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					The Reproductive System SHANDONG UNIVERSITY Liu Zhiyu The Reproductive System Composition  Internal genital organ     Gonads (sex glands) -manufacture the sex cells an secrete the sex hormones. Genital ducts - transport the sex cells from the site of production into site fertilization Accessory glands -secrete the fluid External genital organ Male Reprodutive System Male Reproductive System Male internal genital organs  Gonad –testis  Genital ducts      Epididymis Ductus deferens Ejaculatory duct Male urethra Accessory glands    Seminal vesicle Prostate Bulbourethral gland Male external genital organs  Scrotum  Penis Male internal genital organs Gonad – testis General features    Paired, smooth, ovoid male reproductive organ, slightly flattened anteroposteriorly Located in scrotum Produces sperm and secretes androgens Gonad – testis Structures of testis  Tunica albuginea : a tough fibrous coat  Septula testis : numerous fibrous into the gland  Lobules of testis : contain the contorted seminiferous tubules  Striaght seminiferous tubules  Rete testis  Efferent ductules of testis open into the head of the epididymis Testis Seminiferous tubules Epididymis     Comma-shaped, with head, body and tail of epididymis Located on superior extremity and posterolateral aspect of testis Contains tortuous canal that extends from testis to ductus deferens in spermatic cord Function – the site of accumulation and storage of sperm Ductus deferens   A thick-walled muscular tube approximately 45 cm in length. It transports sperm form epididymis to ejaculatory duct Ductus deferens 1. Testicular part - extends form the tail of epididymis to the superior extremity of testis 2. Spermatic part - extends form superior extremity of testis to the superficial inguinal ring, the place where the vasectomy is performed 3. Inguinal part - extends form superficial to deep inguinal rings 4. Pelvic part - crosses the obturator neurovascular bundle and the ureter to reach the base of bladder, where it expands to form the ampulla ductus deferentis Vasectomy Spermatic cord    Extends from the superior extremity of testis to the deep inguinal ring Contents of the spermatic cord  Ductus deferens  Testicular and deferential arteries  Pampiniform plexus  Nerves and lymphatics  Vestige of vagina process Covering of the spermatic  Internal spermatic fascia  Cremaster  External spermatic fascia Ejaculatory duct   Formed by union of distal portion ductus deferens and duct of seminal vesicle Passes through the upper part of prostate and opens into the prostatic part of urethra Seminal vesicle    Paired sacculated, coiled glands Secrete part of seminal fluid Located on posterior surface of bladder, lateral to ampulla ductus deferentis Prostate   Lies behind pubic symphysis, between neck of bladder and urogenital diaphragm Shape — chestnut-shaped organ     Contains of five lobes      Base Apex Body: prostatic sulcus (posterior surfaces) Anterior lobe Middle lobe Posterior lobe Left and right lobes Enclosed by a thin inner fibrous capsule (true capsule) and a strong outer envelope of pelvic fascia Bulbourethral gland  Two small pea-shaped glands  Located in the deep transverse muscle of perineum  Opens into bulbar portion of urethra Male External genital organs Scrotum    Pouch of thin skin lying below the root of the penis Divided into two haves by septum of scrotum, contains testes and their ducts Walls  Skin  Dartos coat  Deep to skin  A connective tissue layer that contains many smooth muscle fibers  Contracts in response to cold, pulling the testes closer to the body and wrinkling the skin Parietal peritoneum Transverse fascia Trasversus abdominis Obliquus internus abdominis Aponeurosis of obliquus externus abdominis External spermatic fascia Cremaster Parietal layer Visceral layer Internal spermatic fascia Tunica vaginalis of testis Vaginal cavity Penis   Consists of the root, body and glans penis Contains    Two cavernous body of penis A cavernous body of urethra Skin-thin and loose   Prepuce of penis Frenulum of prepuce Corona glandis Cavernous body of penis Cavernous body of urethra Crus penis Bulb of urethra Male urethra Three parts 1. Prostatic part -lies within the prostate and is the widest and most dilatable portion of urethra. 