Gynec Anat Flashcards
Female external genetilia is also called
Vulva or pudendum
Parts of vulva
Mons pubis
Labia majors
Labia minors
Mons pubis
Hair bearing area of the vulva
With underlying subcutaneous fat
This lies Ventral to the pubic symphysis
Labia majora
Outer lip
Like structure contain sweat apocrine, sebaceous gland
Posterior commissier is the regio where the posterior lips join
At the anterio 1/3 round ligament and processes vaginal is are attached
Labia majora
Male scortum
Labia minors
Inner lips
Medial walls of labia minors is formed by
Non keratinised startified squamous epithelium
Lateral wall of labia minors formed by
keratinised startified squamous epithelium
Differentiating line better two walls
Hart s line
Most common cause of bartholin cancer is
Adeno carcinoma
Bartholin glands are made of
Columnar epithelium
Transitional epithelium
Non keratinised squamous epithelium
What is the use of bartholin glands
It secretes alkaline mucous during intercourse
Bartholin glands are homologous to
Bulbouretheral glands/ Cowper
Difference between Cowper and bartholin glands
Bartholin resident of superficial perineal pouch
Cowper resident of deep perineal pouch
Bartholin glands ducts open at
In vestibule outside the hymen at the junction of anterior 2/3 and posterior 1/3
Bartholin cyst
Bartholin cyst developed in the vestibule or between the labia majora and minors
Bartholin cyst
Intermittent painless mass over the vulva
Mass aggravates by intercourseand resobplves on own
Barthol gland location
4&8 o clock
5&7 o clock
Gartners cyst
Anterior wall of vagina
Management of bartholin cyst
Biopsy in case of above 40 yrs
Post menopausal
Solid mass fixed to stricture
What is the management of symptomatic bartholin cyst
Incision and drainage
Management of asymptomatic bartholin cyst
<3mm conservative treatment
>3 mm incision and drainage
What is marsupulizatiom
Bartholin cyst is removed and the linings are exteriozed
Preventing recurrence
What is responsible for bartholin abscess
Ecoli > gonorrhoea
Incision and drainage
Placement of word catheter