male reproductive system Flashcards

1
Q

what is the inguinal region?

A
  • The groin; junction between anterior abdominal wall and thigh
  • Inguinal canal 2.5-4cm long originates from deep to abdominal wall
  • Passes infero-medially towards genitalia
  • Natural weak point in abdominal wall; inguinal hernia
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2
Q

what is the inguinal canal formed between?

A
  • Anterior: external oblique muscle/fascia
  • Posterior: internal oblique muscle/fascia
  • Superior: transversus abdominus muscle
  • Inferior: inguinal ligament
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3
Q

what does the inguinal canal contain?

A
  • Spermatic cord structures (male) / round ligament and genital nerve

(female)

  • Inguinal nerve
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4
Q

what is the deep ring and superficial ring regarding the inguinal canal?

A

deep ring:
- midway between ASIS and symphysis pubis, lateral to inferior epigastric vessels
- beginning of tubular evagination (‘pouch’) of abdominal wall transversalis fascia covering internal canal structures (internal spermatic fascia)

superficial ring:
- distal end, superficial to pubic tubercle
- Triangular opening through external oblique muscle
- Tubular evagination of external oblique fascia (external spermatic fascia)

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5
Q

what is an inguinal hernia and what are the 2 classifications?

A
  • Protrusion of sac of peritoneum into the inguinal canal
  • May contain omental fat or potentially bowel loops

classifications:
-Indirect
-Direct

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6
Q

indirect inguinal hernia

A
  • through the deep inguinal ring (lateral to inferior epigastric

vessels)

  • More common (especially in men)
  • Result of processus vaginalis remaining open (congenital)
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7
Q

Direct inguinal hernia

A
  • Through weakness of posterior inguinal wall
  • Medial to inferior epigastric vessels
  • More common in older men; acquired due to weakness

Complications include bowel obstruction and potential strangulation and necrosis.

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8
Q

what are the functions of the male reproductive system? what organs are involved?

A
  • Production, maturation, and storage of sperm
  • Delivery of sperm into the female reproductive system
  • Excretion of urine

organs-
gonads (testes), ducts, accessory sex glands, penis.

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9
Q

what are the functions of the organs of the male reproductive system

A
  • Gonads - Testes: produce sperm and testosterone
  • Ducts: transport, store, and mature sperm
  • Accessory sex glands: secrete liquid portion of semen
  • Supporting structures -Penis: passage for excretion of urine and ejaculation of sperm
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10
Q

what are the main structures of the male reproductive system?

A
  • scrotum
  • testes
  • ducts:

-ductus deferens, ejaculatory ducts, urethra

  • accessory sex glands:
    -Seminal vesicles, prostate gland, bulnourethral glands
  • penis
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11
Q

what is the scrotum and what describe its features externally and internally

A
  • Pouch / sack supporting testes- (literally means bag)

Externally:

  • Loose skin, superficial fascia and smooth muscle separate by median ridge - raphe
  • Attached to root of penis

Internally:

  • Septum divides into two sacs with a testis
  • Fascia/dartos muscle
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12
Q

what are the testes?

A
  • Paired oval glands
  • Covered by white fibrous capsule that extends inwards to create internal compartments – 200-300 lobules
  • Each lobule contains 1-3 coiled seminiferous tubules
  • Seminiferous tubules -lined with spermatogenic cells
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13
Q

what is the role of the testes?

A
  • Against the basement membrane of the tubules are spermatogonia
  • Towards the lumen are layers of cells in advancing maturity, once mature they are released into the lumen
  • Between the sperm cells are sustentacular cells (Sertoli)
  • protect and nourish spermatogenic cells, phagocytize degenerative cells, secret fluid and release the hormone inhibin
  • Between the tubules are interstitial cells (Leydig) – secrete testosterone.
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14
Q

what are the ducts of the male reproductive system?

A
  • eminiferous tubules
  • Epididymis
  • Ductus (vas) Deferens
  • Ejaculatory ducts
  • Urethra
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15
Q

what are the ducts of the testes

A
  • Continual release of sperm into the lumen of seminiferous tubules, and fluid secreted by the sustentacular cells propels them along the ducts
  • Travel through convoluted seminiferous tubules to straight tubules distally and into a network of ducts called the rete testis
  • Move then through efferent ducts into epididymis
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16
Q

what is the epididymis?

