Penile Frenulum
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Penile Frenulum
The frenulum of the penis, often known simply as the frenulum (from ) or frenum, is a thin elastic strip of tissue on the underside of the glans and the neck of the human penis. In men who are not circumcised, it also connects the foreskin to the glans and the ventral mucosa. In adults, the frenulum is typically supple enough to allow manual movement of the foreskin over the glans and help retract the foreskin during erection. In flaccid state, it tightens to narrow the foreskin opening. The penile frenulum is homologous to the clitoral frenulum in the female. It is similar to the lingual frenulum between the tongue's lower surface and the lower jaw, or the frenulum between the upper lip and the outside of the upper gum. In some men, the frenulum may appear shorter than normal, a phenomenon known as frenulum breve. Treatment of frenulum breve may be non-surgical, or in other cases, especially with penile chordee, it may include frenulectomy or frenulum lengthening. Struc ...
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Male Reproductive System
The male reproductive system consists of a number of sex organs that play a role in the process of human reproduction. These organs are located on the outside of the body, and within the pelvic cavity, pelvis. The main male sex organs are the human penis, penis and the scrotum, which contains the testicles that produce semen and sperm, which, as part of sexual intercourse, Fertilisation, fertilize an ovum in the female's body; the fertilized ovum (zygote) develops into a fetus, which is later born as an infant. The corresponding system in females is the female reproductive system. External genitalia Penis The penis is an intromittent organ with a long Body of penis, shaft, an enlarged bulbous-shaped tip called the Glans penis, glans and its foreskin for protection. Inside the penis is the Urethra#Male, urethra, which is used to ejaculation, ejaculate semen and to excrete urine. Both substances exit through the Urinary meatus, meatus. When a male becomes Sexual arousal, sex ...
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Preputial Mucosa
The preputial mucosa of the Human penis, penis is the epithelium of the inside of the prepuce, or foreskin. To differentiate it from the cutaneous Human skin, skin of the outside of the Foreskin, prepuce, it is sometimes referred to as the inner mucosa. It starts at the ridged band of the Foreskin, prepuce and continues to the coronal sulcus (groove behind the glans penis), where it meets the epithelium of the glans and penile shaft. The preputial mucosa is devoid of hair, as is the cutaneous surface. Weiss ''et al''. (1993) report the preputial mucosa contains fewer Langerhans cells than most mucosal epithelia. These cells secrete cytokines (a non-antibody protein that generates an immune response on contact with specific antigens), and are an essential part of the immune system. Fleiss ''et al''. (1998) point out that Weiss ''et al''. (1993) studied foreskins of neonates and their findings may not be applicable to adults. De Witte ''et al''. (2007) report that Langerhans cells pr ...
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Circumcision
Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised. Topical or locally injected anesthesia is generally used to reduce pain and physiologic stress. Circumcision is generally electively performed, most commonly done as a form of preventive healthcare, as a religious obligation, or as a cultural practice. It is also an option for cases of phimosis, other pathologies that do not resolve with other treatments, and chronic urinary tract infections (UTIs). The procedure is contraindicated in cases of certain genital structure abnormalities or poor general health. The procedure is associated with reduced rates of sexually transmitted infections and urinary tract infections. This includes reducing the incidence of cancer-causing forms of human papillomavirus (HPV) and reducing HIV transmi ...
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Frenuloplasty Of Prepuce Of Penis
A frenuloplasty of prepuce of penis (also known as a release of frenulum) is a frenuloplasty of the frenulum of prepuce of penis. An abnormally short or sensitive frenulum of the penis can make some types of sexual activity uncomfortable or even painful. This may be a complication of circumcision or a naturally occurring event. When it is a naturally occurring event, a short frenulum can restrict normal retraction of the foreskin during erection (a condition known as frenulum breve). The goal of treatment is to allow normal retraction of the foreskin. Circumcision may relieve this condition but is not indicated solely for treating frenulum breve. Procedure The procedure usually involves the removal of the frenulum or the creation of an incision in the frenulum that is then stretched to lengthen it and stitched closed. The incision can be z-shaped, y-shaped or a single horizontal cut. Once healed, the procedure effectively elongates the frenulum, allowing normal function. U ...
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Steroid
A steroid is an organic compound with four fused compound, fused rings (designated A, B, C, and D) arranged in a specific molecular configuration. Steroids have two principal biological functions: as important components of cell membranes that alter membrane fluidity; and as signal transduction, signaling molecules. Examples include the lipid cholesterol, sex hormones estradiol and testosterone, anabolic steroids, and the anti-inflammatory corticosteroid drug dexamethasone. Hundreds of steroids are found in Fungus, fungi, plants, and animals. All steroids are manufactured in cells from a sterols, sterol: Cholesterol, cholesterol (animals), lanosterol (opisthokonts), or cycloartenol (plants). All three of these molecules are produced via Cyclic compound, cyclization of the triterpene squalene. Structure The steroid nucleus (parent structure, core structure) is called gonane (cyclopentanoperhydrophenanthrene). It is typically composed of seventeen carbon atoms, bonded in fou ...
