Chapter 28 the Reproductive System 1) at What Stage of Development Is the Oocyte During Ovulation?
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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 -
Sacrospinous Ligament Suspension and Uterosacral Ligament Suspension in the Treatment of Apical Prolapse
6 Review Article Page 1 of 6 Sacrospinous ligament suspension and uterosacral ligament suspension in the treatment of apical prolapse Toy G. Lee, Bekir Serdar Unlu Division of Urogynecology, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas, USA Contributions: (I) Conception and design: All authors; (II) Administrative support: All authors; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Toy G. Lee, MD. Division of Urogynecology, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, 301 University Blvd, Galveston, Texas 77555, USA. Email: [email protected]. Abstract: In pelvic organ prolapse, anatomical defects may occur in either the anterior, posterior, or apical vaginal compartment. The apex must be evaluated correctly. Often, defects will occur in more the one compartment with apical defects contributing primarily to the descent of the anterior or posterior vaginal wall. If the vaginal apex, defined as either the cervix or vaginal cuff after total hysterectomy, is displaced downward, it is referred to as apical prolapse and must be addressed. Apical prolapse procedures may be performed via native tissue repair or with the use of mesh augmentation. Sacrospinous ligament suspension and uterosacral ligament suspension are common native tissue repairs, traditionally performed vaginally to re-support the apex. The uterosacral ligament suspension may also be performed laparoscopically. We review the pathophysiology, clinical presentation, evaluation, pre-operative considerations, surgical techniques, complications, and outcomes of these procedures. -
A Vaginal Fornix Foreign Body in a Bitch: a Case Report
Veterinarni Medicina, 59, 2014 (9): 457–460 Case Report A vaginal fornix foreign body in a bitch: a case report M. Fabbi, S. Manfredi, F. Di Ianni, C. Bresciani, A.M. Cantoni, G. Gnudi, E. Bigliardi Department of Veterinary Medical Sciences, University of Parma, Parma, Italy ABSTRACT: A six-year-old intact female Lagotto Romagnolo was referred with a two-day history of purulent vulvar discharge associated with fever, lethargy, polyuria, polydipsia and signs of abdominal pain. Abdominal ultra- sound revealed a grass awn foreign body in the vaginal fornix. Culture swabs obtained from the vagina revealed the presence of Staphylococcus epidermidis as the preponderant organism. Ovariohysterectomy was performed, and the presence of the grass awn was confirmed. A chronic-active vaginitis was found at histological examina- tion. The dog recovered with resolution of all clinical signs. Differential diagnoses for acute vulvar discharge in bitches should include retention of vaginal foreign bodies. To the authors’ knowledge, this is the first reported case of a grass awn foreign body in the vaginal fornix of a dog. Keywords: grass awn; vagina; ultrasound; dog Vaginal foreign bodies are rare in dogs and cats. history of vulvar discharge, lethargy, polyuria and To our knowledge, only six reports have been pub- polydipsia and signs of abdominal pain. General lished in dogs (Ratcliffe 1971; Dietrich 1979; Jacobs examination revealed hyperthermia (39.3 °C), a et al. 1989; McCabe and Steffey 2004; Snead et al. purulent foul-smelling vulvar discharge and pelvic 2010; Gatel et al. 2014), and three in cats (Cordery limb weakness. The last proestrus occurred 30 days 1997; Nicastro and Walshaw 2007; Gatel et al. -
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 -
Clinical Pelvic Anatomy
SECTION ONE • Fundamentals 1 Clinical pelvic anatomy Introduction 1 Anatomical points for obstetric analgesia 3 Obstetric anatomy 1 Gynaecological anatomy 5 The pelvic organs during pregnancy 1 Anatomy of the lower urinary tract 13 the necks of the femora tends to compress the pelvis Introduction from the sides, reducing the transverse diameters of this part of the pelvis (Fig. 1.1). At an intermediate level, opposite A thorough understanding of pelvic anatomy is essential for the third segment of the sacrum, the canal retains a circular clinical practice. Not only does it facilitate an understanding cross-section. With this picture in mind, the ‘average’ of the process of labour, it also allows an appreciation of diameters of the pelvis at brim, cavity, and outlet levels can the mechanisms of sexual function and reproduction, and be readily understood (Table 1.1). establishes a background to the understanding of gynae- The distortions from a circular cross-section, however, cological pathology. Congenital abnormalities are discussed are very modest. If, in circumstances of malnutrition or in Chapter 3. metabolic bone disease, the consolidation of bone is impaired, more gross distortion of the pelvic shape is liable to occur, and labour is likely to involve mechanical difficulty. Obstetric anatomy This is termed cephalopelvic disproportion. The changing cross-sectional shape of the true pelvis at different levels The bony pelvis – transverse oval at the brim and anteroposterior oval at the outlet – usually determines a fundamental feature of The girdle of bones formed by the sacrum and the two labour, i.e. that the ovoid fetal head enters the brim with its innominate bones has several important functions (Fig. -
