16. Anatomy of the Reproductive System Flashcards

1
Q

Male components

A

Penis, scrotum, testicles, epididymis, spermatic cord, glands

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2
Q

Penis

A
  • Contains urethra
    • Prostatic part
    • Membranous part
    • Spongy part
  • 2 functions
    • Transport of urine
    • Transport of ejaculate
  • Structure
    • 2 swelling bodies
      • Corpera cavernosa (2x)
      • Corpus spongiosum (1x)
      • Function
        • Aim for swelling of the penis (erection)
          • Dilation of vessels (increase blood)
          • Primarily corpus cavernosum
        • Corpus spongiosum
          • Less swelling, -> compress urethra
          • Forms glans penis
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3
Q

Scrotum

A
  • Skin
  • Tunica dartos
  • External spermatic fascia
  • Cremaster muscle + fascia
    • Contains spermatic cord
      • Vas deferens or ductus deferens
        • Transport of sperm cells from within to outside, start in scrotum
      • Blood vessels
      • Nerves
  • Internal spermatic fascia
  • Tunica vaginalis
  • Tunica albunginea
  • Length as (dis)advantage
    • Smaller risk of bladder infection
    • Risk of uretral blockage
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4
Q

Testicles

A
  • Situated under epididymis
  • Production of sperm cells
  • Contained in tunica albunginea
    • Capsule formed of connective tissue
    • Albunginea = white
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5
Q

Epididymis

A
  • Network contains efferent ductules
    • Form early epididymis
  • Subdivided in regions
    • caput and corpus (tightly coiled)
    • cauda (unwound)
  • Function
    • Storage of sperm (cauda)
    • Recycling of damaged sperm cells
    • Production of fluid
  • Further trajectory
    • Epididymis forms vas deferens
    • Enters inguinal canal
    • Drains onto ejaculatory duct
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6
Q

Male glands

A
  • Seminal vesicles
    • Add up to 70% to semen (fructose and prostaglandins)
  • Prostate
    • Add 30% to semen (prostate fluid)
    • Neutralizes acidity and improves motility
  • Cowper’s gland
    • Size of a pea
    • Produces alkaline fluid (lubrication)
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7
Q

Spermatogenesis

A
  • Sperm cells in seminiferous ducts
  • Leydig cells produce testosterone (adjacent to tubules)
  • Convoluted tubules → straight tubules
  • Finally form rete testis (network)
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8
Q

Male orientation

A
  • Ductus deferens crosses ureter dorsally
  • Temporarily widens after crossing (ampulla)
  • Drains in ejactulatory duct
    • Join to form urethra
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9
Q

Labia

A
  • Majora
    • broader folds of skin
    • analogous to scrotal skin
  • Minora
    • folds of skin and mucous membrane
    • join to form clitoral hood
      • Female swelling body
      • Analogous to corpera cavernosa/spongiosa
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10
Q

Female components

A

Vagina, labia, pubic mound, glands, uterus, ovaries, ligaments, fallopian tubes

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11
Q

Glands

A
  • Bartolin glands
    • Secrete muscus for lubrication
    • Analogues to Cowper’s glands
  • Skene’s glands
    • Secrete muscus for lubrication
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12
Q

Uterus

A
  • Specific position in pelvis (anteversion and anteflexion)
  • Attachment ( 4 ligaments)
    • Round: embryonic rest
    • Broad: fold of peritoneum
    • Cardinal: uterine artery
    • Uterosacral
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13
Q

Ovaries

A
  • Storage of egg cells
  • Connected to uterus via Fallopian tube
    • Egg travel across peritoneal cavity
      • Risk of extra-uterine pregnancy
      • Possible extension of infection
  • Ligaments
    • Suspensory ligament (contains ovarian artery)
    • Ovarian ligament (embryonic rest)
    • Mesovary (part of broad ligament,, fold of peritoneal membrane)
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14
Q

Fallopian tubes

A

Fibriae, infundibulum, ampulla, isthmus (parts of tube)

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15
Q

Vagina

A
  • Partly internal: borders cervix (neck of uterus)
  • Largest part external: primarily vaginal vestibule
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16
Q

Peritoneal spaces

A
  • Relevant in medical practice: accumulation of fluid
  • Female: vesico-uterina, recto-uterina (pouch of Douglas)
  • Male: rectovesicalis (pouch of Douglas)
17
Q

Vascularization

A
  • Testes and ovaries: testicular and ovarian artery and vein
  • Uterus: supplied by internal iliac artery
18
Q

Lymphoid structures

A
  • Para-aortal, iliacal, inguinal
  • Relevant for metastasis
19
Q

Innervation

A
  • Somatic: pudendal nerve (L4-S3)
  • Autonomous: lumbosacral
    • Superior and inferior hypogastric plexus
20
Q

Inguinal canal Male

A

Connection skin and abdominal cavity
- Most pronounced, contains spermatic cord
- Development
- Development of testis/epididymis
- Scrotum expands from abdominal wall
- Torso grows faster (testis and epididymis move)
- processus vaginalis obliterates
- Ductus deferens remains in ‘canal’
- Effect for layers of scrotum
- Layers of abdominal wall move along
- Scrotal structure comparable to abdomen
- Layers
- Abdominal skin and superficial fascia (scrotal skin)
- External oblique fascia (external spermatic)
- Obliquus internus muscle (cremaster muscle)
- Transverse fascia (internal spermatic)
- Peritoneum (tunica vaginalis)
- Structure
- Deep inguinal ring
- Superficial inguinal ring
- Lateral wall (external oblique)
- Medial wall (transverse fascia)
- Inferior floor (inguinal ligament)
- Superior roof (internal oblique abdominal muscle and transverse abdominis muscle)
- Contents:
- spermatic cord
- ilioinguinal nerve
- sensible innervation scrotum, labia, thigh
- motoric innervation abdominal wall

21
Q

Inguinal canal females

A
  • labia majora and abdomen
    • round ligament of uterus
    • ilioinguinal nerve
  • Inguinal hernia
    • Protrusion of abdominal contents (through weak spot in wall)
    • 2 places
      • Lateral or indirect through deep inguinal ring
      • Medial or direct through transverse fascia
    • Symptoms
      • Bump, increases with abdominal pressure
      • Painful when pinching off structures (strangulation)
22
Q

Thoracic wall

A
  • Layered structure
    • Skin with fatty tissue
    • Breast with glandular tissue
    • Muscles
  • Skin and subdermal layers
    • Skin with hair follicles
    • Connective tissue and fatty tissue
    • Glandular tissue (breast)
    • Muscle
  • Breast
    • Nipple and areola
    • Ligaments of Cooper
    • Glandular tissue
      • Drainage via ducti lactiferi, come together in nipple
  • Vascularization
    • Small branches of internal thoracic artery
    • Originate from artery in arm
  • Lymphoid structures
    • 3 levels
      • Lateral of pectoris minor
      • Medial of pectoris minor
      • Under pectoris minor
    • Role in metastasis