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Frenulum Breve
Frenulum breve, or short frenulum, is a condition in which the Frenulum preputii penis, frenulum of the penis, which is an elastic band of tissue under the glans penis that connects to the foreskin and helps contract it over the glans, is too short and thus restricts the movement of the foreskin. The frenulum should normally be sufficiently long and supple to allow for the full retraction of the foreskin so that it lies smoothly back on the shaft of the erect penis. The penile frenulum is comparable to the Frenulum of tongue, tongue's frenulum between the tongue's lower surface and the lower jaw, or the frenulum between the upper lip and the outside of the upper gum. Symptoms and signs A frenulum breve leads to ventral deviation of the glans and pain during erection. Sometimes, tearing of the frenulum causes heavy bleeding. The tearing of frenulum breve occurs particularly during sexual activity of young men. Frenulum breve may be complicated by tearing of the frenulum during s ...
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Premature Ejaculation
Premature ejaculation (PE) is a male sexual dysfunction that occurs when a male Ejaculation, expels semen (and most likely experiences orgasm) soon after beginning sexual activity, and with minimal penile stimulation. It has also been called ''early ejaculation'', ''rapid ejaculation'', ''rapid climax'', ''premature climax'' and (historically) ''ejaculatio praecox.'' There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition of around one minute after penetration. The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse. Although men with premature ejaculation describe feeling that they have less control over ejaculating, it is not clear if that is true, and many or most average men also report that they wish they could last longer. In males, typical intravaginal ejaculation latency time is approximately 4–8 minutes. The ...
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Septum Glandis
The septum glandis, also septum of the glans, refers to the fibrous partition of the ventral aspect of the glans penis that separates the two glans wings in the ventral midline. The septum extends from the urethral meatus through the glanular urethra ( fossa navicularis) and ends in the tunica albuginea of the human penis. Externally it is attached to the frenulum which extends lower on the neck of the penis. The septum glandis results during the embryonic development of the male fetus as the two sides of the genital tubercle merge in the midline without fusing, to form a hollow tube that encloses the male urethra. The two sides of the preputial lamina that will become the prepuce approach on the underside and remain separated by a thin tissue of mesenchyme that will form the frenulum. Ventrally, the two wings of the corona do not fully attach to each other, remaining separated at the subglanular level. See also * Septum of the penis *Scrotal septum The septum of scr ...
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Dorsal Artery Of The Penis
The dorsal artery of the penis is a bilaterally paired terminal branch of the internal pudendal artery which passes upon the dorsum of the penis to the base of the glans penis, where it unites with its contralateral partner and supply the glans and foreskin. The dorsal artery of the penis provides blood supply to the skin and fascia of the penis (including the foreskin), and the erective tissues of the penis (especially the glans penis). The dorsal artery of the penis may be damaged in traumatic amputation of the penis and repairing the dorsal artery surgically prevents skin loss, but it is not essential for sexual and urinary function. Its hemodynamics and blood pressure can be assessed to test for sexual impairment. Structure The homologous artery in the female is the dorsal artery of clitoris. Origin The dorsal artery of the penis is a terminal branch of the internal pudendal artery, arising at the inferior border of the symphysis pubis. Course and relations It ...
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Perineal Nerve
The perineal nerve is a nerve of the pelvis. It arises from the pudendal nerve in the pudendal canal. It gives superficial branches to the skin, and a deep branch to muscles. It supplies the skin and muscles of the perineum. Its latency is tested with electrodes. Structure The perineal nerve is a branch of the pudendal nerve. It lies below the internal pudendal artery. It accompanies the perineal artery. It passes through the pudendal canal for around 2 or 3 cm. Whilst still in the canal, it divides into superficial branches and a deep branch. The superficial branches of the perineal nerve become the posterior scrotal nerves in men,Essential Clinical Anatomy. K.L. Moore & A.M. Agur. Lippincott, 2 ed. 2002. Page 263 and the posterior labial nerves in women. The deep branch of the perineal nerve (also known as the "muscular" branch) travels to the muscles of the perineum. Both of these are superficial to the dorsal nerve of the penis or the dorsal nerve of the clitoris. ...
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Dorsal Nerve Of The Penis
The dorsal nerve of the penis is the deepest of three divisions of the pudendal nerve; it accompanies the internal pudendal artery along the Ischium#Structure, ramus of the ischium; it then runs forward along the margin of the inferior ramus of the pubis, between the superior and inferior layers of the fascia of the urogenital diaphragm. Piercing the inferior layer it gives a branch to the corpus cavernosum penis, and passes forward, in company with the dorsal artery of the penis, between the layers of the Suspensory ligament of the penis, suspensory ligament, on to the dorsum of the penis, and ends on the glans penis. It innervates the skin of the penis. In humans, it has 8290 ± 2553 axons, in 25–45 loosely packed nerve bundles, half of which are myelinated. The researches were conducted on volunteers that donated tissues after death, therefore some of the nerve endings could not have been counted due to the natural degeneration of tissues found in old people. Gallery File ...
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Pudendal Nerve
The pudendal nerve is the main nerve of the perineum. It is a Mixed nerve, mixed (motor and sensory) nerve and also conveys Sympathetic nervous system, sympathetic Autonomic nervous system, autonomic fibers. It carries sensation from the external genitalia of both sexes and the skin around the Human anus, anus and perineum, as well as the Motor neuron, motor supply to various pelvic muscles, including the external sphincter muscle of male urethra, male or external sphincter muscle of female urethra, female external urethral sphincter and the external anal sphincter. If damaged, most commonly by childbirth, loss of sensation or fecal incontinence may result. The nerve may be temporarily anesthetized, called pudendal anesthesia or pudendal block. The pudendal canal that carries the pudendal nerve is also known by the eponymous term "Alcock's canal", after Benjamin Alcock, an Irish anatomist who documented the canal in 1836. Structure Origin The pudendal nerve is paired, me ...
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