Clitoris Plus Model Prof. Dr. D. Haag-Wackernagel

6 Beschreibung 1 Glans of Glans clitoridis 5 7 2 RSP (Infra-corporeal Residual Spongy Part) 3 Bulbus vestibuli 8 1 4 Crus clitoridis 5 Body of clitoris ascending part 2 Corpus clitoridis pars ascendens 6 Angle of the clitoral body 7 Body of clitoris descending part Corpus clitoridis pars descendens 8 Intermediate Network of Kobelt 9 Pars intermedia 4 9 Urethra feminina 10 Vagina

3 10

The model „Clitoris Plus“ consists of The spongy structures (corpus spon- ed as a blood distributor that con- two parts, the bulbo-clitoral-organ giosum) of the bulbo-clitoral organ in- nects the vascular structures of the (1–8) named after Di Marino & Lepidi clude the glans of clitoris (1), the RSP bulbo-clitoral organ. Further venous (2014) and the urethra (9) with the un- (2) the vestibular bulbs (3), and the connections from the pars intermedia derlying vagina (10). intermediate network of Kobelt, the exist to the minora, the clitoral pars intermedia (8). The only structure frenulum, the vestibule, and the vas- The organ commonly referred to as visible from the outside is the glans cular tissue of the urethra (9) and the the clitoris consists of various struc- of clitoris, a cap-like formation on the vagina. The vagina (10) itself is only tures with diff ering characteristics and tapered ends of the descending clito- sparsely innervated and, as Kobelt al- embryonic origin. The erectile cavern- ral body. With its approximately 8,000 ready stated in 1844, should play no ous bodies consist of a complex net- sensory nerve endings it is one of the role in the generation of female sex- work of venous sinuses and a thick fi - most sensitive structures of the hu- ual pleasure. During excitement the brous envelope, the tunica albuginea, man body. It is exclusively dedicated blood vessels of the vagina engorge enabling these bodies to fi ll with to female sexual pleasure. Due to its with blood and secrete plasma as a lu- blood, increase in size and harden. It is embryonic origin, it is connected to bricant protecting the vaginal tissue formed by the crus of clitoris (4) that the vestibular bulbs via the RSP. from injury. merges into the ascending clitoral body (5), the clitoral angle (6) and the The vestibular bulbs (3) „ride“ on the During arterial blood descending clitoral body (7). The cav- urethra (9) and the underlying vagina fl ow increases and simultaneously, ernous structures show a high density (10). They also consist of cavernous the smooth muscle fi bers of the vas- of sensory nerve endings, called geni- tissue but due to the absence of a true cular sinuses relax, allowing them to tal or bulbous corpuscles and Pacinian tunica albuginea and a sub-albugineal engorge with blood. The resultant in- corpuscles. These corpuscles perceive venous network, an erection is not creased volume presses the sub-al- tactile stimuli that are translated by possible. bugineal venous network against the the central nervous system into sensa- tunica albuginea, blocking the drain- tions of sexual excitement. The intermediate Network of Kobelt age of blood and inducing a fi rming or pars intermedia (8) can be regard- of the clitoral tissue. This leads to the

Sexualität 1 Clitoris Plus Modell Prof. Dr. D. Haag-Wackernagel

elevation of the clitoral body and the protrusion of the clitoral shaft from the . When pressure is exerted on the vestibular bulbs (3) and the crus of clitoris (4), e.g. by the thrusting of the penis or the reflex- ive contractions of the muscles that surround these structures, blood is forced into the clitoral body and the clitoral glans via the pars intermedia. The increase in pressure leads to a lowering of the sensory receptor ac- tivation threshold and a consequent activation of the numerous senso- ry nerve endings (genital corpuscles and corpuscles of Pacini) dedicated to generating sexual excitation, which ul- timately leads to .

Maintaining the integrity of the ex- ternal genitalia is therefore of the ut- most importance for female sexual health!

Literature Acknowledgement Model Manufacturer Di Marino V & Lepidi H (2014). An- I thank Prof. Dr. med. Vincent Di Prof. Dr. Daniel Haag-Wackernagel, KESSEL medintim GmbH atomic Study of the Clitoris and Marino (University of Aix-Marseille, Professor emeritus for Biology in Kelsterbacher Str. 28 the Bulbo-Clitoral Organ. 152 pp. Medical Faculty) for his valuable Medicine, University of Basel 64546 Mörfelden-Walldorf Springer International Publishing support. Germany Switzerland Design Amos Haag EAN 4013273002202 Kobelt G L (1844) Die männlichen Art.-No. MO CLIT und weiblichen Wollustorgane des Contact Menschen und einiger Säugeth- [email protected] iere in anatomisch-physiologischer Beziehung (The male and female lust organs of humans and some mammals in anatomical-physiolog- ical relation). Freiburg im Breisgau, Druck und Verlag von Adolph Em- merling. Rev. 1910A