Benign Diseases of the Vulva

  • Edward J. Wilkinson


The external female genitalia include the mons pubis, labia majora and minora, prepuce, frenulum, clitoris, and vestibule. The orifices of the Skene and Bartholin glands, as well as those of the minor vestibular glands and the urethral meatus, open into the vestibule (Fig. 2.1). After adren-arche, the mons pubis and lateral aspects of the labia majora acquire increased amounts of subcutaneous fat and develop the coarse, curly surface hair characteristic of the adult. During adolescence, the labia acquire a characteristic hyperpigmentation and the clitoris undergoes some enlargement. The entire vulva, with the exception of the vulvar vestibule, is covered by keratinized, stratified squamous epithelium.95 The labia majora contain both smooth muscle and fat, whereas the labia minora are devoid of adipose tissue but are rich in elastic fibers and blood vessels.171 Within the lateral aspects of the labia majora, sebaceous glands associated with hair follicles are evident. Toward the medial aspects of the labia majora the hair follicles are absent and sebaceous glands open directly to the surface epithelium. Similar sebaceous gland elements are seen on the perineum posterior to the vestibule. The labia minora typically do not contain glandular elements, although sebaceous glands without hair follicles may be found within the interlabial sulcus and at the lateral base of the labia minora.


Necrotizing Fasciitis Condyloma Acuminatum Granular Cell Tumor Hidradenitis Suppurativa Labium Minora 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media New York 1994

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  • Edward J. Wilkinson

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