Page 667 - First Aid for the USMLE Step 1 2020, Thirtieth edition [MedicalBooksVN.com]_Neat
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RepRoductive  ` REPRODUCTIVE—EmbRyOlOgy             RepRoductive  ` REPRODUCTIVE—EmbRyOlOgy           SectioN iii      623




                  Uterine (Müllerian duct) anomalies
                   Septate uterus        Common anomaly vs normal uterus  A . Incomplete resorption of septum  B .  fertility and early
                                          miscarriage/pregnancy loss. Treat with septoplasty.
                   Bicornuate uterus     Incomplete fusion of Müllerian ducts  C .  risk of complicated pregnancy, early pregnancy loss,
                                          malpresentation, prematurity.
                   Uterus didelphys      Complete failure of fusion Ž double uterus, cervix, vagina  D. Pregnancy possible.









                                                                Septate SeptateNormal
                                                Normal Normal  Normal      Bicornuate BicornuateSeptate  Septate  DidelphysDidelphysBicornuateBicornuate  DidelphysDidelphys
                                        A                    B                    C                    D















                  Male/female genital homologs

                                   Male                                                               Female
                                        Glans penis     Genital groove         Genital
                                                                               tubercle
                                           Penile urethra  Urogenital
                                                              fold             Labioscrotal   Clitoris
                                                                               swelling
                                                          Urogenital                        Opening of          Labia
                                                             sinus                            urethra           minora
                                           Scrotum                                                              Labia
                                                                                            Opening of          majora
                                                                               Anus           vagina


                      Urachus                         Allantois                                                   Uterine
                                              Kidney                          Vesical      Urachus
                      Urinary                                                 part                                tube
                      bladder                          Genital                Pelvic  Urogenital  Urinary         Kidney
                                                                                           bladder
                                                       tubercle               part
                                              Testis                               sinus   Clitoris               Ovary
                       Glans
                       penis                  Ureter                          Phallic
                                              Ductus   Rectum                 part                                Uterus
                         Spongy               deferens
                         urethra                                                                             Vagina
                                             Dihydrotestosterone                     Estrogen
                                 Glans penis                     Genital tubercle                   Glans clitoris
                            Corpus cavernosum
                              and spongiosum                     Genital tubercle                   Vestibular bulbs
                            Bulbourethral glands                 Urogenital sinus                   Greater vestibular glands
                                (of Cowper)                                                         (of Bartholin)
                                                                                                    Urethral and paraurethral
                               Prostate gland                    Urogenital sinus                   glands (of Skene)
                            Ventral shaft of penis
                               (penile urethra)                   Urogenital folds                  Labia minora
                                  Scrotum                       Labioscrotal swelling               Labia majora









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