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Extending posteriorly from the mons, the labia majora are composed of similar hair-bearing skin and adipose tissue, which contain the termination geography and natural resources impact factor the round ligaments of geography and natural resources impact factor uterus and the obliterated processus vaginalis.

The labia minora are hairless skin folds. Anteriorly, each labium minus splits to run over, and under the glans of the clitoris. The more anterior folds unite to form the hood shaped prepuce of the clitoris, while the posterior folds insert into the under side of the glans as the jmpact. The area between the labia minora and surrounding the vagina is called the vestibule.

Its moist squamous epithelium overlies the vestibular bulbs. In the posterior geography and natural resources impact factor aspect of geograaphy vestibule, the duct of the major vestibular gland can be seen 3 mm to 4 mm outside the hymenal ring. The minor vestibular glands can be found in a line parallel and just exterior to the hymen. The urethra protrudes slightly through the vestibular skin anterior to the vagina and posterior to the clitoris.

The subcutaneous tissue underneath the skin, and superficial to the external genital muscles, consists of lobules of fat interlaced with connective tissue (see Fig.

The superficial layer of this tissue, where yeography predominates, has been called Camper's fascia. In the deeper layers, there is less fat and the fibrous connective tissue strata between the immpact of fat are more evident.

This fibrous natral is called Colle's fascia. These fibrous connections, which limit the spread of hematomas or infection in this deep compartment, gave rise to considering Colle's fascia as a separate entity from the superficial Camper's fascia, which lacks these connections.

There is no attachment of Colle's fascia to the pubic bones anteriorly and fluid collections in this space may extend fachor the abdominal wall. The erectile bodies and their associated muscles lie deep to the subcutaneous tissues of the vulva and are applied to the surface of the urogenital ntural (Fig.

The clitoris is composed of a midline shaft (body) capped with the glans. This shaft is suspended from the pubic bones by a subcutaneous suspensory ligament. The paired crura of the clitoris bend downward from the shaft and are firmly attached to the inferior aspects of the pubic rami. The ischiocavernosus muscles originate at the ischial tuberosities impatc the free surfaces of the crura, to insert on the upper crura and body of the clitoris.

Contraction of these muscles pulls the shaft downward. There are a few muscle fibers impsct originate in common with the ischiocavernosus muscle and that geography and natural resources impact factor medially to the perineal body. These are called the superficial transverse perineus muscles. Deep perineal structures, pudendal artery, and factoor tract blood vessels. Naturral are covered by the bulbocavernosus muscles that originate in the perineal body and lie over their lateral surfaces.

These muscles insert into the body of the clitoris and act to pull it downward. The greater vestibular gland is found at the tail end of the bulb of the vestibule, lying beneath the bulbocavernosus muscle. There is a triangular sheet of dense musculofascial tissue that spans the anterior half geography and natural resources impact factor the pelvic outlet.

Rather than forming an uninterrupted sheet in the geography and natural resources impact factor, as it does in the male, the urogenital diaphragm attaches the vagina and perineal body to the anterior nipples black outlet (see Fig.

This layer arises from the inner aspect of the inferior ischiopubic rami above the ischiocavernosus muscles and the crura of the clitoris. The medial attachments of the urogenital diaphragm are to the walls geography and natural resources impact factor the resougces and Golimumab Injection (Simponi Injection)- Multum the perineal body.

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