why are internal hemorrhoids usually less painful?

They receive autonomic innervation.

p.22
Anal Canal Anatomy

When might internal hemorrhoids become painful?

If they are clotted and prolapsed outside.

p.5
Penis Anatomy

What is the suspensory ligament of the penis?

A condensation of deep fascia that arises from the pubic symphysis.

p.10
Vulva Anatomy

What does the artery of the bulb of vestibule supply?

Bulbs of vestibule and greater vestibular glands.

p.19
Anal Canal Anatomy

What is the function of anal cushions?

They aid in maintaining fecal continence.

p.18
Anal Canal Anatomy

Where does the anal canal terminate?

At the anal verge (anocutaneous line).

p.19
Anal Canal Anatomy

What are anal columns?

Longitudinal folds of mucosa containing the terminal branches of superior rectal vessels.

p.10
Clitoris Anatomy

What does the deep artery of the clitoris supply?

Erectile tissue of the clitoris.

p.3
Scrotum Anatomy

What nerves innervate the posterior aspect of the scrotum?

Posterior scrotal nerves (from perineal nerve) and perineal branch of posterior femoral cutaneous nerve.

p.6
Penis Anatomy

What does the fundiform ligament blend with inferiorly?

Darto’s fascia that forms the scrotal septum.

p.16
Pudendal Canal

Which ligament is associated with the Pudendal nerve in the Pudendal canal?

Sacrotuberous ligament (cut).

p.6
Penis Anatomy

What is the origin of the dorsal artery of the penis?

Internal pudendal artery.

p.23
Pudendal Canal

In which section was the internal pudendal artery discussed in detail?

In the section 'arteries of the pelvis' (Pelvis I).

p.2
Scrotum Anatomy

What is the scrotal raphe?

A visible ridge of tissue on the surface of the scrotum that divides it into two lateral portions.

p.20
Anal Canal Anatomy

What characterizes the lower half of the anal canal?

It features the anal pecten, which is a smooth area lined by non-keratinized squamous epithelium with no hair or sweat glands.

p.20
Anal Canal Anatomy

What are portocaval anastomoses?

Connections present around the anal pecten line.

p.13
Anal Triangle

What forms the inferior boundary of the anal region?

Skin of the anal region.

p.22
Anal Canal Anatomy

What is the typical location of hemorrhoids associated with?

The location of anal cushions.

p.11
Pudendal Canal

What is the origin of the external pudendal arteries?

Femoral artery.

p.10
Clitoris Anatomy

What is the origin of the deep artery of the clitoris?

Terminal branch of the internal pudendal artery.

p.11
Pudendal Canal

What areas do the external pudendal arteries distribute blood to?

Mons pubis and anterior aspect of labia.

p.22
Anal Canal Anatomy

What is a prolapsed internal hemorrhoid?

An internal hemorrhoid that has protruded outside the anal canal.

p.11
Pudendal Canal

How do most structures drain venously in relation to their arteries?

By veins with the same names as the corresponding arteries.

p.18
Anal Canal Anatomy

What is the function of the inner circular muscle in the anal canal?

It thickens to form the internal anal sphincter and surrounds the superior 2/3 of the anal canal.

p.4
Penis Anatomy

What are the two main parts of the root of the penis?

Crura and bulb.

p.13
Ischioanal Fossa

What is the transverse fibrous septum associated with?

Ischioanal fossa.

p.21
Anal Canal Anatomy

What is the lymphatic drainage for the superior half of the anal canal?

Internal iliac lymph nodes.

p.11
Pudendal Canal

What does the genital branch of the genitofemoral nerve innervate?

Skin of anterior labium majus and mons pubis.

p.13
Anal Triangle

What ligament is associated with the anal region?

Anococcygeal ligament.

p.18
Anal Canal Anatomy

What is the characteristic of the internal anal sphincter?

It is tonically contracted.

p.6
Penis Anatomy

What is the distribution of the deep artery of the penis?

Corpora cavernosa (for erection).

p.4
Penis Anatomy

What are the corpora cavernosa?

