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(Netter Basic Science) Frank H. Netter - Atlas of Human Anatomy-Elsevier (2018)

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Actual and Potential Perineopelvic Spaces

Retropubic

(prevesical)

space (of Retzius)

Rectovesical

space

Sagittal section

Retrovesical

Prerectal

Retroprostatic

Sphincter urethrae

Deep and superficial

transverse perineal muscles

External

anal

sphincter

muscle*

Deep

Superficial

Subcutaneous

Deep (Buck’s) fascia of penis

Superficial perineal (Colles’) fascia

Visceral

peritoneum

Vesical fascia

Rectal

fascia

Rectal

fascia

Presacral

fascia

Presacral

space

Rectovesical

or rectoprostatic

(Denonvilliers’)

fascia (septum)

Levator ani muscle

and fascia of

pelvic diaphragm

Deep postanal space

Anococcygeal body (ligament)

Superficial postanal space (part

of perianal space)

*Parts variable and

often indistinct

Submucous space

Perianal space

Bulbospongiosus muscle and deep perineal (Gallaudet’s) fascia

Superficial perineal compartment (space or pouch)

Perineal membrane,

Deep transverse perineal muscle, and

Superficial transverse perineal muscle

(cut away) to expose

Anterior recess of ischioanal fossa

Preanal communication (inconstant) between

right and left ischioanal fossae

Pus in ischioanal fossa

Posterior communication between right and left

ischioanal fossae via deep postanal space

deep to anococcygeal body (ligament)

Gluteus maximus muscle and

Sacrotuberous ligament

(cut)

Posterior recess of ischioanal fossa

Perineal view

Spread of perineal abscess in perineal spaces

Plate 378

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Rectum

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