Perineum

Changed by Frank Gaillard, 27 Dec 2019

Updates to Article Attributes

Body was changed:

A GREAT SPELL CASTER (DR.TAKUTA) THAT HELPME GET MY EX HUSBAND BACK, AM SO HAPPYMy nameThe perineum is a diamond-shaped region below the pelvic diaphragm and is LUCY SETHI from USA .I am here togive testimony on how I got my husband backdivided by an imaginary line drawn between the ischial tuberosities into anteriorly the urogenital triangle and posteriorly the anal triangle.My husband left me for no reason 3 years ago.He moved in with another woman

Gross anatomy

The perineum is bounded by the pubis anteriorly, I felt likekilling myselfthe ischial tuberosities anterolaterally, my life became very bitterthe sacrotuberous ligaments posterolaterally andsorrowful the coccyx posteriorly. Then 1 day, a friend

The urogenital triangle is the anterior part of mine told meabout a great spell caster that is very good and,he said he gave him some lucky numbers that heplayed in a lottery and he won. I didn't believe itbecause I've worked with so many of themthe perineum and itdidn't work. He begged me further so I decidedto try this great spell caster called DR TAKUTA. Istill didn't believe. I used contains the spell he gave mepenis and scrotum in males and mons pubis, labia majora and minora, clitoris and vaginal and urethral orifices in females. A sheet of fascia covers the urogenital diaphragm inferiorly, the perineal membrane, which divides the urogenital triangle into the deep perineal pouch superior (deep) to the membrane and the next day I receivedsuperficial perineal pouch inferior (superficial) to the membrane. The perineal membrane is less conspicuous in females.

The anal triangle contains the anus and its sphincters and also the ischioanal fossaon either side in both males and females.

The central tendon of the perineum is the midpoint of the joining line between the ischial tuberosities and is called the perineal body. The perineal body lies behind the vagina in females and supports the vagina against prolapse. The anal sphincters, bulbospongiosus muscle, transverse perineal muscle and levator ani muscles are attached to the perineal body in the midline.

Arterial supply

The internal pudendal artery is a call from mydarling husband Thomas last month. Heapologizedbranch of the internal iliac artery and came backis the main supplier of the perineum.

Innervation

The pudendal nerve (S2 to me. He even gaveme 10,000USD as a meansS4) and its branches is the nerve of compensating methe perineum and pelvic floor.I'm very happy now. please i will advise you

Radiographic features

Imaging is required to contact himnowassess pelvic floor laxity in women with urinary and seebowel continence issues.

CT

Provides limited visualisation of the pelvic muscles.

MRI

Muscles of the pelvic floor can be imaged with MRI and pelvic floor movements can be assessed with dynamic MRI.

MRI is the modality of choice in assessing the complex perineal lesions and their relations to the adjacent structures. It provides guidance for your self his Email is [email protected] or whatsapp himthroughsurgical planning due to its greater sensitivity and specificity than the following contact on +27788634102other non-invasive imaging techniques.

Dr.TAKUTA also cures:1. HEPATITIS A,B,C2. HERPES 1/23.DIABETES4.STROKE.5.AIDS HERBAL CURE, STDS and STI6. MARRIAGE COUNSELLING7.LOVE SPELL CASTING8.JOB PROMOTION SPELLS9.MARITAL PROBLEM10.MAGIC MONEY SPELLS