Paired erectile tissues containing the deep arteries of the penis.

p.12
Ischioanal Fossa

What is the general description of the ischioanal fossa?

Large, bilateral wedge-shaped spaces filled with fat and fibrous septa.

p.23
Anal Canal Anatomy

At which positions are hemorrhoids usually found when viewed inferiorly?

At the 3, 7, and 11 o’clock positions.

p.17
Pudendal Canal

What is a common cause of pudendal neuralgia?

Pudendal nerve entrapment.

p.2
Scrotum Anatomy

How is the scrotal raphe connected to the penile raphe?

It is continuous with the penile raphe on the ventral surface of the penis.

p.5
Penis Anatomy

What does the corpus spongiosum enlarge to form?

The glans penis.

p.15
Ischioanal Fossa

What can happen to pus/abscesses in the ischioanal fossa?

They can spread to the other side through a communication pathway behind the anus.

p.16
Pudendal Canal

What is the general description of the Pudendal (Alcock’s) canal?

A horizontal passageway within the condensation of the obturator fascia, quite short (mean length of ~1.6 cm in adults).

p.13
Anal Triangle

Which bone is located laterally in the anal region?

Ischium.

p.1
Spongy Urethra

What are the two divisions of the spongy urethra?

Bulbous portion and penile portion.

p.13
Anal Triangle

What muscle is found medially in the anal region?

External anal sphincter.

p.4
Penis Anatomy

What is the primary function of the penis?

Male organ of copulation and outlet for urine and semen.

p.15
Ischioanal Fossa

What structure separates the deep pouch from the ischioanal fossa?

The perineal membrane.

p.21
Anal Canal Anatomy

What is the arterial supply for the superior half of the anal canal?

Superior rectal artery.

p.14
Ischioanal Fossa

What is the anterior recess of the ischioanal fossa?

An extension of the ischioanal fossa forwards, beyond the posterior border of the perineal membrane and into the UG triangle.

p.20
Anal Canal Anatomy

What are anal valves?

Crescent mucosal folds joining the inferior ends of anal columns.

p.10
Vulva Anatomy

What is the origin of the posterior labial artery?

Terminal branch of the perineal artery.

p.17
Pudendal Canal

Where is the local anesthetic injected for a pudendal nerve block?

Near the ischial spine.

p.18
Anal Canal Anatomy

What is the anal canal?

The terminal part of the large intestine.

p.19
Anal Canal Anatomy

What components make up the anal cushions?

Arterial and venous plexuses, arteriovenous connections, smooth muscles, and fibrous strands.

p.17
Pudendal Canal

What approach is usually used for females during a pudendal nerve block?

Transvaginal approach.

p.20
Anal Canal Anatomy

How are tumors distal to the anal verge managed?

They are managed as skin cancer.

p.6
Penis Anatomy

What is the fundiform ligament of the penis?

A band of subcutaneous tissue descending from the midline from the linea alba, surrounding the penis.

p.20
Anal Canal Anatomy

What structures are associated with the anal canal?

Anal columns, anal sinuses, anal valves, anal cushions, and anal pecten.

p.17
Pudendal Canal

What vessels are found in the pudendal canal?

Internal pudendal vessels.

p.4
Penis Anatomy

What anatomical position is the penis in when erect?

In the correct anatomical position.

p.13
Anal Triangle

What forms the posterior boundary of the anal region?

Sacrotuberous ligament and gluteus maximus.

p.10
Clitoris Anatomy

What does the dorsal artery of the clitoris supply?

Connective tissue of the clitoris.

p.11
Pudendal Canal

What is the origin of the anterior labial nerve?

Ilioinguinal nerve (L1).

p.15
Ischioanal Fossa

What is Gallaudet’s fascia associated with?

It is associated with the structures in the ischioanal fossa.

p.21
Anal Canal Anatomy

What is the arterial supply for the inferior half of the anal canal?

Inferior rectal artery.

p.11
Pudendal Canal

What is the origin of the posterior labial nerve?

