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Careful clinical examination plays an important role in the diagnosis of these anomalies. Care must be taken to avoid injury of the neurovascular structures during this maneuver. Patil Department of Urology, Shri B. There is a deeper surrounding fibrous layer above the muscularis which provides structural support to the vagina, and is rich is collagen and elastin, to allow for expansion of the vagina during sexual stimulation. With a few exceptions, ambiguous genitalia is most often not life-threatening.

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The labia majora are reconstructed to create the scrotum.

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Female Urethral Anomalies in Pediatric Age Group: Uncovered

The finding that human clitoral tissue has nitric oxide synthase NOS present in nerves and blood vessels suggests that nitric oxide NO may be involved in controlling clitoral blood flow as it does in the penis. Metoidioplasty has been instituted as a method of choice in female to male transsexuals who prefer avoiding complex, multistaged surgical creation of an adult-size phallus. The paired corpus spongiosum, or vestibular bulbs of erectile tissue practically in the labia minora but are actually more closely applied anteriorly on either side of the urethra. Although the erogenous function of this organ has been known since antiquity, remarkably, the detail of its highly vascular anatomical structure is still in dispute. Nelson Textbook of Pediatrics. Despite this mechanism being published in English for over 23 years, no independent confirmation of either the mechanism or the polsters in the female arteries and veins have yet appeared.

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