Final Flashcards
Duct
Transport, store and mature sperm
Glands
Secrete most of semen volume, support but do not produce sperm
Spermatic Cord
Derived from anterolateral abdominal wall. Contains blood and nerve supply, accessory ducts
Penile raphe
Line down middle of penis, continues into scrotal and perineal raphe
Fibromuscular Sac
Smooth muscle layers within layers of scrotum
Cremaster
Continuation of internal oblique, surrounds testes. Skeletal muscle elevates testes when it is cold
Dartos
Smooth muscle within superficial fascia, contract to wrinkle and trap heat inside
Scrotum blood supply
Posterior and anterior scrotal arteries
Anterior scrotal artery
Femoral–> External pudenal–> anterior scrotal
Posterior scrotal artery
Internal iliac–> internal pudenal–> posterior scrotal
Testes
4x 2.5 cm, surrounded by 2 tunic layers
Tunica Vaginalis
Extension of parietal peritoneum, visceral and parietal layers with the cavity of tunica vaginalis in between
Tunica Albuginea
White fibrous capsule, seperate from peritoneum– contains lobules
Testes Lobules
250-300 lobules, each containing 1-4 seminiferous tubules
Order of sperm ducts
Seminiferous tubules Tubulus rectus Rete testis Efferent ductules Epididymis
3 layers of spermatic cord
Internal spermatic fascia
Cremasteric fascia
External spermatic fascia
Internal spermatic fascia
From transverse abdominal muscle
Cremasteric fascia
From connective tissue coverings of internal oblique
External spermatic fascia
From external oblique
7 constituents of spermatic cord
Testicular artery Pampiniform plexus Ductus deferens Artery of ductus Autonomic nerve fibers Sensory nerve fibers Lymphatics
Pampiniform plexus
Branched vessels make up testicular vein, surround artery for thermoregulation
Perineum
Muscular region for external genitalia and anal opening
Urogenital triangle
Pubic symphysis and ischial tuberosities
Anal triangle
Coccyx and ischial tuberosities
Levator ani
Pubococcygeus bound by iliococcygeus. Elevate anus during defecation
Male intermediate perineum
External urethral sphincter at urogenital diaphragm
Deep transverse perineal muscle covered by perineal membrane
2 perineal muscle
Bulbospongiosus
Ischiocavernosus
Bulbospongiosus
Constrict urethral canal and compress bulb of penis to assist with erection
Ischiocavernosus
Maintains erection by compressing outflow veins
Shaft of penis
Body and glans
Body of penis
Free portion without muscles, connective tissue surrounds erectile bodies
Glans
Enlarged end of corpus spongiosum forms head of penis
Prepuce (male)
Foreskin, corona is at the base of the neck
Suspensory ligament of penis
Deep fascia from pubic symphysis forms a sling that attaches at the root
Fundiform ligament
Extension from elastic fibers of linea alba
2 erectile bodies
Corpora cavernosa (2 top ones) Corpus spongiosum
Collagen fibers
White band that surrounds erectile bodies
What encloses the erectile bodies
Tunica albuginea
Enhancement phalloplasty
Release suppoting penis ligaments to increase length by 2.5 cm
Pericavernosal Graft
Adding tissue to corpora cavernosa to increase width by 30%
Allograft
Synthetic material (autograft is dermal fat)
2 parts of root of penis
Bulb: proximal extension of corpus spongiosum
Crura: Proximal seperation of corpus spongiosum
Internal pudenal artery
Branch of internal iliac. All the other penis blood vessels branch off this one
3 penis blood vessels
Dorsal arteries (either side of vein) Deep arteries (Within corpora cavernosa, for boner) Deep Dorsal vein (formed by venous plexus)
Epidydmis
Posterior surface of testes, continuous with efferent ductules and ductus deferens
How long does the epididymis store sperm
20 days
Duct of epididymis
Single, highly coiled duct where immature sperm gain motility
Ductus deferens
In spermatic cord, enters pelvic cavity through iguinal canal
Path of ductus defrens
Anterior to pubic bone, loops over ureter and descends along posterior bladder wall
Ampulla of ductus deferens
Most proximal, terminal portion
Ejaculatory Duct
Joining of ampulla and duct of seminal vesicles. Found entirely in prostate and ends at prostatic urethra
Urethra
Last duct. Comprised of prostatic, membranous and spongy parts
Membranous urethra
