Anatomy, Histology, and Nerve Density of the Clitoris and Accompanying Structures

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The obstetric and gynecologic practise, a complete understanding of the structures that make up the female external genitalia is vital. However, when compared to extensive depictions of penile anatomy, the clitoris and accompanying vulvar components are underrepresented in current anatomy and gynaecology textbooks. On the tissue composition of the clitoris, vestibular bulbs (VB), and labia minora, there are conflicting facts. Although the majority of research indicate the presence of erectile tissue in the clitoral body (CB), crura, and VB8, several studies imply that erectile tissue also exists in the labia minora and clitoris glans.

Furthermore, there are few and conflicting accounts on the arrangement of connective tissue layers that make up the clitoris’ suspensory ligaments. There is also a scarcity of information about the exact path and route.

The DNC, a pudendal nerve terminal branch, can be damaged at any point along its route through the perineum. Loss of feeling in the glans and vulvar skin, chronic pain syndromes, and sexual dysfunction are all possible consequences of injury. The number of DNC injuries related to vulvar operations is unknown, although it is certainly underreported. Harm has been recorded with the use of midurethral slings and obstetric lacerations, periclitoral mass resections, prepuce reductions, and extensive local vulvar excisions all provide a risk of injury. Furthermore, labia minora reductions are becoming more common, and there is little information about nerve density in this tissue.