Perineal nerve (S2 – S4).

p.11
Pudendal Canal

What is the function of the dorsal nerve of the clitoris?

Sensory innervation to the clitoris.

p.14
Ischioanal Fossa

Where does the anterior recess of the ischioanal fossa lie?

Above the deep perineal pouch (or UG diaphragm).

p.22
Anal Canal Anatomy

Where are internal hemorrhoids located in relation to the pectinate line?

Above the pectinate line.

p.17
Pudendal Canal

What type of anesthesia technique is a pudendal nerve block?

A regional anesthesia technique.

p.2
Scrotum Anatomy

What does the scrotal raphe connect to posteriorly?

It connects posteriorly along the midline with the perineal raphe.

p.17
Pudendal Canal

What does the pudendal nerve block aim to block?

Sensory signal transmission in the pudendal nerve.

p.20
Anal Canal Anatomy

What is the anal verge?

The distal end of the anal canal where pigmented skin is present, along with hair and sweat glands.

p.15
Ischioanal Fossa

What ligament is involved in the spread of pus/abscesses from the ischioanal fossa?

The anococcygeal ligament.

p.16
Pudendal Canal

Where does the Pudendal canal begin and end?

It begins just below the ischial spine and ends near the posterior margin of the perineal membrane.

p.15
Ischioanal Fossa

How can pus/abscesses spread to the UG triangle?

Via the anterior recesses of the ischioanal fossa.

p.16
Pudendal Canal

What is the location of the Pudendal canal?

It runs on the lateral wall of the ischioanal fossa.

p.6
Penis Anatomy

With which fascia is the fundiform ligament continuous superiorly?

Scarpa’s fascia.

p.16
Pudendal Canal

What are the main contents of the Pudendal canal?

Pudendal nerve and internal pudendal vessels.

p.11
Pudendal Canal

Where does the deep dorsal vein of the clitoris drain?

Into the vesical venous plexus.

p.19
Anal Canal Anatomy

What are anal sinuses?

Recesses between anal columns, proximal to anal valves, containing openings of ducts of anal glands.

p.3
Scrotum Anatomy

What is the role of the internal pudendal artery in scrotal anatomy?

It supplies blood to the perineal vessels, including the posterior scrotal arteries.

p.23
Pudendal Canal

What is the main arterial supply of the perineum?

The internal pudendal artery.

p.5
Spongy Urethra

What is the corpus spongiosum?

A single erectile tissue containing the spongy urethra.

p.5
Spongy Urethra

Where is the corpus spongiosum located in relation to the corpora cavernosa?

Ventral to the corpora cavernosa.

p.19
Anal Canal Anatomy

What are anal cushions?

Three swellings in the interior wall of the anal canal.

p.2
Scrotum Anatomy

What is the scrotal septum?

A prolongation of the Darto’s fascia that divides the internal space of the scrotum into two compartments.

p.1
Spongy Urethra

What is the spongy urethra?

It begins at the distal end of the membranous urethra and ends at the external urethral orifice.

p.5
Penis Anatomy

What does the suspensory ligament of the penis fuse with?

The deep (Buck’s) fascia of the penis at the junction between the root and body.

p.22
Anal Canal Anatomy

What is a thrombosed external hemorrhoid?

An external hemorrhoid that has formed a clot.

p.5
Penis Anatomy

What are the associated ligaments mentioned?

Suspensory ligament and Buck’s fascia.

p.1
Spongy Urethra

Where is the bulbous portion of the spongy urethra located?

In the bulb of the penis.

p.13
Anal Triangle

What structures are located anteriorly in the anal region?

Bodies of the pubic bones inferior to puborectalis.

p.10
Clitoris Anatomy

What is the origin of the dorsal artery of the clitoris?

Terminal branch of the internal pudendal artery.

p.12
Male External Genitalia

What is the homologous structure of the bulb of the penis in females?

Bulb of vestibule (formed by corpus spongiosum).

p.15
Ischioanal Fossa

What fascia is found in the male coronal section related to the ischioanal fossa?

