Structure of the Pelvic and Penile Urethra – Relationship with the Ducts
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Te2, Part Iii
TERMINOLOGIA EMBRYOLOGICA Second Edition International Embryological Terminology FIPAT The Federative International Programme for Anatomical Terminology A programme of the International Federation of Associations of Anatomists (IFAA) TE2, PART III Contents Caput V: Organogenesis Chapter 5: Organogenesis (continued) Systema respiratorium Respiratory system Systema urinarium Urinary system Systemata genitalia Genital systems Coeloma Coelom Glandulae endocrinae Endocrine glands Systema cardiovasculare Cardiovascular system Systema lymphoideum Lymphoid system Bibliographic Reference Citation: FIPAT. Terminologia Embryologica. 2nd ed. FIPAT.library.dal.ca. Federative International Programme for Anatomical Terminology, February 2017 Published pending approval by the General Assembly at the next Congress of IFAA (2019) Creative Commons License: The publication of Terminologia Embryologica is under a Creative Commons Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license The individual terms in this terminology are within the public domain. Statements about terms being part of this international standard terminology should use the above bibliographic reference to cite this terminology. The unaltered PDF files of this terminology may be freely copied and distributed by users. IFAA member societies are authorized to publish translations of this terminology. Authors of other works that might be considered derivative should write to the Chair of FIPAT for permission to publish a derivative work. Caput V: ORGANOGENESIS Chapter 5: ORGANOGENESIS -
Male Reproductive System 2
Male Reproductive System 2 1. Excretory genital ducts 2. The ductus (vas) deferens and seminal vesicles 3. The prostate 4. The bulbourethral (Cowper’s) glands 5. The penis 6. The scrotum and spermatic cord SPLANCHNOLOGY Male reproductive system ° Male reproductive system, systema genitalia masculina: V a part of the human reproductive process ° Male reproductive organs, organa genitalia masculina: V internal genital organs: testicle, testis epididymis, epididymis ductus deferens, ductus (vas) deferens seminal vesicle, vesicula seminalis ejaculatory duct, ductus ejaculatorius prostate gland, prostata V external genital organs: penis, penis scrotum, scrotum bulbourethral glands, glandulae bulbourethrales Prof. Dr. Nikolai Lazarov 2 SPLANCHNOLOGY Ductus (vas) deferens ° Ductus (vas) deferens: V a straight thick-walled muscular tube V transports sperm cells from the epididymis V length 45-50 cm V diameter 2.5-3 mm ° Anatomical parts: V testicular part V funicular part V inguinal part – 4 cm V pelvic part ° Ampulla ductus deferentis: V length 3-4 cm; diameter 1 cm V ejaculatory duct, ductus ejaculatorius Prof. Dr. Nikolai Lazarov 3 SPLANCHNOLOGY Microscopic anatomy ° tunica mucosa – 5-6 longitudinal folds: V lamina epithelialis – bilayered columnar epithelium with stereocilia V lamina propria: dense connective tissue elastic fibers ° tunica muscularis – thick: V inner longitudinal layer – in the initial portion V circular layer V outer longitudinal layer ° tunica adventitia (serosa) Prof. Dr. Nikolai Lazarov 4 SPLANCHNOLOGY Seminal vesicle, vesicula seminalis ° Seminal vesicle, vesicula (glandula) seminalis: V a pair of simple tubular glands – two highly tortuous tubes V posterior to the urinary bladder V length 4-5 (15) cm V diameter 1 cm ° Macroscopic anatomy: V anterior and posterior part V excretory duct Prof. -
The Reproductive System
27 The Reproductive System PowerPoint® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska © 2012 Pearson Education, Inc. Introduction • The reproductive system is designed to perpetuate the species • The male produces gametes called sperm cells • The female produces gametes called ova • The joining of a sperm cell and an ovum is fertilization • Fertilization results in the formation of a zygote © 2012 Pearson Education, Inc. Anatomy of the Male Reproductive System • Overview of the Male Reproductive System • Testis • Epididymis • Ductus deferens • Ejaculatory duct • Spongy urethra (penile urethra) • Seminal gland • Prostate gland • Bulbo-urethral gland © 2012 Pearson Education, Inc. Figure 27.1 The