Dartos: Difference between revisions
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{{Infobox | |||
|bodystyle = float:right; valign:top; | |||
|title = Dartos muscle | |||
|titlestyle = | |||
|image = [[Image:Gray1143.png|175px]] | |||
|imagestyle = | |||
|caption = The [[scrotum]]. (Label for Dartos is at bottom left.) | |||
|image2 = [[Image:Gray1144.png|175px]] | |||
|caption2 = The [[scrotum]]. (Label for Dartos is at bottom left.) | |||
|headerstyle = background:#d2d2d2; | |||
{Infobox | |labelstyle = background:#d2d2d2; | ||
| | |datastyle = | ||
| | |header1 = Name | ||
| | |data2 = Dartos | ||
| | |header3 = Latin | ||
| | |data4 = Tunica dartos | ||
| | |header5 = Origin | ||
| Origin | |data6 = Subcutaneous tissue of [[scrotum]], superficial to superficial fascia (Colles) | ||
| Insertion | |header7 = Insertion | ||
| Blood | |data8 = [[Skin]] and midline raphé of [[scrotum]] | ||
| | |header9 = Blood | ||
| Action = Corrugates the scrotum | |data10 = Artery of Duffy | ||
| Antagonist = | |header11 = Nerve | ||
|data12 = Genital branch of genitofemoral nerve | |||
|header13 = Action | |||
|data14 = Corrugates the scrotum | |||
|header15 = Antagonist | |||
|data16 = | |||
|belowstyle = background:#d2d2d2; | |||
|below = | |||
}} | }} | ||
The '''dartos fascia''' or simply '''dartos''' is a layer of connective tissue found in the [[shaft skin|skin of the penile shaft]], [[foreskin]], and [[scrotum]].<ref name=Campbell10>{{REFbook | |||
|last=Campbell | |||
|first= | |||
|year= | |||
|title=Campbell-Walsh Urology | |||
|url= | |||
|work= | |||
|editor=Alan J. Wein | |||
|edition= | |||
|volume= | |||
|chapter= | |||
|pages= | |||
|location=Philadelphia | |||
|publisher=Elsevier Saunders | |||
|isbn=978-1-4160-6911-9 | |||
|quote= | |||
|accessdate= | |||
|note= | |||
}}</ref> The penile portion is referred to as the '''superficial fascia of penis''' or the '''subcutaneous tissue of penis''',<ref>[http://www.unifr.ch/ifaa/Public/EntryPage/TA98%20Tree/Entity%20TA98%20EN/09.4.01.027%20Entity%20TA98%20EN.htm Terminologica Anatomica 98]</ref> while the scrotal part is the dartos proper. In addition to being continuous with itself between the [[scrotum]] and the [[penis]], it is also continuous with Colles fascia of the perineum and Scarpa's fascia of the abdomen.<ref name=Campbell10 /> | |||
It lies just below the [[skin]], which places it just superficial to the external spermatic fascia in the scrotum and to Buck's fascia in the penile shaft. | |||
In the [[scrotum]], it consists mostly of smooth muscle.<ref>Gray's 16th Edition</ref> The tone of this smooth muscle is responsible for the wrinkled (rugose) appearance of the scrotum.<ref name=Campbell10 /> | |||
It receives innervation from postganglionic sympathetic nerve fibers arriving via the ilioinguinal nerve and the posterior scrotal nerve. | |||
It receives innervation from postganglionic sympathetic nerve fibers arriving via the | |||
==Function== | ==Function== | ||
In the penis, the loose attachment of the dartos fascia to Buck's fascia is responsible for the high degree of mobility of the penile skin over the underlying tissue.<ref name=Campbell10 /> It is also responsible for carrying the blood supply of the penile skin, a longitudinally-coursing anastomotic network of vessels that arise from the external pudendal vessels.<ref name=Campbell10 /> | In the [[penis]], the loose attachment of the dartos fascia to [[Buck's fascia]] is responsible for the high degree of mobility of the [[penile skin]] over the underlying tissue.<ref name=Campbell10 /> It is also responsible for carrying the blood supply of the [[penile skin]], a longitudinally-coursing anastomotic network of vessels that arise from the external pudendal vessels.<ref name=Campbell10 /> | ||
In the scrotum, the tunica dartos acts to regulate the | In the [[scrotum]], the tunica dartos acts to regulate the temperature of the testicles, which promotes spermatogenesis. It does this by expanding or contracting to wrinkle the [[scrotal skin]]. | ||
