Vestibule of vagina

Vestibulum vaginae

  • Synonym: Vaginal vestibule

Definition

The cleft between the labia minora and behind the glans clitoridis is named the vestibule of the vagina: in it are seen the urethral and vaginal orifices and the openings of the ducts of the greater vestibular glands.

The external urethral orifice (orificium urethræ externum; urinary meatus) is placed about 2.5 cm. behind the glans clitoridis and immediately in front of that of the vagina; it usually assumes the form of a short, sagittal cleft with slightly raised margins.

The vaginal orifice is a median slit below and behind the opening of the urethra; its size varies inversely with that of the hymen.

The hymen is a thin fold of mucous membrane situated at the orifice of the vagina; the inner edges of the fold are normally in contact with each other, and the vaginal orifice appears as a cleft between them. The hymen varies much in shape. When stretched, its commonest form is that of a ring, generally broadest posteriorly; sometimes it is represented by a semilunar fold, with its concave margin turned toward the pubes. Occasionally it is cribriform, or its free margin forms a membranous fringe. It may be entirely absent, or may form a complete septum across the lower end of the vagina; the latter condition is known as an imperforate hymen. It may persist after copulation, so that its presence cannot be considered a sign of virginity. When the hymen has been ruptured, small rounded elevations known as the carunculæ hymenales are found as its remains. Between the hymen and the frenulum of the labia is a shallow depression, named the vestibular fossa (navicular fossa).

The Bulb of the Vestibule (bulbus vestibuli; vaginal bulb) is the homologue of the bulb and adjoining part of the corpus cavernosum urethræ of the male, and consists of two elongated masses of erectile tissue, placed one on either side of the vaginal orifice and united to each other in front by a narrow median band termed the commissure of bulb (pars intermedia). Each lateral mass measures a little over 2.5 cm. in length. Their posterior ends are expanded and are in contact with the greater vestibular glands; their anterior ends are tapered and joined to one another by the pars intermedia; their deep surfaces are in contact with the inferior fascia of the urogenital diaphragm; superficially they are covered by the Bulbocavernosus.

The Greater Vestibular Glands (glandulæ vestibularis major [Bartholini]; Bartholin’s glands) are the homologues of the bulbo-urethral glands in the male. They consist of two small, roundish bodies of a reddish-yellow color, situated one on either side of the vaginal orifice in contact with the posterior end of each lateral mass of the bulb of the vestibule. Each gland opens by means of a duct, about 2 cm. long, immediately lateral to the hymen, in the groove between it and the labium minus. The lesser vestibular glands are also mucous bladns but located near the urethral orifice

 

References

This definition incorporates text from a public domain edition of Gray's Anatomy (20th U.S. edition of Gray's Anatomy of the Human Body, published in 1918 – from http://www.bartleby.com/107/).

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