Male Reproductive System, Part I Pubic symphysis Ureter Urinary bladder Prostatic urethra Seminal gland Membranous urethra Rectum Corpus cavernosum Prostate gland Corpus spongiosum Spongy urethra Ejaculatory duct Ductus deferens Penis Bulbo-urethral gland Epididymis Anus Testis External urethral orifice Scrotum Sigmoid colon (cut) Rectum Internal urethral orifice Rectus abdominis Prostatic urethra Urinary bladder Prostate gland Pubic symphysis Bristle within ejaculatory duct Membranous urethra Penis Spongy urethra Spongy urethra within corpus spongiosum Bulbospongiosus muscle Corpus cavernosum Ductus deferens Epididymis Scrotum Testis © 2012 Pearson Education, Inc. Anatomy of the Male Reproductive System • The Testes • Testes hang inside a pouch called the scrotum, which is on the outside of the body -
Diagnosis and Management of Infertility Due to Ejaculatory Duct Obstruction: Summary Evidence ______
Vol. 47 (4): 868-881, July - August, 2021 doi: 10.1590/S1677-5538.IBJU.2020.0536 EXPERT OPINION Diagnosis and management of infertility due to ejaculatory duct obstruction: summary evidence _______________________________________________ Arnold Peter Paul Achermann 1, 2, 3, Sandro C. Esteves 1, 2 1 Departmento de Cirurgia (Disciplina de Urologia), Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brasil; 2 ANDROFERT, Clínica de Andrologia e Reprodução Humana, Centro de Referência para Reprodução Masculina, Campinas, SP, Brasil; 3 Urocore - Centro de Urologia e Fisioterapia Pélvica, Londrina, PR, Brasil INTRODUCTION tion or perineal pain exacerbated by ejaculation and hematospermia (3). These observations highlight the Infertility, defined as the failure to conceive variability in clinical presentations, thus making a after one year of unprotected regular sexual inter- comprehensive workup paramount. course, affects approximately 15% of couples worl- EDO is of particular interest for reproduc- dwide (1). In about 50% of these couples, the male tive urologists as it is a potentially correctable factor, alone or combined with a female factor, is cause of male infertility. Spermatogenesis is well- contributory to the problem (2). Among the several -preserved in men with EDO owing to its obstruc- male infertility conditions, ejaculatory duct obstruc- tive nature, thus making it appealing to relieve the tion (EDO) stands as an uncommon causative factor. obstruction and allow these men the opportunity However, the correct diagnosis and treatment may to impregnate their partners naturally. This review help the affected men to impregnate their partners aims to update practicing urologists on the current naturally due to its treatable nature. methods for diagnosis and management of EDO. -
Sudan University of Science and Technology College of Graduate Studies
بسم هللا الرحمن الرحيم Sudan University of Science and Technology College of Graduate Studies Measurement of Seminal Vesicles Diameter among Adult Sudanese Using Ultrasonography قياس قطر الحويصﻻت المنوية الطبيعي لدي السودانيين البالغين باستخدام الموجات فوق الصوتية A thesis Submitted for Partial fulfillment for the Requirement of the M.Sc. Degree in Medical Diagnostic Ultrasound By: Mohammed Eltaj Abdalaziz Ibrahim Supervisor: Dr. Ahmed Mustafa Abukonna 2020 اﻵية بِ َسـ ِم اٌ ِهلل الـ َرحـم ِن ال َر ِحـيـ م I Dedication ➢ To my parents who have never failed to give me financial and moral support, for giving all my need during the time I developed my stem. ➢ To my brothers and sisters, who have never left my side. ➢ To my cute little boy and girls ➢ To my wife for understanding and patience ➢ To my friends for their help and support. ➢ Finally, ask Allah to accept this work and add it to my good works. II Acknowledgement My acknowledgements and gratefulness at the beginning and at end to Allah who gave us the gift of the mind and give me the strength and health to do this project work until it done completely, the prayers and peace be upon the merciful prophet Mohamed. I would like to give my grateful thanks to my supervisor Dr. Ahmed Mustafa Abukonna who helped and encouraged me in every step of this study. III Abstract This study was conducted in Khartoum State in Alnhda Reference Medical Center during the period from January (2019) to October (2019). The problem of the study there is no previous studies include measurements of the normal seminal vesicle’s diameter in adult Sudanese. -
