Objective To find out whether taking images of the male and female genitals during coitus is feasible and to find out whether former and current ideas about the anatomy during sexual intercourse and during female sexual arousal are based on assumptions or on facts. Design Observational study. Setting University hospital in the Netherlands. Methods Magnetic resonance imaging was used to study the female sexual response and the male and female genitals during coitus. Thirteen experiments were performed with eight couples and three single women. Results The images obtained showed that during intercourse in the "missionary position" the penis has the shape of a boomerang and 1/3 of its length consists of the root of the penis. During female sexual arousal without intercourse the uterus was raised and the anterior vaginal wall lengthened. The size of the uterus did not increase during sexual arousal. Conclusion Taking magnetic resonance images of the male and female genitals during coitus is feasible and contributes to understanding of anatomy.
The substructure of both the epithelial and endothelial surfaces of a keratoconus and an artificially aged cornea was compared with that of a healthy cornea by investigating them with a scanning electron microscope. From the depressions around the protruding centre of the epithelial surface of the keratoconus cornea, and from the whole epithelial surface of the artificially aged cornea, cells detached themselves, assuming a more or less rounded shape. The endothelial surface of both the keratoconus and the aged cornea showed areas of cells with an almost completely disintegrated cell membrane, exposing the cell contents. On the endothelial surface of the keratoconus cells were found with a missing cell-nucleus and a perforated cell membrane, due to a 'Kammerwasser Einbruch' effect.
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