Lecture 10: Male and Female parts Flashcards
What are the potential spaces created in males and females by the peritoneum in the pelvis?
Males:
- Vesicorectal pouch
Females:
- Vesicouterine pouch and rectouterine pouch
What are the erectile tissues in females?
Crus of clitoris
- Becomes corpus cavernosum (2x)
- Contribute to body of clitorus
Bulb of vestibule
- Contributes to glans clitoris and surround vaginal orifice
What are the erectile tissues in males?
Crus of penis
- Corpus cavernosum x2
Bulb of penis
- Becomes corpus spongiosum of pens and glans penis
Describe the perineal musculature and their functions:
- Ischiocavernosus
- > Attached along ischiopubic rami
- > Aids erections (M)/Tense vagina (F)
- Bulbospongiosus
- > Attached post. to perineal body
Whats the bulbospongiosus variation in males/females:
Males: Attatched in midline raphe
Females: Divided either side of vaginal orifice
Whats the bulbospongiosus variation of function in males/females?
Males: Erection and ejaculation
Females: Clitoral erection and feelings of orgasm
Where do all vessels of the penis originate from?
All branches of Internal Pudendal (artery/vein)
What are the vessels of the penis?
- x2 Dorsal arteries (Accompanies dorsal nerves (from pudendal n.) BELOW DEEP FASCIA OF PENIS
- x1 Deep dorsal vein
- x2 Deep arteries (Inside corpora cavernosa)
and superficial dorsal veins of penis
NB equivilents in females but much smaller with shorter courses
Describe the structure of the testis:
- Tough fibrous outer capsule (tunica albuginea)
- Seminiferous tubules wind into lobules (1-3 per lobule) which opens into rete testis
- Efferent ductules connect rete to epididymis
- Epididymis stores sperm (3 degrees cooler, optimal)
- Epididymis becomes vas deferens
Describe the vas deferens and its anatomical connnections:
- Muscular tube
- Travels in spermatic cord
- Joins duct from seminal vesicle to form ejaculatory duct
- Ejaculatory duct into prostate to join urethra
Describe the course of the vas deferens:
- Enters body cavity lateral to inferior gastric art (from spermatic cord)
- Crosses over external iliac vessels, passing medially towards prostate
- Passes over the top of the ureter to join seminal vesicles (and form ejaculatory duct)
What are the seminal vesicles? and where are they located?
- Secrete liquid component of semen, fructose
- Posterior to bladder and superior to prostate
Where is the prostate, what does it contain and what does it do?
- Inferior to bladder
- Contains prostatic urethra and ejaculatory duct
- Adds proteolytic enzymes and acid phosphatase to semen
What vessels supply the prostate?
- Supplied by branches of internal iliac art.
- Veins -> Deep dorsal of penis - plexus - Internal iliac vein
What sort of tissue is the prostate and how can it be divided?
Prostatic tissue: Alveoli lined with columnar glandular epithelium (Embedded in thick muscular stroma)
Zones:
- Peripheral (majority of gland)
- Central (around ejaculatory ducts)
- Transitional (around urethra and mostly respondible for benign prostate hyperplasia)
- Anterior (non-glandular)
What are the three main effects of prostatic enlargement?
- Slow stream
- Incomplete urination and feeling of not being empty (pushes into bladder and creates pockets)
- Potential incontinence
What terms describe the angle of the uterus?
Anteversion
Anteflexion
What are the ligaments of the uterus?
Broad ligament (vessels, nerves, lymphatics) Round ligament
What are the ligaments of the cervix?
Uterosacral (sacrocervical)
Transverese cervical
Pubocervical
What are the ligaments of the ovaries?
Ovarian ligament (Uterus-ovary) Suspensory ligament of the ovary (ovarian vessels)
What are the vessels and nerves of the ovaries?
Ovarian artery (abd. aorta L2) Ovarian vein (IVC on right, left renal vein on left) Nerve = Ovarian plexus
What is the vestibule of the vulva?
- Enclosed by labia minora
- Contains: urethral opening, vagina and greater vestibular glands
What is DHT syndrome?
Lack of 5alpha reductase function: under-virulised male external genitalia
What is a vulvar cyst?
Blockage that leads to inflammation
- can become infected
- not STD
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