PERINEUM OF THE MALE. 



secured upward by means of the double tenaculum, an in- 

 cision is made transversely along the base of the scrotum ; 



FIG. 213. 



1716 



"7/7 



then two vertical incisions running from the extremities 

 of the first, along the rami of the pubis and ischium, to a 

 point corresponding to the apex of the coccyx. These two 

 latter incisions, being united at their coccygeal end, will 

 thus complete and describe the perineal space. This space 

 has along its median line a prominent ridge termed the 

 raphe of the perineum, which is found to extend along the 

 scrotum and penis as far as the prepuce. The integument 

 should first be dissected off. 



The fascice of the perineum consist of the superficial, 

 middle, and deep. The superficial is seen immediately on 

 removing the integuments, and consists of condensed cel- 

 lular tissue, continuous with that upon the inner side of 

 the thigh, attached to the rami of the pubis and ischium, 

 and about the anus containing a quantity of soft, granular, 

 adipose matter. This fascia gives a covering to the mus- 

 cles of the perineum ; or more properly speaking, on being 

 removed, is found to cover another fascia, which has been 

 called the middle, and consists of a semi-transparent and 



FIG. 213 represents the Muscles of the Male Perineum. 1 Accelerator 

 urinae. 2 Erector penis. 3 Transversus perinei. 4 Sphincter ani. 5 Leva- 

 tor ani. 6 Coccygeus. 7 Gluteus maximus. 8 Adductor tertius or magnus. 

 9 Adductor brevis. 10 Adductor primus or longus. 17 17 Corpora cavernosa. 

 16 Urethra. 14 Spermatic cord. 



