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Clitoris captured alive and well
ABC Science Online 13 May 2005
The live clitoris takes up more space than we knew it did. The
clearest picture yet of the human clitoris, taken with magnetic resonance
imaging (MRI), has unveiled its full glory. Urologist Dr Helen O'Connell of the
Royal Melbourne Hospital in Australia and US gynaecologist Professor John
DeLancey of the University of Michigan report their findings in the latest issue
of the Journal of Urology. "One of the facts about female anatomy is that there
is widespread ignorance," says O'Connell. She believes the new MRI images will
help medical specialists and lay people alike to have a better understanding of
the clitoris.
The new research builds on 1998 findings on the anatomy of the clitoris
published in the Journal of Urology. In that study, O'Connell and colleagues
dissected cadavers to reveal the clitoris was much larger than the visible tip
or glans. They found the clitoris had a complex 3D mass of erectile tissue,
wrapped around the vagina and urethra, which swells with blood when aroused.
O'Connell's new paper reports MRI imaging of clitorises in 10 pre-menopausal
women who had not had children. What she's found is that the live clitoris takes
up much more room than in the dissected cadavers. "It looks like it takes up
more space within the area of the position of the tissue," she says.
Dead tissue versus alive
She says the findings were expected because the 1998 study of the clitoris
looked at cadavers that had been dead for some time. "The tissue in the cadaver
is fixed [with formalin] so it's not expanded and healthy looking stuff." She
also says that the cadavers were by and large older women and that the tissue
may shrink over time. She says the one young cadaver, of a woman who had died of
cancer, had a larger clitoris.
O'Connell says the MRI findings complement the earlier dissection research and
show how vascular the clitoris is. "It's very vascular tissue so it's highly
responsive to blood flow changes," she says. She says unlike the penis, the
clitoris is freer to expand because the bulbs, which are a major component, are
only covered by a fine membrane. "You could see that it would easily swell."
Re-writing the text books
She says one of the important implications of understanding the anatomy of the
clitoris is that it helps surgeons to avoid cutting through clitoral tissue. "If
you know what you're going through you're more likely to consider sparing the
tissue than if you don't know and the images that we learnt from in the anatomy
texts are not accurate." O'Connell says she has used this information herself in
operations removing urethras, and in incontinence surgery. She hopes to carry
out an MRI study of clitorises from women from a broader age range. Last year,
O'Connell published a paper that reported the clitoris contained the same type
of cells as the body of penis.
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