Buck’s fascia.

p.4
Penis Anatomy

Where is the root of the penis located?

In the superficial perineal pouch.

p.1
Spongy Urethra

What is the navicular fossa?

An expansion of the spongy urethra at the glans penis.

p.15
Ischioanal Fossa

What is Colles’ fascia?

A fascia related to the perineal region and ischioanal fossa.

p.21
Anal Canal Anatomy

Which vein drains the inferior half of the anal canal?

Inferior rectal vein, which drains into the caval system.

p.21
Anal Canal Anatomy

What is the lymphatic drainage for the inferior half of the anal canal?

Superficial inguinal lymph nodes.

p.6
Penis Anatomy

What is the origin of the artery of the bulb of the penis?

Perineal artery.

p.8
Vulva Anatomy

What is the mons pubis?

A cushion of fatty tissue anterior to the pubis, covered by coarse pubic hair.

p.7
Penis Anatomy

Where does the deep dorsal vein of the penis run?

Deep to Buck’s fascia, medial to the deep arteries of the penis.

p.8
Vulva Anatomy

What is unique about the labia minora?

They are hairless and contain erectile tissue and small blood vessels.

p.9
Vulva Anatomy

Where do the ducts of Skene glands open?

On each side of the external urethral orifice.

p.8
Clitoris Anatomy

What does the root of the clitoris consist of?

Two crura that attach to the ischiopubic rami.

p.3
Scrotum Anatomy

What is the origin of the anterior scrotal artery?

It is a branch of the deep external pudendal artery, which comes from the femoral artery.

p.18
Anal Canal Anatomy

What is the role of the puborectalis muscle?

It forms a sling around the anorectal junction and helps maintain fecal continence.

p.12
Male External Genitalia

What is the homologous gland to the bulbourethral gland in females?

Greater vestibular gland (in superficial perineal pouch).

p.6
Penis Anatomy

Where does the dorsal artery of the penis run?

Deep to Buck’s fascia in the penis, medial to the dorsal nerves of the penis.

p.18
Anal Canal Anatomy

How does the outer longitudinal muscle layer behave in the anal canal?

It is relatively thin compared to the circular layer and extends outwards as the fibrous septa of the ischioanal fossa.

p.4
Penis Anatomy

What covers the glans in an uncircumcised penis?

The prepuce (foreskin).

p.4
Penis Anatomy

What is the frenulum?

A median fold of skin that attaches the prepuce to the glans.

p.21
Anal Canal Anatomy

What innervates the superior half of the anal canal?

Inferior hypogastric plexus.

p.4
Penis Anatomy

How are the crura of the penis attached?

To the inferior parts of the internal surfaces of the ischial rami.

p.12
Ischioanal Fossa

What is the function of fat in the ischioanal fossa?

Helps with fecal continence and allows distension of the anal canal.

p.7
Penis Anatomy

What does the deep dorsal vein of the penis drain blood from?

Cavernous spaces of corpora cavernosa and other deep structures.

p.21
Anal Canal Anatomy

Why are external hemorrhoids more painful?

They involve dilated tributaries of the inferior rectal vein and receive somatic innervation.

p.7
Penis Anatomy

What is the origin of the dorsal nerve of the penis?

Terminal branch of the pudendal nerve, S2 – S4.

p.7
Penis Anatomy

What effect do cavernous nerves have?

Vasodilation of helicine arteries (branches of deep artery of penis).

p.19
Anal Canal Anatomy

What clinical issue can arise from infection of anal glands?

It can produce abscesses and form fistulae in the wall of the anal canal.

p.12
Male External Genitalia

What is the homologous structure of the skin over the penis in females?

Labia minora.

p.1
Spongy Urethra

What supplies blood to the spongy urethra?

Urethral artery and dorsal artery of the penis.

p.1
Spongy Urethra

How does the spongy urethra drain blood?

Through urethral veins and dorsal veins of the penis.

p.11
Pudendal Canal

What is the effect of the cavernous nerves?

Vasodilation of helicine arteries to produce erection/engorgement of erectile tissue.

p.21
Anal Canal Anatomy

What type of sensory information does the superior half of the anal canal respond to?

