192 



ABDOMEN 



the chief differences being the diminutive size of the clitoris, 

 and the fact that the glans clitoridis is not perforated by the 

 urethra. 



After the bulb of the vestibule and the clitoris have been 

 studied an attempt should be made to expose the larger 

 vestibular gland and the superficial surface of the inferior 

 fascia of the urogenital diaphragm. 



UROGENITAL 

 DIAPHRAGM 



Large vestibular 

 gland(Bartholin's) 

 Vagina 

 Central point of perineum 



FIG. 90. Dissection of Female Perineum to show the Clitoris and the 

 Bulb of the Vestibule. 



Dissection. Clear away the areolar tissue at the posterior 

 end of the bulb of the vestibule, and expose the larger vestibular 

 gland. The duct of the gland is long but thin, and is not easily 

 found. It issues from the anterior part of the gland, and the 

 posterior end of the bulb of the vestibule must be raised to expose 

 it. Whilst raising and turning forwards the posterior end of the 

 bulb look for the artery to the bulb, which pierces the inferior 

 fascia of the urogenital diaphragm. After the artery to the 

 bulb has been secured detach the crus of the clitoris from the 

 rami of the ischium and pubis. Commence at the posterior end 

 of the crus and proceed forwards. As the anterior part of the 

 crus is approached the anteria profunda clitoridis will be found 

 entering the deep surface of the crus, and, immediately adjacent 

 to it, the dorsal artery and nerve of the clitoris will be seen 

 passing forwards to the dorsum of the clitoris. Now divide the 

 artery to the bulb of the vestibule, detach the bulb from the 



