Root of penis

Root of penis
Structure of the human penis. Root of the penis in 11; 4 corpus cavernosum, 5 corpus spongiosum, 6 scrotum, 7 crus, 8 bulb
Details
SystemGenitourinary
ArteryDorsal artery, bulbourethral artery, deep artery,
VeinDorsal veins, internal pudendal veins
NerveDorsal nerve, perineal nerves
Identifiers
Latinradix penis
TA98A09.4.01.002
TA23663
FMA19611
Anatomical terminology

In human male anatomy, the radix (/reɪ.dɪks/)[1] or root of the penis is the internal and most proximal portion of the human penis that lies in the perineum. Unlike the pendulous body of the penis, which is suspended from the pubic symphysis, the root is attached to the pubic arch of the pelvis and is not visible externally. It is triradiate in form, consisting of three masses of erectile tissue; the two diverging crura, one on either side, and the median bulb of the penis or urethral bulb.[2][3] Approximately one third to one half of the penis is embedded in the pelvis and can be felt through the scrotum and in the perineum.[4]

Structure

The root of the penis begins directly below the bulbourethral glands, or Cowper glands, and consists of three long masses of tissue; the bulb and the crura. The bulb of the penis is an enlarged mass of erectile tissue that is located in the midline of the root and is traversed by the male urethra. It continues as a long cylindrical body on the ventral aspect of the shaft called corpus spongiosum.[5] The left and right crura are located laterally on the two sides of the bulb and are attached to the ischiopubic arch. They continue into the dorsal aspect of the shaft forming the two corpora cavernosa that are separated by the septum of the penis.[5] During arousal, the root and the corpora cavernosa engorge with blood and become rigid (erection). Meanwhile, the corpus spongiosum remains pliable making the urethra a viable channel for semen during ejaculation.[6]

Muscles

There are four muscles associated with the root of the penis; a pair of ischiocavernosus and a pair of bulbospondiosus muscles.[5] Each crus is covered by the ischiocavernosus muscle which helps maintain an erection by contracting to force blood from the crura into the corpora cavernosa. The bulb is surrounded by the bulbospongiosus muscle which contracts to help empty the urethra of any residual semen and urine.[2] It also helps maintain the erection by increasing the pressure in the bulb. During orgasm, the muscles surrounding the root contract involuntarily pushing the semen towards the urinary meatus.

Fascia

Each erectile tissue has fascial coverings, or bands of connective tissue, which surround and support them.[2] The root of the penis lies in the perineum between the perineal membrane, or inferior fascia of the urogenital diaphragm, and the fascia of Colles, the deeper layer of the superficial perineal fascia.

Ligaments

In addition to being attached to the fasciæ and the pubic ramus, the root is bound to the front of the pubic symphysis by the fundiform and suspensory ligaments.[5]

  • The fundiform ligament springs from the front of the sheath of the rectus abdominis and the linea alba; it splits into two fasciculi which encircle the root of the penis.
  • The upper fibers of the suspensory ligament pass downward from the lower end of the linea alba, and the lower fibers from the pubic symphysis; together they form a strong fibrous band, which extends to the upper surface of the root, where it blends with the fascial sheath of the organ.

Images

  • Root of the penis
    Root of the penis
  • Lateral cross-section of the male pelvis and it's contents.
    Lateral cross-section of the male pelvis and it's contents.

See also

References

  1. ^ Singh, Vishram (2018-07-21). Textbook of Anatomy Abdomen and Lower Limb; Volume II. Elsevier Health Sciences. p. 56. ISBN 978-81-312-5294-9.
  2. ^ a b c "Penis anatomy: Functions and common conditions". www.medicalnewstoday.com. 2021-06-14. Retrieved 2023-03-06.
  3. ^ Hadidi, Ahmed T. (2022), Hadidi, Ahmed T. (ed.), "Surgical Anatomy of the Penis and Urethra", Hypospadias Surgery: An Illustrated Textbook, Cham: Springer International Publishing, pp. 105–126, doi:10.1007/978-3-030-94248-9_4, ISBN 978-3-030-94248-9, retrieved 2023-03-06
  4. ^ Shafik, Ahmed; Shafik, Ali A.; Shafik, Ismail A.; El Sibai, Olfat (2008). "Percutaneous perineal electrostimulation induces erection: clinical significance in patients with spinal cord injury and erectile dysfunction". The Journal of Spinal Cord Medicine. 31 (1): 40–43. doi:10.1080/10790268.2008.11753979. ISSN 1079-0268. PMC 2435023. PMID 18533410.
  5. ^ a b c d "The Penis - Structure - Muscles - Innervation - TeachMeAnatomy". teachmeanatomy.info. Retrieved 2023-03-06.
  6. ^ "Penis | Description, Anatomy, & Physiology | Britannica". www.britannica.com. Retrieved 2023-03-06.

Public domain This article incorporates text in the public domain from page 1249 of the 20th edition of Gray's Anatomy (1918)