The Reproductive System
PowerPoint® Lecture Slides prepared by Meg Flemming Austin Community College C H A P T E R 19 The Reproductive System © 2013 Pearson Education, Inc. Chapter 19 Learning Outcomes • 19-1 • List the basic components of the human reproductive system, and summarize the functions of each. • 19-2 • Describe the components of the male reproductive system; list the roles of the reproductive tract and accessory glands in producing spermatozoa; describe the composition of semen; and summarize the hormonal mechanisms that regulate male reproductive function. • 19-3 • Describe the components of the female reproductive system; explain the process of oogenesis in the ovary; discuss the ovarian and uterine cycles; and summarize the events of the female reproductive cycle. © 2013 Pearson Education, Inc. Chapter 19 Learning Outcomes • 19-4 • Discuss the physiology of sexual intercourse in males and females. • 19-5 • Describe the age-related changes that occur in the reproductive system. • 19-6 • Give examples of interactions between the reproductive system and each of the other organ systems. © 2013 Pearson Education, Inc. Basic Reproductive Structures (19-1) • Gonads • Testes in males • Ovaries in females • Ducts • Accessory glands • External genitalia © 2013 Pearson Education, Inc. Gametes (19-1) • Reproductive cells • Spermatozoa (or sperm) in males • Combine with secretions of accessory glands to form semen • Oocyte in females • An immature gamete • When fertilized by sperm becomes an ovum © 2013 Pearson Education, Inc. Checkpoint (19-1) 1. Define gamete. 2. List the basic components of the reproductive system. 3. Define gonads. © 2013 Pearson Education, Inc. The Scrotum (19-2) • Location of primary male sex organs, the testes • Hang outside of pelvic cavity • Contains two chambers, the scrotal cavities • Wall • Dartos, a thin smooth muscle layer, wrinkles the scrotal surface • Cremaster muscle, a skeletal muscle, pulls testes closer to body to ensure proper temperature for sperm © 2013 Pearson Education, Inc. -
A Case of Seminal Vesicle / Prostatic Reflux Causing Intense Focal
Hong Kong J Radiol. 2016;19:49-51 | DOI: 10.12809/hkjr1615333 CASE REPORT A Case of Seminal Vesicle / Prostatic Reflux Causing Intense Focal Fluorodeoxyglucose Uptake in the Prostate Gland WH Ma1, EYP Lee2, ASH Lai3, PL Khong2 1Nuclear Medicine Unit, Department of Radiology, Queen Mary Hospital; 2Department of Radiology, The University of Hong Kong; 3Department of Radiology, Queen Mary Hospital, Pokfulam, Hong Kong ABSTRACT We report an interesting case of benign persistent intense focal fluorodeoxyglucose (FDG) activity in the prostate gland. A 66-year-old man with a history of prostatism and benign prostate hypertrophy presented with elevated prostate-specific antigen. Three prostatic biopsies obtained by transrectal ultrasonography (TRUS) were negative for malignancy. Magnetic resonance imaging of the prostate revealed a hypointense signal at the right prostate base on T2-weighted images. FDG positron emission tomography/computed tomography (CT) was performed for further evaluation and demonstrated intense FDG activity, similar to urine, posterior to the prostate. Delayed CT scan showed serpiginous excretion of contrast into the seminal vesicles and peripheral zone of the prostate, corresponding to areas of intense and persistent FDG activity, compatible with seminal vesicle and prostatic reflux of urine resulting in intense FDG uptake. Awareness of this pathological entity that may be a complication of TRUS or due to chronic prostatitis may avoid misinterpretation, especially in the absence of administration of CT contrast to delineate -
CHAPTER 6 Perineum and True Pelvis