Left Vaginal Obstruction and Complex Left Uterine Horn Communication in a 12 Year Old Female Barry E
Perlman et al. Obstet Gynecol cases Rev 2015, 2:7 ISSN: 2377-9004 Obstetrics and Gynaecology Cases - Reviews Case Report: Open Access Left Vaginal Obstruction and Complex Left Uterine Horn Communication in a 12 Year Old Female Barry E. Perlman*, Amy S. Dhesi and Gerson Weiss Department of Obstetrics, Gynecology and Women’s Health, Rutgers - New Jersey Medical School, Newark, USA *Corresponding author: Barry E. Perlman DO, Department of Obstetrics, Gynecology and Women’s Health, Rutgers - New Jersey Medical School, MSB E-506, 185 South Orange Avenue, Newark, NJ 07101-1709, USA, Tel: 732 233 0997, E-mail: [email protected] Transabdominal pelvic sonogram revealed two prominent uterine Abstract cornua with an endometrial thickness of 3 mm in each horn. The Obstructive Müllerian duct anomalies are an infrequently right cornu measured 11.4 x 2.0 x 3.6 cm and the left cornu measured encountered clinical problem. The use of imaging and surgical 10.4 x 2.8 x 4.1 cm. A 7 cm mass in the endocervical canal, concerning exploration allowed for diagnosis and treatment of symptoms of a for hematocolpos, represented an occlusion extending to the left complex obstructive müllerian anomaly. We present a case of a 12 vagina (Figure 1). year old female with a history of intermittent lower abdominal pain and absent left kidney who was found to have an obstructed left She underwent further imaging with two MRI studies that were vagina and complex left uterine horn communications resulting in mutually inconclusive and inconsistent in regards to her pelvic hematocolpos, hematometra, and endometriosis. -
An Introduction to the Anatomy of the Uterine Cervix
Chapter 1 An introduction to the anatomy of the uterine cervix • The cervix, the lower fibromuscular portion of the uterus, measures 3-4 cm in length and 2.5 cm in diameter; however, it varies in size and shape depending on age, parity and menstrual status of the woman. • Ectocervix is the most readily visible portion of the cervix; endocervix is largely invisible and lies proximal to the external os. • Ectocervix is covered by a pink stratified squamous epithelium, consisting of multiple layers of cells and a reddish columnar epithelium consisting of a single layer of cells lines the endocervix. The intermediate and superficial cell layers of the squamous epithelium contain glycogen. • The location of squamocolumnar junction in relation to the external os varies depending upon age, menstrual status, and other factors such as pregnancy and oral contraceptive use. • Ectropion refers to the eversion of the columnar epithelium onto the ectocervix, when the cervix grows rapidly and enlarges under the influence of estrogen, after menarche and during pregnancy. • Squamous metaplasia in the cervix refers to the physiological replacement of the everted columnar epithelium on the ectocervix by a newly formed squamous epithelium from the subcolumnar reserve cells. • The region of the cervix where squamous metaplasia occurs is referred to as the transformation zone. • Identifying the transformation zone is of great importance in colposcopy, as almost all manifestations of cervical carcinogenesis occur in this zone. A thorough understanding of the anatomy and remains above the vagina (Figure 1.1). The portio physiology of the cervix is absolutely essential for vaginalis opens into the vagina through an orifice called effective colposcopic practice. -
REPRODUCTIVE SYSTEM Vasco Dominic
REPRODUCTIVE SYSTEM Vasco Dominic ORGANISATION Reproductive organs which produce gametes and hormones. Reproductive tract consisting of ducts, store and transport gametes. Accessory glands and organs that secrete fluids into the ducts of the reproductive system or into other secretory ducts. Perineal structures associated with the reproductive system, collectively known as external genitalia. The male and female systems are functionally different. In the male the gonads are the testes that secrete androgens, principally testosterone and produce a half billion sperms per day. After storage the sperm travel along a lengthy duct and mixed with secretions of the glands to form semen. In the female the gonads are the ovaries which produce only one mature gamete per month. The oocyte travels via a short duct into the muscular uterus. THE MALE REPRODUCTIVE SYSTEM TESTES Each has the shape of a flattened egg rougly 5cm long, 3cm wide and 2.5 cms thick and weighs 10-15 gms. They hang within the scrotum. During development the testes form inside the body cavity adjacent to the kidneys. As the foetus grows they move inferiorly and anteriorly towards the anterior abdominal wall. The gubernaculum testis is a cord of connective tissue and muscle fibers that extend from the inferior part of each testis to the posterior wall of a small, inferior pocket of the peritoneum. As growth proceeds the gubernacula do not elongate and the testes are held in position. During the seventh developmental month: growth continues at a rapid pace, circulating hormones stimulate contraction of the gubernaculum testis. Over this period the testes move through the abdominal musculature accompanied by small pockets of the peritoneal cavity. -
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. -
Female Genital System