  • -<p>A GREAT SPELL CASTER (DR.TAKUTA) THAT HELP<br>ME GET MY EX HUSBAND BACK, AM SO HAPPY<br>My name is LUCY SETHI from USA .I am here to<br>give testimony on how I got my husband back.<br>My husband left me for no reason 3 years ago.<br>He moved in with another woman, I felt like<br>killing myself, my life became very bitter and<br>sorrowful. Then 1 day, a friend of mine told me<br>about a great spell caster that is very good and,<br>he said he gave him some lucky numbers that he<br>played in a lottery and he won. I didn't believe it<br>because I've worked with so many of them and it<br>didn't work. He begged me further so I decided<br>to try this great spell caster called DR TAKUTA. I<br>still didn't believe. I used the spell he gave me<br>and the next day I received a call from my<br>darling husband Thomas last month. He<br>apologized and came back to me. He even gave<br>me 10,000USD as a means of compensating me.<br>I'm very happy now. please i will advise you to contact him<br>now and see for your self his Email is via____<br>[email protected] or whatsapp him<br>through the following contact on +27788634102</p><p><br>Dr.TAKUTA also cures:<br>1. HEPATITIS A,B,C<br>2. HERPES 1/2<br>3.DIABETES<br>4.STROKE.<br>5.AIDS HERBAL CURE, STDS and STI<br>6. MARRIAGE COUNSELLING<br>7.LOVE SPELL CASTING<br>8.JOB PROMOTION SPELLS<br>9.MARITAL PROBLEM<br>10.MAGIC MONEY SPELLS</p>
  • +<p>The <strong>perineum </strong>is a diamond-shaped region below the pelvic diaphragm and is divided by an imaginary line drawn between the <a href="/articles/ischium">ischial tuberosities</a> into anteriorly the <a href="/articles/urogenital-triangle">urogenital triangle</a> and posteriorly the <a href="/articles/anal-triangle">anal triangle</a>.</p><h4>Gross anatomy</h4><p>The perineum is bounded by the <a href="/articles/pubis">pubis</a> anteriorly, the <a href="/articles/ischium">ischial tuberosities</a> anterolaterally, the <a href="/articles/sacrotuberous-ligament">sacrotuberous ligaments</a> posterolaterally and the <a href="/articles/coccyx">coccyx</a> posteriorly.</p><p>The <strong>urogenital triangle </strong>is the anterior part of the perineum and it contains the <a href="/articles/penis">penis </a>and <a href="/articles/scrotum">scrotum</a> in males and <a href="/articles/mons-pubis">mons pubis</a>, <a href="/articles/labia-majora">labia majora</a> and <a title="Labia minora" href="/articles/labia-minora">minora</a>, <a title="Clitoris" href="/articles/clitoris">clitoris</a> and <a title="Vaginal opening" href="/articles/vaginal-opening">vaginal </a>and <a href="/articles/female-urethra">urethral orifices</a> in females. A sheet of fascia covers the urogenital diaphragm inferiorly, the <a href="/articles/perineal-membrane">perineal membrane</a>, which divides the urogenital triangle into the <a href="/articles/deep-perineal-pouch">deep perineal pouch</a> superior (deep) to the membrane and the <a href="/articles/superficial-perineal-pouch">superficial perineal pouch</a> inferior (superficial) to the membrane. The perineal membrane is less conspicuous in females.</p><p>The <strong>anal triangle</strong> contains the <a href="/articles/anus">anus</a> and its <a href="/articles/anal-sphincter-1">sphincters</a> and also the <a href="/articles/ischioanal-fossa">ischioanal fossa</a><a href="/articles/ischioanal-fossa"> </a>on either side in both males and females.</p><p>The central tendon of the perineum is the midpoint of the joining line between the ischial tuberosities and is called the <strong>perineal body</strong>. The perineal body lies behind the <a href="/articles/vagina">vagina</a> in females and supports the vagina against prolapse. The <a href="/articles/anal-sphincter-1">anal sphincters</a>, <a href="/articles/bulbospongiosus-muscle">bulbospongiosus muscle</a>, <a href="/articles/transverse-perineal-muscle">transverse perineal muscle</a> and <a href="/articles/levator-ani-muscle">levator ani muscles</a> are attached to the perineal body in the midline.</p><h4>Arterial supply</h4><p>The <a href="/articles/internal-pudendal-artery-1">internal pudendal artery</a> is a branch of the <a href="/articles/internal-iliac-artery">internal iliac artery</a> and is the main supplier of the perineum.</p><h4>Innervation</h4><p>The <a href="/articles/pudendal-nerve-1">pudendal nerve</a> (S2 to S4) and its branches is the nerve of the perineum and pelvic floor.</p><h4>Radiographic features</h4><p>Imaging is required to assess pelvic floor laxity in women with urinary and bowel continence issues.</p><h5>CT</h5><p>Provides limited visualisation of the pelvic muscles.</p><h5>MRI</h5><p>Muscles of the pelvic floor can be imaged with MRI and pelvic floor movements can be assessed with dynamic MRI.</p><p>MRI is the modality of choice in assessing the complex perineal lesions and their relations to the adjacent structures. It provides guidance for surgical planning due to its greater sensitivity and specificity than the other non-invasive imaging techniques.</p>

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