A
  • Comma-shaped organ on posterior border ofeach testis
  • Efferent ducts join epididymis superiorly at head
  • Continue as tightly coiled ductus epididymis to form main body
  • Smaller distal tail continues as ductus (vas)deferens
17
Q

what is the ductus epididymis

A
  • 6m long if laid out (<4cm in length when coiled), 1mm diameter
  • Site of sperm storage and maturation (up to a month)
  • Helps propel the sperm during arousal by peristaltic contraction of the smooth muscle into the ductus (vas) deferens
18
Q

ductus deferens

A
  • Distal to tail of epididymis on inferior aspect of testis
  • Larger diameter, straighter
19
Q

what is the long course of ductus defers

A
  • Superiorly along posterior aspect of epididymis and penetrates the inguinal canal
  • Supero-medially along inguinal canal (part of spermatic cord)
  • Through deep inguinal ring and into pelvic cavity,
  • Over ureter, and inferiorly along posterior aspect of bladder
  • Dilated most distally at ampulla where joins ejaculatory ducts
20
Q

what are the ejaculatory ducts

A
  • Formed at junction between ampulla of vas deferens and duct from seminal vesicles
  • Short - Approximately 2cm long
  • Pass from superior to prostate, inferiorly and anteriorly through prostate
  • Terminate into prostatic portion of urethra
  • Release sperm and secretions from seminal vesicles into the urethra prior to ejaculation
21
Q

what is the urethra

A
  • The terminal duct
  • Conveys both sperm and urine

Passes through:

  • inferior portion of the prostate,
  • deep muscles of the perineum

-opening is called the external urethral orifice.

22
Q

what is spermatogenesis

A

Sperm production – involves Mitosis and Meiosis

23
Q

mitosis of spermatogonium- somatic cell division

A
  • Stem cell (46 pairs of chromosomes) – divides into two daughter cells (23 pairs of chromosomes)
  • Diploid cells – one stays a stem cell, one enters meiosis called primary spermatocyte
24
Q

meiosis- two cycles of division

A
  • At then end of Meiosis I cells now 2 secondary spermatocytes (23 chromosomes and a pair of
    duplicate chromatids)
  • Meiosis II produces 4 haploid spematids – each have 23
    individual chromosomes (one from each pair)
25
Q

what is the last step of spermatogenesis

A

v- Last step of Spermatogenesis – each spermatid matures into a spermatozoon (sperm) with a flagellum (tail)
- Takes about 5 weeks to complete

26
Q

what is the role of semen in regulating the male reproductive systems

A
  • mixture of sperm and semen
    -typical ejaculation 2-5ml containing between 50-150 million sperm per ml
    -acidic prostate secretion and alkaline overall pH 7.2 - 7.7; helps neutralise acid in urethra and vagina.
    -provides medium to transport and give nutrients to sperm
    -contains antibacterial agent to kill bacteria
    -Coagulates initially but then re-liquifies due to enzymes from prostate to allow movement of sperm.
27
Q

what are the accessory sex glands

A
  • seminal vesicles
  • prostate
  • bulbourethral glands
28
Q

what are the seminal vessels, and what do they secrete?

A
  • Paired pouch-like structures, convoluted
  • 5cm long
  • Posterior/base of urinary bladder, anterior to the rectum
  • Secrete viscous/sticky fluid 60% semen volume
  • Alkaline – neutralise acids harmful to
    sperm
  • Rich in fructose - ATP production by
    sperm
  • Prostaglandins - sperm viability/motility
  • Fluid passed into ejaculatory duct
29
Q

some features of the prostate

A
  • Doughnut shaped – size of a golf ball
  • Lies inferior to bladder, surrounds prostatic urethra
  • Grows slowly until puberty, then rapidly until around 30
  • Typically grows again from age of 45
  • Produces milky slightly acidic fluid (around 25% semen volume) which aids sperm motility and viability
  • Citric acid; ATP production
  • Acid phosphatase
  • Proteolytic enzymes (regulated by testosterone):
    -Prostate-specific antigen (PSA); liquefies semen dissolves
    cervical mucous
  • Pepsinogen, amylase, lysozyme, hyaluronidase
  • Enters urethra through numerous prostatic ducts
30
Q

what is the bulbourethral glands?

A
  • Also known as Cowper’s glands
  • Paired pea-sized organs
  • Inferior to prostate, within urogenital diaphragm either side of the urethra
  • Ducts open onto spongy urethra in root of
    penis
31
Q

what fluid does the bulb-urethral gland produce and why?

A

Produces fluids during arousal to protect
sperm:
* alkaline substance to neutralise acids in urethra and vagina
* mucous to lubricate tip of penis an urethra

32
Q

what is the penis and its main components

A
  • Contains urethra as passageway for urine and semen
  • Method to deliver semen
  • Consists of:
  • Body
  • Root
  • Glans
  • Supported by two ligaments continuous with fascia of penis:
  • Fundiform ligament; inferior part of linea alba
  • Suspensory ligament of penis; from pubic
33
Q

what is the structure and the body of the penis

A
  • Three cylindrical masses, each surrounded by fibrous tunica albuginea
  • Consists of tissue permeated with sinuses for blood
  • Paired corpus cavernosum (hollow body) on dorsal surface
  • Penetrated by deep arteries of penis
  • Smaller corpus spongiosum on ventral and midline surface
  • Contains spongy urethra, keeps patent during ejaculation