193 CHAPTER 6 Perineum and True Pelvis THE PELVIC REGION OF THE BODY Posterior Trunk of Internal Iliac--Its Iliolumbar, Lateral Sacral, and Superior Gluteal Branches WALLS OF THE PELVIC CAVITY Anterior Trunk of Internal Iliac--Its Umbilical, Posterior, Anterolateral, and Anterior Walls Obturator, Inferior Gluteal, Internal Pudendal, Inferior Wall--the Pelvic Diaphragm Middle Rectal, and Sex-Dependent Branches Levator Ani Sex-dependent Branches of Anterior Trunk -- Coccygeus (Ischiococcygeus) Inferior Vesical Artery in Males and Uterine Puborectalis (Considered by Some Persons to be a Artery in Females Third Part of Levator Ani) Anastomotic Connections of the Internal Iliac Another Hole in the Pelvic Diaphragm--the Greater Artery Sciatic Foramen VEINS OF THE PELVIC CAVITY PERINEUM Urogenital Triangle VENTRAL RAMI WITHIN THE PELVIC Contents of the Urogenital Triangle CAVITY Perineal Membrane Obturator Nerve Perineal Muscles Superior to the Perineal Sacral Plexus Membrane--Sphincter urethrae (Both Sexes), Other Branches of Sacral Ventral Rami Deep Transverse Perineus (Males), Sphincter Nerves to the Pelvic Diaphragm Urethrovaginalis (Females), Compressor Pudendal Nerve (for Muscles of Perineum and Most Urethrae (Females) of Its Skin) Genital Structures Opposed to the Inferior Surface Pelvic Splanchnic Nerves (Parasympathetic of the Perineal Membrane -- Crura of Phallus, Preganglionic From S3 and S4) Bulb of Penis (Males), Bulb of Vestibule Coccygeal Plexus (Females) Muscles Associated with the Crura and PELVIC PORTION OF THE SYMPATHETIC -
Benign Prostatic Hyperplasia DEFINITION OF
Introduction Introduction enign prostatic hyperplasia (BPH) is an increasingly B common condition in aged males. By the age of 60 years, more than 50% of men will have microscopic evidence of the disease, and more than 40% of men beyond this age will have lower urinary tract symptoms (LUTS) (Chute and Panser, 1993). LUTS are the most common problem that affects BPH patients, and include urinary frequency, urgency, weak stream, straining and nocturia (Trueman et al, 1999) (Wu et al, 2006). Although urologists normally attribute LUTS that are concomitant with BPH to urinary obstruction caused by enlarged prostate, some controversies still exist (Bosch et al, 2008). Several studies have shown that there are correlations between urinary symptoms and prostate volume, peak flow rate or residual urine volume (Madersbacher et al, 1997). However, others have found that prostate volume is not associated with LUTS, and objective parameters cannot predict the severity of symptoms in BPH patients (KEzzeldin et al, 1996) (Tubaroa and Vecchia, 2004). 1 Introduction Because most of these studies have been carried in Western countries, evidence in Oriental populations is still lacking. Almost 20 years ago, Barry and his collagues suggested that by using a simple questionnaire, which was later validated, physicians could quantify urine storage and voiding symptoms reported by patients with BPH or LUTS (Barry et al, 1995). The questionnaire also included a question about quality of life, which can also be called the “bothersome index” or “motivational index” question. That question asked, “If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that?” From this was born the International Prostate Symptom Score (I-PSS), which became the gold standard outcome measurement for most clinical trials that assessed responses to interventions for the management of BPH (Becher et al, 2009). -
Normal 3T MR Anatomy of the Prostate Gland and Surrounding Structures
Hindawi Advances in Medicine Volume 2019, Article ID 3040859, 9 pages https://doi.org/10.1155/2019/3040859 Review Article Normal 3T MR Anatomy of the Prostate Gland and Surrounding Structures K. Sklinda ,1 M. Fra˛czek,2 B. Mruk,1 and J. Walecki1 1MD PhD, Dpt. of Radiology, Medical Center of Postgraduate Education, CSK MSWiA, Woloska 137, 02-507 Warsaw, Poland 2MD, Dpt. of Radiology, Medical Center of Postgraduate Education, CSK MSWiA, Woloska 137, 02-507 Warsaw, Poland Correspondence should be addressed to K. Sklinda; [email protected] Received 24 September 2018; Accepted 17 December 2018; Published 28 May 2019 Academic Editor: Fakhrul Islam Copyright © 2019 K. Sklinda et al. +is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Development on new fast MRI scanners resulted in rising number of prostate examinations. High-spatial resolution of MRI examinations performed on 3T scanners allows recognition of very fine anatomical structures previously not demarcated on performed scans. We present current status of MR imaging in the context of recognition of most important anatomical structures. 1. Introduction also briefly present benign prostate hypertrophy (BPH) which is the most common condition of the prostate, oc- Aging of the society together with growing consciousness of curring in most patients over 50 years of age. the role of early detection of oncologic diseases leads to globally occurring rise in number of detected cases of 2. Imaging Protocol prostate cancer. Widely used transrectal sonography of the prostate gland despite additional support of contrast media According to PI-RADS v2, T1W and T2W sequences should and elastography does not provide sufficient sensitivity or be obtained for all prostate mpMR exams [1]. -
