Embrology of reproductive system Flashcards

1
Q

Briefly describe the timeline of development

A
  • at 5 weeks, primordial germ cells migrate from yolk sacs to the urogenital ridges – these will eventually form the gametes
  • between 5-7 weeks the kidneys start to ascend
  • at two months is the indifferent stage
  • between 10-12 weeks the ‘switch’ begins: formation of seminiferous tubules and ovarian follicles ^[gonad formation guides tube formation]
  • 3 months - external genitalia develop
  • Between 8-9 months: testes descend into the scrotum

ovaries also descend but do not cover the same distance, end up in pelvis

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2
Q

What is the origin of the urogenital system?

A

by three weeks, the trilaminar germ disc has formed.
This consists of ectoderm, mesoderm and endoderm.
The urogenital system is derived from intermediate mesoderm.

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3
Q

What forms the beginnings of the urogenital system within the intermediate mesoderm?

A

The intermediate mesoderm migrates to form a ridge near or lateral to the hindgut. This forms the urogenital ridge – the beginnings of the urogenital system.

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4
Q

What are the key features of the undifferentiated stage?

A
  • Mesonephros
  • First fully functioning kidney
  • develops from nephrogenic ridge in intermediate mesoderm
  • cells in nephrogenic ridge divide and condense to form the mesonephros and mesonephric duct
  • mesonephric duct develops laternal to intermediate mesoderm, forms rudimentary glomeruli ffrom branches of dorsal aorta, as well as bowman’s capsule, from there connecting mesonephric tubule to mesonephric duct
  • germ cells migrate into urogenital ridge
  • paramesonephric duct forms adjacent to mesonephric duct
  • from invagination of visceral peritoneum
  • sex cords form from coelic epithelium and mesonephros
  • ## cloca- drainage of para and mesonephric ducts

nb mesonephros becomes suspensory ligament
- note the structure gubernaculum: this will guide descent of gonads into pelvis/scrotum
- note within the urogenital sinus the primordium of prostate or lesser vestibular glands also known as paraurethral glands or Skene’s glands
- Also primordium of bulbourethral or greater vestibular glands also known as Bartholin glands

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5
Q

What is the origin of the suspensory ligament in females?

A

originates from mesonephros: the outgrowth above the gonads- this will become the suspensory ligament in females (containing ovarian artery, vein and nerve plexus and lymphatic vessls). Part of broad ligament

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6
Q

What are the progenitor structures of the prostate and bulbourethral glands?

A

The primordium of prostate or lesser vestibular glands also known as paraurethral glands or Skene’s glands
- Also primordium of bulbourethral or greater vestibular glands also known as Bartholin glands

Within urogenital sinus

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7
Q

What are the progenitor structures of the lesser and greater vestibular glands?

A

The primordium of prostate or lesser vestibular glands also known as paraurethral glands or Skene’s glands
- Also primordium of bulbourethral or greater vestibular glands also known as Bartholin glands

Within urogenital sinus

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8
Q

Describe the development of male development

A

From week 4: mesonephros and mesonephric ducts form

During weeks 5 and 6, indifferent gonads form, with primordial germ cells from yolk sac, epithelial cells and mesenchymal cells

SRY gene turned on from week 7 resulting in TDF expression and testes development

Medullary (testis) cord contains primitive germ cells develops in response to TDF, Sertoli (sustentacular cells) and Leydig or interstitial cells
- In males, most of action occurs in the medulla in the gonads
- Testicular cords developing from mesonephric tubule, branching further into seminiferous tubules
- Developing tunica albuginea
- Rete testis, efferent tubules and mesonephric ducts develop
- from mesonephric duct: epididymis, vas deferens, ejaculatory duct and seminal vesicles develop ^[seminal vesicles an outgrowth]
- Paramesonephric or Mullerian duct degenerates

Leydig cells derived from mesenchyme produce testosterone, resulting in development of male genital ducts, male external genitalia and accessory glands
- Interstitial or Leydig cells secrete testosterone, responsible for male development and maintenance of libido, outside the seminiferous tubules
- mesonephric duct develops into epididymis, vas deferens, ejaculatory duct and seminal vesicle
- mesonephric tubules develop into efferent ductules
- urogenital sinus develops into prostate and bulbourethral glands

Sertoli cells produce AMH resulting in paramesonephric duct degeneration
- Sertoli cells, within the seminiferous tubules, provide support to spermatogenic cells and secrete AMH

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9
Q

Describe the development of the testes

A

Medullary (testis) cord contains primitive germ cells develops in response to TDF, Sertoli (sustentacular cells) and Leydig or interstitial cells
- In males, most of action occurs in the medulla in the gonads
- Testicular cords developing from mesonephric tubule, branching further into seminiferous tubules
- Developing tunica albuginea
- Rete testis, efferent tubules and mesonephric ducts develop
- from mesonephric duct: epididymis, vas deferens, ejaculatory duct and seminal vesicles develop ^[seminal vesicles an outgrowth]
- Paramesonephric or Mullerian duct degenerates