Surrounded by external urethral sphincter, with bulbourethral glands on either side
Spongy urethra
Within corpus spongiosum, recieves contents of bulbourethral glands
Urethral glands
Neutralizing mucous for acidic urine residue
Accessory glands
Secretions make up 95% of semen volume. Aid sperm in motility and provide nutrients
Seminal vesicles
Pair on posterior bladder wall. Make 60% of semen. Fructose and other sugars support sperm activity
Prostate gland
Middle, anterior, posterior and lateral lobes. Secrete prostatic fluid containing PSA
Prostate zones
Central zone susceptible to benign prostatic hyperplasia, peripheral zone susceptible to cancer
Prostate location
Anterior to rectum. Base associated with neck of bladder, apex at urogenital diaphragm
Prostatic fluid
Contains prostate specific antigen. Liquefying agent to aid sperm motility
What causes PSA increase
Infection
BPH
Cancer
Prostatitis
Inflammation of prostate (UTI). Most common reason for urologist visit
BPH incidence
50% at age 60
90% at age 70
BPH
Affects glandular tissue, can obstruct bladder neck and urethra
Effects of BPH
Cystitis from stagnant urine
Pyelonephritis of renal pelvis
Stone formation
Prostate cancer detection
PSA test
Digital rectal exam
Bulbourethral glands
Found in urogenital diaphragm, empty contents into spongy urethra. Mucoid substance neutralizes residue and lubricate penis. First to secrete during arousal
Where does spermatogenesis occur?
Walls of seminiferous tubules
Spermatogenesis steps
Diploid spermatogonia
Splits into another spermatognia + a primary spermatocyte
Meiosis 1: formation of 2 haploid secondary spermatocytes
Meiosis 2: Secondary sper. split again
Product: 4 haploid spermatids
Spermiogenesis
Streamline process to mature sperm. Form tail and mitochondria
Spermiogenesis steps
Golgi apparatus packages acrosomal enzymes
Position acrosome at head, centrioles at tail
Microtubules at centriole form flagellum
Mitochondria positioned around flagellum
Slough off excess cytoplasm for streamlining
Further maturation
Sperm head
Nucleus containing haploid DNA, acrosome
Semen
Transport medium, nutrients and chemicals to protect and activate sperm. Alkalinity neutralizes urine
Ejaculate volume
2.5 ml—> 50-130 million sperm per mL
Structures contributing to semen
Testes 5%
Seminal vesicles 45-80%
Prostate 15-35%
Bulbourethral 2-5%
Hypospermia
Less than 1.5 ml of semen. Can happen from frequent ejaculations
Hyperspermia
More than 5 ml of semen
Fertility
20 million sperm/mL
Erection
Parasympthathetic reflex stimulates bulbourethral glands. Corpora cavernosa expands and compresses drainage veins. Corpus spongiosum keeps urethra open
NO
Relaxes smooth muscle, arteriole dilation fills erectile bodies
GMP
Creates vasodialtion and erection
Erection steps
NO Active guanylate cyclase cGMP boner PDE5 (degrades cGMP)
Ejaculation
Sympathetic reflex. Ducts and accessory glands contract to empty contents into urethra. Bulbospongiosus muscle contracts rapidly
Internal urethral sphincter in ejaculation
Contracts to prevent expulsion of urine, and prevent reflux of semen into bladder
ED incidence
1/10 men
Viagara
Inhibits PDE5 so erection is maintained until ejaculation. 70% success rate
3 differences between the male and female systems
Gametes formed before birth
Ovulate one ovum at a time
Women have a reproductive period
Ovaries
Produce ova, secrete estrogen and progesterone
Location of ovaries
Upper pelvic cavity, posterolateral to uterus. Suspended by mesovarium
Follicles
Each contain an ovum. Rupture upon maturation to release oocyte
3 ovarian attachements
Broad ligament
Ovarian ligament
Suspensory ligament
Broad ligament
Part of parietal peritoneum
Mesosalpinx
Mesovarium
Mesometrium
Ovarian ligament
Anchored to uterus medially
Suspensory ligament (female)
From ovary to pelvic wall. Houses blood vessels, nerves and lymphatics
What artery do the testicular and ovarian arteries branch off of?
Abdominal aorta
Cortical region of ovary
Gametes and follicles develop here
Graafian Follicle
Mature, with antrum, about to be ovulated
Medullar region of ovary
Loose connective tissue and vascular supply
Uterine tubes
Infundibulum
Ampulla
Isthmus
Where does the egg meet the sperm 98% of the time
Ampulla
- Big site for ectopic pregnancies