Friday 24 June 2016

Male Urogenital Triangle-Penis-Scrotum-Testes-Epididymides-Female Urogenital Triangle-Vulva-Mons Pubis-Labia Majora-Labia Minora-Vestibule-Vaginal Orifice-Clitoris

Male Urogenital Triangle
The male urogenital triangle contains the penis and the scrotum.

Penis
The penis consists of a root, a body, and a glans. The root of the penis consists of three masses of erectile tissue called the bulb of the penis and the right and left crura of the penis. The bulb can be felt on deep palpation in the midline of the perineum, posterior to the scrotum.
The body of the penis is the free portion of the penis, which is suspended from the symphysis pubis. Note that the dorsal surface (anterior surface of the flaccid organ) usually possesses a superficial dorsal vein in the midline The glans penis forms the extremity of the body of the penis. At the summit of the glans is the external urethral meatus. Extending from the lower margin of the external meatus is a fold connecting the glans to the prepuce called the frenulum. The edge of the base of the glans is called the corona. The prepuce or foreskin is formed by a fold of skin attached to the neck of the penis. The prepuce covers the glans for a variable extent, and it should be possible to retract it over the glans.


Scrotum
The scrotum is a sac of skin and fascia containing the testes and the epididymides. The skin of the scrotum is rugose and is covered with sparse hairs. The bilateral origin of the scrotum is indicated by the presence of a dark line in the midline, called the scrotal raphe, along the line of fusion
.
Testes
The testes should be palpated. They are oval shaped and have a firm consistency. They lie free within the tunica vaginalis and are not tethered to the subcutaneous tissue or skin.

Epididymides
Each epididymis can be palpated on the posterolateral surface of the testis. The epididymis is a long, narrow, firm structure having an expanded upper end or head, a body, and a pointed tail inferiorly. The cordlike vas deferens emerges from the tail and ascends medial to the epididymis to enter the spermatic cord at the upper end of the scrotum.



Female Urogenital Triangle
Vulva
“Vulva” is the term applied to the female external genitalia

Mons Pubis
The mons pubis is the rounded, hair-bearing elevation of skin found anterior to the pubis. The pubic hair in the female has an abrupt horizontal superior margin, whereas in the male it extends upward to the umbilicus.

Labia Majora
The labia majora are prominent, hair-bearing folds of skin extending posteriorly from the mons pubis to unite posteriorly in the midline
.
Labia Minora
The labia minora are two smaller, hairless folds of soft skin that lie between the labia majora . Their posterior ends are united to form a sharp fold, the fourchette. Anteriorly, they split to enclose the clitoris, forming an anterior prepuce and a posterior frenulum

Vestibule
The vestibule is a smooth triangular area bounded laterally by the labia minora, with the clitoris at its apex and the fourchette at its base.

Vaginal Orifice
The vaginal orifice is protected in virgins by a thin mucosal fold called the hymen, which is perforated at its center. At the first coitus, the hymen tears, usually posteriorly or posterolaterally, and after childbirth only a few tags of the hymen remain .

Clitoris
This is situated at the apex of the vestibule anteriorly. The glans of the clitoris is partly hidden by the prepuce.








































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