2. Membranous part - passes through the urogenital diaphragm surround by the sphincter of urethra 3. Cavernous part -transverse the length of cavernous body of urethra Posterior urethra-prostatic part and membranous part Anterior urethra –-cavernous part Male urethra  Within prostatic part     Urethral ridge Seminal colliculus Prostatic utricle The orifices of the ejaculatory ducts Male urethra  Three constrictions     At the internal urethral orifice At the membranous part At the external orifice of urethra Three enlarged parts    At prostatic part At bulbar portion of urethra At navicular fossa of urethra Male urethra Two curvatures   Subpubic curvature -concave upward Prepubic curvature -concave downward By holding the penis upward, the S-shaped curve to the urethra is converted into a J-shaped curve. Female Reproductive System Female Genital System  Female internal genital organs   Gonad –ovary Genital ducts     Uterine tube Uterus Vagina Female external genital organs-female pudendum Female internal genital organs Ovary  Position-lies in the ovarian fossa in the angle between the internal and external iliac vessels on the lateral pelvic wall.  Shape-an ovoid organ  Superior pole-tubal extremity Inferior pole-uterine extremity Anterior border-mesovarian border (hilum of ovary) Posterior border-free border  Two surfaces-medial and lateral     Function: Produce ova and secrete estrogens Ovary  Supporting structures of ovary   Suspensory ligament of ovary Proper ligament of ovary Uterine tube  General features    About 10cm long Located at upper edge of broad ligament of uterus between the two layers Four parts     Uterine part Isthmus of uterine tube Ampulla of uterine tube Infundibulum of uterine tube Uterine tube  Uterine part -narrowest part, pierces uterine wall and opens into cavity of uterus by uterine orifice of uterine tube Uterine tube  Isthmus of uterine tube -straight and narrow portion, thick walls, it is the place where the tubal ligation is performed usually Uterine tube   Ampulla of uterine tube relatively wide, tortuous, longest part, thin walls; fertilization of the ovum takes place in its complex lumen Infundibulum of uterine tube  Fimbriae of uterine tube  Ovarian fimbria Ectopic pregnancy Uterus   General features -muscular pear-shaped organ Three parts  Fundus of uterus  Body of uterus  Neck of uterus  Vaginal part of cervix  Supravaginal part of cervix  Isthmus of uterus short constricted part, transition between the body and the neck of uterus, taken up by body of uterus during pregnancy, thus “lower uterine segment” Uterus Interior cavity  Cavity of uterus -the cavity of body of uterus, is triangular in coronal section  Canal of cervix of uterus -the cavity of the neck, is spindleshaped, opens into the vagina at the orifice of uterus Uterus Position    Lies in the center of the pelvic cavity, between bladder, anteriorly, and rectum, posteriorly, usually it is anteversion and anteflexion Anteversion -axis of uterus at 90o with that of vagina Anteflexion -axis of body of uterus is bent forward with that of the cervix forming an angle of about 170o (body of uterus is bent slightly forward at isthmus) 90o 170o Supports of uterus    Pelvic diaphragm Surrounding organs: vagina and bladder Ligaments     Broad ligament of uterus Round ligament of uterus Cardinal ligament of uterus Uterosacral ligament of uterus Supports of uterus Broad ligament of uterus    Mesosalpinx Mesovarium Mesometrium Supports of uterus  Round ligament of uterus -maintain anteverted position of fundus Supports of uterus  Cardinal ligament of uterus -confer lateral stability to cervical region  Uterosacral ligament of uterus -maintain body of uterus in anteflexed position. Female external genital organs     Mons pubis 阴阜 Greater lips of pudendum 大阴唇 Lesser lips of pudendum 小阴唇 Vaginal vestibule 阴道前庭     Eternal orifice of urethra Vaginal orifice Clitoris 阴蒂 Bulb of vestibule 前庭球 Clitoris 阴蒂 Crus of clitoris 阴蒂脚 Bulb of vestibule 前庭球 Great vestibular gland 前庭大腺 Vagina    Flattened fibromuscular tube, about 8~9cm long Extends upward and backward from vestibule to uterus Fornix of vagina   Formed between cervix and walls of vagina Posterior fornix deepest and larger than either anterior or lateral fornices, and related to the rectouterine pouch