The vulval vestibule (also known as the vulvar vestibule or vestibule of vagina) is the part of the
vulva
In mammals, the vulva (: vulvas or vulvae) comprises mostly external, visible structures of the female sex organ, genitalia leading into the interior of the female reproductive tract. For humans, it includes the mons pubis, labia majora, lab ...
between the
labia minora
The labia minora (Latin for 'smaller lips', : labium minus), also known as the inner labia, inner lips, or nymphae, are two flaps of skin that are part of the primate vulva, extending outwards from the inner Vagina#Vaginal opening and hymen, vagi ...
. At the innermost part are the
vaginal introitus
In mammals and other animals, the vagina (: vaginas or vaginae) is the elastic, muscular reproductive organ of the female genital tract. In humans, it extends from the vulval vestibule to the cervix (neck of the uterus). The vaginal intro ...
and
urinary meatus
The urinary meatus (, ; : meati or meatuses), also known as the external urethral orifice, is the opening of the penis or vulva where urine exits the urethra during urination. It is also where semen exits during male ejaculation, and other fluids ...
. The
Bartholin's and
Skene's glands each have two openings to the vestibule on the inside. The outer edge, marked by a coloration difference in the tissues, is called Hart's line, named after
David Berry Hart.
The vestibule represents the
distal
Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provi ...
end of the
urogenital sinus
The urogenital sinus is a body part of a human or other Placentalia, placental only present in the development of the urinary system, development of the urinary and development of the reproductive organs, reproductive organs. It is the ventral p ...
of the
embryo
An embryo ( ) is the initial stage of development for a multicellular organism. In organisms that reproduce sexually, embryonic development is the part of the life cycle that begins just after fertilization of the female egg cell by the male sp ...
.
[''Manual of Obstetrics''. (3rd ed.). Elsevier. pp. 1–16. .]
Structure
Structures opening in the vulval vestibule are the
urethra
The urethra (: urethras or urethrae) is the tube that connects the urinary bladder to the urinary meatus, through which Placentalia, placental mammals Urination, urinate and Ejaculation, ejaculate.
The external urethral sphincter is a striated ...
(
urinary meatus
The urinary meatus (, ; : meati or meatuses), also known as the external urethral orifice, is the opening of the penis or vulva where urine exits the urethra during urination. It is also where semen exits during male ejaculation, and other fluids ...
),
vagina
In mammals and other animals, the vagina (: vaginas or vaginae) is the elastic, muscular sex organ, reproductive organ of the female genital tract. In humans, it extends from the vulval vestibule to the cervix (neck of the uterus). The #Vag ...
,
Bartholin's gland
The Bartholin's glands (named after Caspar Bartholin the Younger; also called Bartholin glands or greater vestibular glands) are two pea-sized compound racemose glands, compound alveolar glandsManual of Obstetrics. (3rd ed.). Elsevier. pp. 1-16. . ...
s, and
Skene's glands.
The
external urethral orifice is placed about 25–30 millimetres (1–1.2 in) behind the
clitoris
In amniotes, the clitoris ( or ; : clitorises or clitorides) is a female sex organ. In humans, it is the vulva's most erogenous zone, erogenous area and generally the primary anatomical source of female Human sexuality, sexual pleasure. Th ...
and immediately in front of that of the vagina; it usually assumes the form of a short,
sagittal
The sagittal plane (; also known as the longitudinal plane) is an anatomical plane that divides the body into right and left sections. It is perpendicular to the transverse plane, transverse and coronal plane, coronal planes. The plane may be in ...
cleft with slightly raised margins. Nearby are the openings of the Skene's ducts.
The vaginal orifice is a median slit below and behind the opening of the urethra; its size varies inversely with that of the
hymen.
To the left and right of the vulval vestibule are the
labia minora
The labia minora (Latin for 'smaller lips', : labium minus), also known as the inner labia, inner lips, or nymphae, are two flaps of skin that are part of the primate vulva, extending outwards from the inner Vagina#Vaginal opening and hymen, vagi ...
. Anterior to it are the
clitoral hood,
frenulum clitoridis, and the
clitoral glans. Posterior to it is the posterior commissure of the labia minora and the
frenulum of labia minora
The frenulum of labia minora (fourchette or posterior commissure of the labia minora) is a frenulum where the labia minora meet posterior (anatomy), posteriorly.
Pathology
The fourchette may be torn during Childbirth, delivery due to the sudden ...
.
The sides of the vestibule are visible as
Hart's line on the inside of the inner lips; Hart's line is the outer edge of the area and marks the change from vulvar skin to the smoother transitional skin of the vulva.
Other animals
Except for
great ape
The Hominidae (), whose members are known as the great apes or hominids (), are a taxonomic family of primates that includes eight extant species in four genera: '' Pongo'' (the Bornean, Sumatran and Tapanuli orangutan); '' Gorilla'' (the ...
s (including humans) and some
rodent
Rodents (from Latin , 'to gnaw') are mammals of the Order (biology), order Rodentia ( ), which are characterized by a single pair of continuously growing incisors in each of the upper and Mandible, lower jaws. About 40% of all mammal specie ...
s, the vestibule in most female
placentals (
urogenital sinus
The urogenital sinus is a body part of a human or other Placentalia, placental only present in the development of the urinary system, development of the urinary and development of the reproductive organs, reproductive organs. It is the ventral p ...
) is a tubular and internal structure.
Clinical significance
The prevalence of pain at the vulvar vestibule is relatively common. A study by the
University of Michigan
The University of Michigan (U-M, U of M, or Michigan) is a public university, public research university in Ann Arbor, Michigan, United States. Founded in 1817, it is the oldest institution of higher education in the state. The University of Mi ...
found that about 28% of women have experienced vulvar vestibular pain in the past, and about 8% had the pain in the last six months.
References
{{DEFAULTSORT:Vulval Vestibule
Vulva