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Traumatic rupture in the mans spongy urethra in the bulb of his penis resulted in superficial or subcutaneous extravasation of urine

when he attempted to urinate. Urine from the torn urethra would pass into the perineum, superficial to perineal membrane, but deep to the membranous layer of superficial perineal fascia. The urine in superficial perineal pouch passes inferiorly into the loose connective tissue of the scrotum, anteriorly into the penis, and superiorly into the anterior wall of the abdomen. The perineal membrane and subcutaneous membrane of the perineum are firmly attached to the ischiopubic rami.Therefore, the urine cannot pass posteriorly because the two layers are continuous with each other around the superficial tranverse perineal muscle. The urine does not extend laterally because these two layers are connected to the rami of the pubis and ischium. It cannot extend into the lesser pelvis because the opening into this cavity is closed by the perineal membrane. Urine cannot pass into the thighs because the membranous layer of the subcutaneous tissue of the anterior abdominal wall blends with the fascia lata, just distal to the inguinal ligament. The fascia lata is the strong fascia enveloping the muscles of the thigh.

Taken from linically !riented "natomy by #oore

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