Sensitive to stretch only.

p.21
Anal Canal Anatomy

What innervates the inferior half of the anal canal?

Inferior rectal nerve.

p.8
Vulva Anatomy

What do the labia minora surround?

The vestibule.

p.7
Penis Anatomy

What does the superficial dorsal vein of the penis drain into?

Superficial external pudendal vein, which then joins the great saphenous vein.

p.7
Penis Anatomy

What does the superficial dorsal vein of the penis drain?

Superficial tissues of the penis.

p.9
Vulva Anatomy

What is the vaginal orifice?

The opening of the vagina.

p.13
Ischioanal Fossa

Which muscle is part of the posterior border of the perineal membrane?

Levator ani.

p.19
Anal Canal Anatomy

What are the names of the three anal cushions?

Left anal cushion, right anterior anal cushion, right posterior anal cushion.

p.12
Male External Genitalia

What is the homologous structure of the scrotum in females?

Labia majora.

p.12
Anal Triangle

What forms the anterior boundary of the anal triangle?

Posterior border of perineal membrane.

p.4
Penis Anatomy

What surrounds all erectile tissues in the penis?

A fibrous capsule called tunica albuginea.

p.9
Vulva Anatomy

What is the bulb of vestibule?

Paired elongated erectile tissue that stretches along the sides of the vaginal orifice.

p.8
Vulva Anatomy

What are the labia majora?

Broad folds of skin on each side that pass from the mons pubis towards the anus, covered with crisp pubic hair.

p.21
Anal Canal Anatomy

What causes hemorrhoids?

Weakened anal cushions due to frequent straining.

p.8
Vulva Anatomy

What forms the frenulum of the clitoris?

The medial folds of the labia minora unite to form it, anchoring the clitoris in place.

p.8
Clitoris Anatomy

What are the three parts of the clitoris?

Root, body, and glans.

p.7
Penis Anatomy

What is the origin of the cavernous nerves?

Prostatic nerve plexus (fibers from S2 – S4).

p.12
Anal Triangle

What forms the posterior boundary of the anal triangle?

Coccyx.

p.6
Penis Anatomy

What does the artery of the bulb of the penis supply?

Bulb of penis, corpus spongiosum, glans penis, urethra.

p.9
Vulva Anatomy

What forms the bulb of vestibule?

The corpus spongiosum.

p.12
Ischioanal Fossa

What forms the superior boundary (roof) of the ischioanal fossa?

Pelvic diaphragm.

p.9
Vulva Anatomy

What are Skene glands?

Paraurethral mucous glands homologous to prostatic glands in males.

p.9
Vulva Anatomy

What is the labium majus?

The lateral fold of the labium minus.

p.8
Clitoris Anatomy

What is the glans of the clitoris?

The exposed part at the distal end of the body, covered by prepuce.

p.7
Penis Anatomy

What does the deep dorsal vein of the penis drain into?

Prostatic/vesical venous plexus.

p.9
Vulva Anatomy

What is the vestibule?

The space surrounded by the labia minora that contains the vaginal and urethral orifice.

p.21
Anal Canal Anatomy

Where do external hemorrhoids occur?

Below the pectinate line.

p.8
Clitoris Anatomy

Where is the clitoris located?

Where the labia minora meet anteriorly.

p.7
Penis Anatomy

Where does the dorsal nerve of the penis run?

Deep to Buck’s fascia, lateral to the dorsal arteries of the penis.

p.21
Anal Canal Anatomy

What types of sensory information does the inferior half of the anal canal respond to?

Sensitive to pain, temperature, and touch.

p.9
Vulva Anatomy

What are the greater vestibular glands?

Glands located in the superficial perineal pouch that secrete mucus.

p.7
Penis Anatomy

Where does the superficial dorsal vein of the penis run?

Between superficial and deep fascia of the penis.

p.9
Vulva Anatomy

What is the function of the frenulum in the vulva anatomy?

It connects the glans clitoris to the labia minora.

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