* Contraction reduces the | * Contraction reduces the surface area available for heat loss, thus reducing heat loss and warming the testicles. | ||
* Conversely, expansion increases the surface area, promoting heat loss and thus cooling the testicles. | * Conversely, expansion increases the surface area, promoting heat loss and thus cooling the testicles. | ||
The dartos muscle works in conjunction with the | The dartos muscle works in conjunction with the cremaster muscle to elevate the testis but should not be confused with the cremasteric reflex. | ||
The dartos fascia keeps the foreskin close to the glans penis throughout life. In infancy, the dartos fascia operates as a one-way check valve at the tip of the foreskin, allowing urine to pass out, but prohibiting the entry of foreign matter and pathogens. | The dartos fascia keeps the [[foreskin]] close to the [[glans penis]] throughout life.<ref>{{REFjournal | ||
|last=Lakshmanan | |||
|init=S | |||
|last2=Prakash | |||
|init2=S | |||
|title=Human prepuce: some aspects of structure and function | |||
|journal=Indian J Surg | |||
|date=1980 | |||
|volume=44 | |||
|issue= | |||
|pages=134-137 | |||
|url=http://www.cirp.org/library/anatomy/lakshmanan/ | |||
|quote=The normal tone of the muscle arranged in this fashion and supplemented by elastic tissue offers a legitimate explanation for the close fit of the prepuce through the ages. | |||
|pubmedID= | |||
|pubmedCID= | |||
|DOI= | |||
|accessdate=2019-09-29 | |||
}}</ref> In infancy, the dartos fascia operates as a one-way check valve at the tip of the [[foreskin]], allowing [[urine]] to pass out, but prohibiting the entry of foreign matter and pathogens.<ref><!--{{FleissP HodgesF VanHoweRS 1998 |quote=The sphincter action of the preputial orifice functions like a one way valve, blocking the entry of contaminants while allowing the passage of [[urine]].}}--> | |||
{{REFjournal | |||
|last=Fleiss | |||
|init=PM | |||
|last2=Hodges | |||
|init2=FM | |||
|last3=Van Howe | |||
|init3=RS | |||
|author3-link=Robert S. Van Howe | |||
|title=Immunological functions of the human prepuce | |||
|journal=Sex Trans Inf | |||
|date=1998-10 | |||
|volume=74 | |||
|issue=5 | |||
|pages=364-367 | |||
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1758142/pdf/v074p00364.pdf | |||
|quote=The sphincter action of the preputial orifice functions like a one way valve, blocking the entry of contaminants and pathogens while allowing the passage of [[urine]]. | |||
|pubmedID=10195034 | |||
|pubmedCID= | |||
|DOI= | |||
|accessdate=2019-10-01 | |||
}}</ref> | |||
There is an increase in elastic fibers with increasing maturity that allows the foreskin to become retractable by adulthood and glide freely back and forth. | There is an increase in elastic fibers with increasing maturity that allows the foreskin to become retractable by adulthood and glide freely back and forth. | ||
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Etymology: | Etymology: | ||
: Derived from the Greek δέρνω/derno (beat, flog) and/or δέρμα/derma (skin), meaning "that which is skinned or flayed", possibly due to its appearance.<ref>http://www.dartmouth.edu/~humananatomy/resources/etymology/Abdominal_wall.htm</ref> | : Derived from the Greek δέρνω/derno (beat, flog) and/or δέρμα/derma ([[skin]]), meaning "that which is skinned or flayed", possibly due to its appearance.<ref>{{REFweb | ||
|url=http://www.dartmouth.edu/~humananatomy/resources/etymology/Abdominal_wall.htm | |||
|title=Etymology of Abdominal Wall and Inguinal Terms | |||
|trans-title= | |||
|language= | |||
|last=Catlin | |||
|first=B | |||
|publisher= | |||
|website=Darmouth | |||
|date=2008 | |||
|accessdate=2019-10-01 | |||
|format= | |||
|quote= | |||
}}</ref> | |||
Some dartos-related terms: | Some dartos-related terms: | ||
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File:Penis_cross_section.svg | File:Penis_cross_section.svg | ||
</gallery> | </gallery> | ||
{{SEEALSO}} | |||
* [[Foreskin]] | |||
* [[Penis]] | |||
* [[Preputial sac]] | |||
{{REF}} | {{REF}} | ||
[[Category:Genital]] | |||
[[ | [[de:Dartos]] | ||