Table 1. Review of the literature on mole external genitalia.
Author | Descriptive term for Prepuce | Focus | Sex | Features Observed: Prepuce, internal structures of penis/clitoris or both | Used “received wisdom”. |
---|---|---|---|---|---|
Wood-Jones (1914) | clitoris & penis | ExG, gonads, & internal UG organs | M&F | Prepuce, internal UG organs, gonads, | N/A |
Matthews (1935) | clitoris, penis & peniform clitoris | ExG, gonads, & internal UG organs | M&F | Prepuce, ovary, testis, & internal reproductive organs | Used “received wisdom” and references Wood-Jones with the statement, “the clitoris is remarkably like the penis but slightly smaller” |
Gorman and Stone (1990) | female urinary papilla | ExG & gonads | M&F | Prepuce, ovotestes, testes, vagina | Used “received wisdom” and refers to “female urinary papilla” resembling penis of male. Quotes Matthews “that all moles are male until 1 year old”. |
Whitworth et al (1999) | clitoris, phallus, phallic-like clitoris | Ovotestes & ExG | M&F | Ovotestes, testes, prepuce, ExG | Used “received wisdom” and showed gross image of male and female ExG labeled clitoris and phallus. Used term “phallic-like clitoris”. |
Zurita et al (2003) | penile clitoris | Sex duct development, AMH gene, testosterone levels | M&F | Mullerian and Wolffian ducts | Used “received wisdom” and was first use of term “penile clitoris” |
Rubenstein et al (2003) | phallus & peniform clitoris | Ovary & ExG | M&F | Ovary, testes, prepuce, penis, clitoris | Used “received wisdom”. Showed images of ExG, and transverse histologic sections of penis, clitoris and prepuce. Measured prepuce length and designated it “Phallus length”. Also used the term, “peniform clitoris”. |
Carmona et al (2008) | peniform clitoris | Ovotestes & Exg | F | Ovary/ovotestes, female prepuce | Used “received wisdom”. Showed gross images of female ExG, used term, “peniform clitoris” |
Abbreviations: ExG=external genitalia, UG=urogenital, AMH=anti-Mullerian duct hormone, M=male, F=female