Module
21
Icon module 21

Indifferent stage

During the third week the cloacal membrane is formed and lies below the umbilical cord.
In the fourth week, as the lower abdominal wall is being formed, the cloacal membrane is shifted caudally by immigrating mesenchyma coming from various sources.
It is now delimited in front by a prominent mesenchymatous eminence with an epithelial covering, the anlage of the future genital tubercle.

At the end of the 5th week several cloacal folds form on both sides of the cloacal membrane. At their anterior end they join, delimited by the genital tubercle.

Fig. 54 - Indifferent external genitalia
ca. 6th week
media/module21/u3zb2_formextern.gif

2
Genital tubercle
3
Cloacal folds
4
Cloacal membrane

Legend
Fig. 54

In front, the cloacal membrane is delimited by a swelling, the future genital tubercle, that at the rear continues in the two cloacal folds.

During the 7th week the urorectal septum (stage 16) divides the cloacal membrane into a urogenital membrane (ventrally) and an anal membrane (dorsally). From this moment on the ventral section of the cloacal swellings around the urogenital sinus are called urethral folds and in the dorsal section around the anus, anal folds. Lateral to the urethral folds a further pair of tori form, the genital swelling.

As we have seen, the urogenital membrane dissolves during the 7th week (stage 19), so that the urogenital sinus communicates freely with the amniotic cavity.

Fig. 55 - Indifferent external genitalia
ca. 7th week
media/module21/u3zb3_formextern.gif

2
Genital tubercle
5
Urethral folds
6
Anal folds
7
Urogenital orifice

Fig. 56 - Indifferent external genitalia
ca. 9th week
media/module21/u3zb4_formextern.gif

8
Perineum
9
Anal orifice
10
Genital swelling

Legend
Fig. 55

During the 7th week the urorectal septum (8) subdivides the cloacal membrane, so it is separated into urogenital and anal membranes.

Fig. 56

From the cloacal folds around the urogenital orifice arise the urethral folds and, from the one around the anal orifice, the anal folds. Outside the urethral folds a further prominence arises on both sides, the genital swelling.

It is important to remember that the morphology of the external genitalia in both sexes is very similar up to the 9th week.