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10
Q

Describe the role of Leydig cells

A

Leydig cells derived from mesenchyme produce testosterone, resulting in development of male genital ducts, male external genitalia and accessory glands
- Interstitial or Leydig cells secrete testosterone, responsible for male development and maintenance of libido, outside the seminiferous tubules
- mesonephric duct develops into epididymis, vas deferens, ejaculatory duct and seminal vesicle
- mesonephric tubules develop into efferent ductules
- urogenital sinus develops into prostate and bulbourethral glands

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11
Q

Describe the role of Sertoli cells

A

Sertoli cells produce AMH resulting in paramesonephric duct degeneration
- Sertoli cells, within the seminiferous tubules, provide support to spermatogenic cells and secrete AMH

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12
Q

Describe the process of testes descent

A

The testes and ovaries descends during the 8th and 9th months.
The gubernaculum guides the testes or ovaries down.
It moves anteriorly through the layers of the abdomen wall.
Invagination of parietal peritoneum assists testes and makes space.
This is why layers of the scrotum are continuous with the abdominal wall.
- transversalis fascia becomes the internal fascia of the scrotum
- internal oblique becomes cremaster muscle
- external oblique fascia becomes external fascia

A problem that occurs is undescended testes - high scrotal or higher in the inguinal canal or abdomen.
Another problem that can occur is hydrocele if invagination is not completely closed- can be non- or completely communicating hydrocele

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13
Q

Describe issues with testes descent

A

A problem that occurs is undescended testes - high scrotal or higher in the inguinal canal or abdomen.
Another problem that can occur is hydrocele if invagination is not completely closed- can be non- or completely communicating hydrocele

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14
Q

Describe development of female genitali

A

During week 4 the mesonephros and mesonephric ducts develop

Indifferent gonads, with migration of primordial germ cells from yolk sac and formation of Mullerian ducts (persistence of paramesonephric ducts)

Cells of ovary expand from cortex.
Primitive sex cords develop into cortical cords and ovarian follicles, containing oocytes and follicular cells.

From week 7 and onwards, SRY gene not present, therefore no TDF and development of ovaries
In the absence of a Y chromosome female development occurs.
Mesonephric tubule and duct i.e. Wolffian ducts degenerate.

Development of ovaries: primary cells include oocytes (primitive germ cells), and follicular cells which produce estrogen, stimulating the formation of female genitalia

A lack of testes means no testosterone or AMH, therefore uterine tubes, uterus and vagina develops
The paramesonephric ducts are progenitors of the upper female GT.
The two ducts come together and fuse to form the uterus and upper part of the vagina (at the caudal end). Unfused portions (at the cranial end) form the uterine tubes.

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15
Q

Describe the development of the upper female GT

A

A lack of testes means no testosterone or AMH, therefore uterine tubes, uterus and vagina develops
The paramesonephric ducts are progenitors of the upper female GT.
The two ducts come together and fuse to form the uterus and upper part of the vagina (at the caudal end). Unfused portions (at the cranial end) form the uterine tubes.

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16
Q

Describe the descent of the ovaries

A

Ovaries descend slightly.
The ovaries stay in the pelvis.
The gubernaculum also guides this process.

Remnants of the descent of the ovaries persist as the ovarian ligament (attaches to lateral uterus) and round ligament (attaches uterus to labia majora)

17
Q

What are the origins of the ovarian and round ligament?

A

Remnants of the descent of the ovaries persist as the ovarian ligament (attaches to lateral uterus) and round ligament (attaches uterus to labia majora)

18
Q

List the structures of the indifferent stage and describe what they differentiate into in males and females

A

There are several structures in the indifferent stage that differentiate to form the male and female external genitalia:
- genital tubercle – glans of penis (corpus spongiosum and cavernosum) and clitoris
- urethral folds - penile urethra and labia minora
- lateral tubercles – body of penis and body of clitoris
- genital swelling – scrotum and labia majora
^[vestibular bulbs are derived from sinus]

This process occurs between weeks 10 and 12.
At week 10, structures look very similar.
By week 12, structures look noticeably different.

Note the inferior opening closes in males, remains open in females and becomes external urethral orifice.

19
Q

Describe disorders of external genitalia development

A
  • hypospadia: orifice not fully closed during weeks 10 and 12 in males
  • phimosis and paraphimosis:
    • Phimosis is a condition in which the foreskin is tightly stretched around the head of the penis and cannot be pulled back freely i.e. unable to be retracted.
    • Paraphimosis occurs when retracted foreskin cannot be pulled back to cover the glans penis (i.e. entrapment in the retracted position)
20
Q

Describe a disorder of sexual development in females

A
  • 46 XX CAH
  • Comprises a group of inherited disorders relating to the adrenal glands, characterised by deficiency in an enzyme for formation of cortisol and aldosterone and subsequent overproduction of androgen
  • Causes clitoral enlargement and labial fusion