The University Of Jordan Faculty Of Medicine Female genital system By Dr.Ahmed Salman Assistant Professor of Anatomy &Embryology Female Genital Organs This includes : 1. Ovaries 2. Fallopian tubes 3. Uterus 4. Vagina 5. External genital organs Ovaries Site of the Ovary: In the ovarian fossa in the lateral wall of the pelvis which is bounded. Anteriorly : External iliac vessels. Posteriorly : internal iliac vessels and ureter. Shape : the ovary is almond-shaped. Orientation : In the nullipara : long axis is vertical with superior and inferior poles. In multipara : long axis is horizontal, so that the superior pole is directed laterally and the inferior pole is directed medially. External Features : Before puberty : Greyish-pink and smooth. After puberty with onset of ovulation, the ovary becomes grey in colour with puckered surface. In old age : it becomes atrophic External iliac vessels. Obturator N. Internal iliac artery Ureter UTERUS Ovaries Description : In nullipara, the ovary has : Two ends : superior (tubal) end and inferior (uterine) end. Two borders : anterior (mesovarian) border and posterior (free) border. Two surfaces : lateral and medial. A. Ends of the Ovary : Superior (tubal) end : is attached to the ovarian fimbria of the uterine tube and is attached to side wall of the pelvis by the ovarian suspensory ligament. Inferior (uterine) end : it is connected to superior aspect of the uterotubal junction by the round ligament of the ovary which runs within the broad ligament . B. Borders of the Ovary : Anterior (mesovarian) border :presents the hilum of the ovary and is attached to the upper layer of the broad ligament by a short peritoneal fold called the mesovarium. -
Anatomy and Histology of Apical Support: a Literature Review Concerning Cardinal and Uterosacral Ligaments
Int Urogynecol J DOI 10.1007/s00192-012-1819-7 REVIEW ARTICLE Anatomy and histology of apical support: a literature review concerning cardinal and uterosacral ligaments Rajeev Ramanah & Mitchell B. Berger & Bernard M. Parratte & John O. L. DeLancey Received: 10 February 2012 /Accepted: 24 April 2012 # The International Urogynecological Association 2012 Abstract The objective of this work was to collect and Autonomous nerve fibers are a major constituent of the deep summarize relevant literature on the anatomy, histology, USL. CL is defined as a perivascular sheath with a proximal and imaging of apical support of the upper vagina and the insertion around the origin of the internal iliac artery and a uterus provided by the cardinal (CL) and uterosacral (USL) distal insertion on the cervix and/or vagina. It is divided into ligaments. A literature search in English, French, and Ger- a cranial (vascular) and a caudal (neural) portions. Histolog- man languages was carried out with the keywords apical ically, it contains mainly vessels, with no distinct band of support, cardinal ligament, transverse cervical ligament, connective tissue. Both the deep USL and the caudal CL are Mackenrodt ligament, parametrium, paracervix, retinaculum closely related to the inferior hypogastric plexus. USL and uteri, web, uterosacral ligament, and sacrouterine ligament CL are visceral ligaments, with mesentery-like structures in the PubMed database. Other relevant journal and text- containing vessels, nerves, connective tissue, and adipose book articles were sought by retrieving references cited in tissue. previous PubMed articles. Fifty references were examined in peer-reviewed journals and textbooks. The USL extends Keywords Apical supports . -
And Immunoglobulin a in the Urogenital Tract of the Male Rodent
Immunohistochemical localization of secretory component and immunoglobulin A in the urogenital tract of the male rodent M. B. Parr and E. L. Parr Southern Illinois University, School of Medicine, Department of Anatomy, Carbondale, IL 62901, U.S.A. Summary. The mucosal immune system in the male rodent urogenital tract was studied by localizing secretory component (sc) in the rat and immunoglobulin A (IgA) in both rat and mouse by immunofluorescence. In the rat, bright labelling of sc was observed at several sites, including the ejaculatory ducts, excretory ducts of several accessory glands, and urethral glands in the pelvic and bulbous portions of the urethra. Pale labelling of sc was detected in epithelial cells of the ventral prostate gland. Plasma cells containing IgA were only observed in the urethral gland in the bulbous portion of the urethra in rats and mice. These results suggest that IgA may be transported into the urogenital tract of the male rat primarily at sites distal to the production of seminal fluid and spermatozoa. While locally synthesized IgA may be available in the bulbous urethra, it appears that serum may be the main source of IgA for transport into the rat urogenital tract at the other sites where its receptor, sc, was demonstrated. Keywords: secretory component; mucosal immunity; immunoglobulin A; male urogenital tract; rat Introduction The occurrence and possible functions of a mucosal immune system in the male urogenital tract are not well understood and have thus far been studied mainly in man. Immunoglobulins A (IgA) and G (IgG) have been detected in the seminal fluids of normal men (Chodirker & Tornasi, 1963; Herrmann & Hermann, 1969; Uehling, 1971; Rumke, 1974; Tauber et ai, 1975), secretory IgA (slgA) with anti-sperm activity has been found in the genital tracts of some men after vasectomy (Witkin et al, 1983), and IgA or slgA sperm agglutinins have been reported in the seminal plasma of men with autoimmunity to spermatozoa (Friberg, 1974; Husted & Hjort, 1975; Witkin et al, 1981; Bronson et al, 1984).