L41 42 Male reproductive Flashcards

1
Q

Tunica albuginia of testes and contents of testes

A

dense connective tissue layer around testis

thickens posteriorly forming mediastinum testis

connective tissue septa radiate from mediastinum testes making lobules

  • each lobule contains several highly coiled seminiferous tubules responsible for spermatogenesis and lined with epithelium
  • spermatogenic cells make sperm
  • sustentacular cells provide support by secreting fluids that carry spern to the rete testes within the mediastinum testes
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2
Q

seminiferous tubules

A

surrounded by interstitial tissue containing INTERSTITIAL CELLS of LEYDIG that are responsible for steroidogenesis (androgen and testosterone in fenestrated caps)

LOOK AT IMAGES

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3
Q

rete testes and efferent ducts

A

composed of flat interconnected channels lined by cuboidal cells with single cilium to transport sperm to efferent ducts.

  • efferent ducts contain COLUMNAR ciliated cells but also cuboidal cells with microvilli (reabsorbtion of excess fluid)
  • carried from efferent ducts to epididymis and stored until ejaculation

LOOK AT IMAGES

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4
Q

Spermatogenesis

A

occurs in seminiferous tubules surrounded by BM and thin tunica propria with scattered myfibroblasts

happens from puberty to death

sperm spends 74 days in testes and 12 days in epididymis to reach maturity
(86 days for antispermatogenic agent to cause observable problems

spermatogenesis slide

spermatogonia type A and B

primary spermocytses

secondary spermocytes
-M2
spermatozoa (spermiogenesis-differentiation of sperm)
-spermatogonia-nuclei along BM
-primary spermatocyte: checkerboard nucleus
-spermatid: (haploid) small dark nucleus near lumen
-spermatozoon (mature sperm IN LUMEN)

HISTO SLIDE 7

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5
Q

Blood/testes barrier

A

formed by tight junctions between sustentacular cells

divides seminiferous epithelium into a basal compartment and luminal compartment

prevents antibodies from targeting immature sperm

traps testosterone in luminal compartment
-required for spermatogenesis

separates the secretions of the sustentacular cells

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6
Q

sustentacular cell secretions

A

secretions to luminal compartment:

  • Fructose rich fluid (nourishment/transport)
  • ABP-binds to testosterone and traps it in the lumen to maintain spermatogenesis. Secreted in response to FSH (from where)

secretions to interstitial space

  • mullerian inhibiting substance (MIS)- establishes “maleness” of embryo by inducing degeneration of mesonephric duct ducts during prenatal development: onset of puberty too
  • inhibinL inhibits spermatogenesis by inhibiting FSH
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7
Q

Hormone expression for spermatogenesis

A

Lh secreted from anterior pituitary binds to receptors on INTERSTITIAL CELLS

LH induces the interstitial cells to secrete TESTOSTERONE that enters the luminal compartment and fenestrated caps

FSH from anterior pituitary binds to receptors on SUSTENTACULAR CELLS

FSH induces sustentacular cells to secrete ABP into luminal compartment

ABP binds to testosterone and prevents it from leaving the luminal compartment

RESULT: elevated testosterone levels in luminal compartment maintains spermatogenesis

slide 13 feeback loops

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8
Q

Epididymis

A

single highly coiled tube that stores sperm prior to ejaculation

gain motility here but moved by peristalsis

lined with PSEUDO STRAT COLUMNAR EP with Stereociliated (aids secretion and absorbtion/phag) PRINCIPAL CELLS
Principal cells: secrete decapacitation factor
-resorb excess fluid in lumen
-phag residual bodies (excess sperm cytoplasm shed during spermatogenesis)

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9
Q

Ductus Deferens and Vasectomy

A

-histologically can see spermatic cord vessels
Conducts sperm from ejaculatory duct during ejaculation
VERY THICK LAYER SMC
PSEUDOSTRAT COLUMNAR w/ Stereociliated principal cells

Vasectomy
less common than bilateral tube sterilization in females
SURGICALLY REVERSIBLE
Basal cells (stem cell of ep), SMC (reg), and Stereocilia (increase SA for rapid phag of materials including fluid and debris from inflamm and trauma) all contribute to regeneration post op

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10
Q

urethra and infection

A

Prostatic: TRANSITIONAL EPITHELIUM
membranous : STRAT COLUMNAR
Distal/penile: STRAT SQUAMOUS

acute bacterial urethritis- inflammation from infection

  • bacteria enter transcellularly
  • ghonnorhea and clam invade epi cells and live in them

common UTIL staph sapromyticus adheres to PM of epi, can spread retrograde to prostatitis epididymitis

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11
Q

Penis, erection, CT of penis

A

corpus spongiosum
2 corpora cavernosa
-both vascular spaces lined with endothelium

-erectionL PS impulses constrict arteriovenous shunts and dilate helicine arteries increasing blood flow to the vascular space

CT layers of penis

  • tunica albuginia (DEEP)
  • bucks
  • superficial
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12
Q

seminal vesicles

A

coiled tubular gland, secretes in ejaculatory duct

  • lined by HIGHLY FOLDED mucosa (THREE OR MORE) creating MUCOSAL CRYPTS
  • increases the surface area for secretion
  • fructose rich (nourish sperm)
  • yellow pigment (UV protection)
  • 70% of semen volume
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13
Q

Prostate gland function and ZONES

A

numerous secretory units, each with duct hat secretes directly to the prostatic urethra

  • serious enzyme rich semen anticoagulant
  • prostatic specific antigen (PSA)
  • Prostatic acid phosphatase (PAP)

secretions may harned within prostat making prostatic concretions, very diagnostic of prostate tissue

ZONES
Transitional 
-surrounds urethra
-site of BPH
-urethral compression
-stomal cells (convert test to DHT)
(increased DHT linked to BPH)

peripheral

  • largest zone
  • partitioned by septa
  • common prostatic adenocarcinoma site
  • palpable with diginal rectal exam

Central
-surrounds EJ duct

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14
Q

bulbourethral glands

A

looksl ike mucus secreting glands

  • ducts that open to the penile urethra
  • pre seminal mucous fluid that lubes urethra

EJ duct can become obstructed, whats in the semen? nothing from the seminal vesicles, but everything from prostate and cowpers

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