N Dorsalis Penis

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Intermediate layer (Erector Spinae)
Blood vessels of systemic circulation
Blood vessels of pelvis and lower limb
The dorsal nerve of the penis (latin: nervus dorsalis penis) is one of the terminal branches of the pudendal nerve in a male.
The dorsal nerve of the penis passes anteriorly along the ischiopubic ramus deep to the perineal membrane, then it runs on the dorsum of the penis to the end in its glans.
Along its way the dorsal nerve of the penis gives off muscular and urethral branches.
The dorsal nerve of the penis innervates the corpus cavernosum and the skin of the penis, while the muscular branches of the dorsal nerve of the penis supply the deep transverse perinei and the urethral sphincter. The urethral branches supply the mucosa of the urethra.
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Sexual Medicine| Volume 50, ISSUE 5, P1079-1085, November 01, 2006
Institute of Anatomy, 1st Medical Faculty, Charles University, Prague, Czech Republic
Institute of Anatomy, 1st Medical Faculty, Charles University, Prague, Czech Republic
Corresponding author. Department of Urology, 2nd Medical Faculty and University Hospital Motol, Charles University, V Úvalu 84, 150 06, Prague 5, Czech Republic. Tel. +420 224434804; Fax: +420 224434820.
Department of Urology, 2nd Medical Faculty and University Hospital Motol, Charles University, Prague, Czech Republic
The aim of this study was to correlate the anatomic and clinical significance of the prepubic course of dorsal nerve of penis and its groove on the pubic bone from the perspective of the surgeon.
The course of the dorsal nerve of the penis/clitoris was studied in six male and six female formalin-fixed cadavers. Several parameters of the pubis were quantified and analysed in 286 isolated pelvises.
The course of the dorsal nerve of the penis is described in detail. This pubic sulcus was present in a majority of the pelvises examined. The dorsal nerve of the penis filled this groove, which we term the “sulcus nervi dorsalis penis/clitoridis.” In contrast, the dorsal nerve and artery of the clitoris coursed in this groove in women.
The course of dorsal nerve of the penis is described in detail including a previously unreported pubic structure—“sulcus nervi dorsalis penis/clitoridis.” In the majority of individuals, the dorsal nerve of the penis/clitoris courses through the sulcus in the pubis. Based on the anatomy of the pelvic region, compression of the dorsal nerve is more apt to occur at the inferior border of the pubis or in the pubic sulcus than in the pudendal canal.
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Sex determination of the pelvic bone: a system approach.
Peripheral distribution of the human dorsal nerve of the penis.
Pudendal canal: surgical anatomy and clinical implications.
Penile anatomy under the pubic arch: reconstructive implications.
Anatomical studies of the human clitoris.
Impotence and genital numbness in cyclists.
Bicycle riding and its relationship to the development of erectile dysfunction.
Erectile dysfunction after a long-distance cycling event: associations with bicycle characteristics.
The vicious cycling: bicycling related urogenital disorders.
A new canal syndrome: compression of the pudendal nerve in Alcock‘s canal or perinal paralysis of cyclists.
The Alcock syndrome: temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal.
Somatic innervation of the human bulbocavernosus muscle.
Pudendal nerve entrapment as source of intractable perineal pain.
Anatomic basis of chronic perineal pain: role of the pudendal nerve.
Decompression and transposition of the pudendal nerve in pudendal neuralgia: a randomized controlled trial and long-term evaluation.
Surgical conversion of genitalia in transsexual patients.
Effect of neonatal circumcision on penile neurologic sensation.
The type of urethroplasty for a pelvic fracture urethral distraction defect cannot be predicted preoperatively.
Anatomical studies of the female genitalia: surgical reconstructive implications.
Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations.
Published online: February 24, 2006
© 2006 European Association of Urology. Published by Elsevier Inc. All rights reserved.
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