Morphology and Histology of the Penis
Morphology and histology of the penis Michelangelo Buonarotti: David, 1501. Ph.D, M.D. Dávid Lendvai Anatomy, Histology and Embryology Institute 2019. "See the problem is, God gave man a brain and another important organ, and only enough blood to run one at a time..." - R. W MALE GENITAL SYSTEM - SUMMERY male genital gland= testis •spermio/spermatogenesis •hormone production male genital tracts: epididymis vas deference (ductus deferens) ejaculatory duct •sperm transport 3 additional genital glands: 4 Penis: •secretion seminal vesicles •copulating organ prostate •male urethra Cowper-glands (bulbourethral gl.) •secretion PENIS Pars fixa (perineal) penis: Attached to the pubic bone Bulb and crura penis Pars libera (pendula) penis: Corpus + glans of penis resting ~ 10 cm Pars liberaPars erection ~ 16 cm Pars fixa penis Radix penis: Bulb of the penis: • pierced by the urethra • covered by the bulbospongiosus m. Crura penis: • fixed on the inf. ramus of the pubic bone inf. ramus of • covered by the ischiocavernosus m. the pubic bone Penis – connective tissue At the fixa p. and libera p. transition fundiforme lig. penis: superficial, to the linea alba, to the spf. abdominal fascia suspensorium lig. penis: deep, triangular, to the symphysis PENIS – ERECTILE BODIES 2 corpora cavernosa penis 1 corpus spongiosum penis (urethrae) → ends with the glans penis Libera partpendula=corpus penis + glans penis PENIS Ostium urethrae ext.: • at the glans penis •Vertical, fissure-like opening foreskin (Preputium): •glans > 2/3 covered during the ejaculation it's a reserve plate •fixed by the frenulum and around the coronal groove of the glans BLOOD SUPPLY OF THE PENIS int. pudendal A. -
Mvdr. Natália Hvizdošová, Phd. Mudr. Zuzana Kováčová
MVDr. Natália Hvizdošová, PhD. MUDr. Zuzana Kováčová ABDOMEN Borders outer: xiphoid process, costal arch, Th12 iliac crest, anterior superior iliac spine (ASIS), inguinal lig., mons pubis internal: diaphragm (on the right side extends to the 4th intercostal space, on the left side extends to the 5th intercostal space) plane through terminal line Abdominal regions superior - epigastrium (regions: epigastric, hypochondriac left and right) middle - mesogastrium (regions: umbilical, lateral left and right) inferior - hypogastrium (regions: pubic, inguinal left and right) ABDOMINAL WALL Orientation lines xiphisternal line – Th8 subcostal line – L3 bispinal line (transtubercular) – L5 Clinically important lines transpyloric line – L1 (pylorus, duodenal bulb, fundus of gallbladder, superior mesenteric a., cisterna chyli, hilum of kidney, lower border of spinal cord) transumbilical line – L4 Bones Lumbar vertebrae (5): body vertebral arch – lamina of arch, pedicle of arch, superior and inferior vertebral notch – intervertebral foramen vertebral foramen spinous process superior articular process – mammillary process inferior articular process costal process – accessory process Sacrum base of sacrum – promontory, superior articular process lateral part – wing, auricular surface, sacral tuberosity pelvic surface – transverse lines (ridges), anterior sacral foramina dorsal surface – median, intermediate, lateral sacral crest, posterior sacral foramina, sacral horn, sacral canal, sacral hiatus apex of the sacrum Coccyx coccygeal horn Layers of the abdominal wall 1. SKIN 2. SUBCUTANEOUS TISSUE + SUPERFICIAL FASCIAS + SUPRAFASCIAL STRUCTURES Superficial fascias: Camper´s fascia (fatty layer) – downward becomes dartos m. Scarpa´s fascia (membranous layer) – downward becomes superficial perineal fascia of Colles´) dartos m. + Colles´ fascia = tunica dartos Suprafascial structures: Arteries and veins: cutaneous brr. of posterior intercostal a. and v., and musculophrenic a.