MALE GENITAL ORGANS Internal genital organs - gonads (testes) – spermatozoa and sex hormone testosterone genital tract (epididymis, ductus deferens, urethra masculina) glands (vesiculae seminales, prostata) External genital organs - penis, scrotum Testis Facies medialis et lateralis Extremitas superior et inferior Margo anterior et posterior Tunica vaginalis - lamina visceralis et parietalis Tunica albuginea Mediastinum testis Septula testis Lobuli testis - tubuli seminiferi contorti Tubuli seminiferi recti - rete testis Leydig`s interstitial cells Hilum testis Ductuli efferentes testis A. testicularis Plexus pampiniformis - v. testicularis Nodi lymphatici lumbales Sympathetic nerves - abdominal plexuses Parasympathetic nerves - n. vagus Sensory fibers - Th10 Epididymis Caput epididymidis Corpus epididymidis Cauda epididymidis Sinus epididymidis - lig. epididymidis superius et inferius Lobuli epididymidis Ductus epididymidis A. testicularis Plexus pampiniformis Nodi lymph. lumbales, iliaci int. and inguinales spf. Nerves - autonomic plexus testicularis and sensory fibers end in the segments Th11-12. Appendix testis (the remnant of the Müller’s duct) Appendix epididymidis (the remnant of the Wolff’s duct) Ductuli aberrantes (the remnant of the mesonefros) Descent of the testes (descensus testium) Gubernaculum (lig. scrotale) Processus vaginalis (lig. vaginale) Retentio testis (cryptorchidism) Ectopia testis Ductus deferens 1. pars epididymica 2. pars funicularis 3. pars inguinalis 4. pars pelvina ampulla ductus deferentis - diverticula ampullae ductus deferentis. Ductus deferens + ductus excretorius = ductus ejaculatorius A. ductus deferentis, plexus pampiniformis and plexus vesicalis, nn. lymph. iliaci int. et ext., sympathetic nerves from nn. splanchnici lumbales. The spermatic cord (funiculus spermaticus) ductus deferens, a. testicularis, a. ductus deferentis, venous plexus pampiniformis, nervous plexus testicularis et deferentialis, lymph vessels Coverings of the testes, epididymides and the spermatic cords Lamina visceralis tunicae vaginalis - a derivative of the visceral peritoneum Lamina parietalis tunicae vaginalis - a derivative of the parietal peritoneum Cavum serosum scroti Fascia spermatica interna - a derivative of the fascia transversalis M. cremaster together with the connective tissue forms fascia cremasterica Fascia spermatica externa - a derivative of the fascia abdominis spf. Seminal vesicles (vesiculae seminales) Ductus excretorius Thick alkaline secretion - source of energy for sperms A.ductus deferentis, a. rectalis media, a. vesicalis inf. Venous plexus prostaticus et vesicalis. Nn.lymph. iliaci int. Nervous plexus hypogastricus inf. The prostate (prostata) Basis prostatae Apex prostatae Facies anterior Facies posterior Facies inferolaterales Central zone Peripheral zone Transitional zone Anterior fibromuscular zone = Isthmus prostatae (lobus anterior) Capsula propria Plexus venosus prostaticus Fascia periprostatica 30- 50 tubuloalveolar glands Ductuli prostatici (prostatic sinuses) Weakly acidic secretion important for the activity of sperms A.rectalis media, a.vesicalis inf., a.pudenda int. Plexus venosus prostaticus – plexus venosus vesicalis – v.iliaca int. Nn. lymph. iliaci int. et ext., nn. lymph sacrales. Plexus hypogastricus inf. - parasympathetic fibers from the sacral parasympathetic system, sympathetic fibers - from lumbar segments. Glandulae bulbourethrales Alkaline secretion Ductus glandulae bulbourethralis. Male urethra (urethra masculina) Ostium urethrae internum Ostium urethrae externum – the narrowest part of the urethra. 4 parts: 1. pars intramuralis –surrounded by the smooth m.sphincter vesicae. 2. pars prostatica –crista urethralis, colliculus seminalis, 8 mm long blind utriculus prostaticus (a remnant of the Müller’s duct), ductus ejaculatorii, sinus prostatici (ductuli prostatici). 3. pars membranacea – through the diaphragma urogenitale (m.sphincter urethrae). 4. pars spongiosa – ampulla urethrae (intrabulbar fossa) - glandulae bulbourethrales, fossa navicularis - valvula fossae navicularis, glandulae urethrales - lacunae urethrales. Curvatura subpubica – between pars membranacea and pars spongiosa Curvatura praepubica Urethra fixa (posterior) Urethra mobilis (anterior) A.vesicalis inf., a.rectalis media, aa.pudendae int. Veins accompany arteries. Nn.lymph.inguinales spf. from pars spongiosa, nn.lymph.iliaci int. from other parts. Sympathetic plexus prostaticus and rectalis, parasympathetic fibers – from the sacral parasymp. (nn.splanchnici pelvici). M. sphincter urethrae is innervated from n. pudendus. Penis Radix penis Corpus penis Glans penis Corona glandis Collum glandis Dorsum penis Facies urethralis - raphe penis Foreskin (praeputium)- ostium praeputii, gll. praeputiales - smegma praeputii, frenulum praeputii Corpora cavernosa - crura penis (crista phallica), septum penis Corpus spongiosum - bulbus penis, urethra Tunica albuginea - trabeculae corporum cavernosum - cavernae - aa. helicinae, vv. cavernosae Fascia penis profunda - v.dorsalis penis profunda, aa. and nn. dorsales penis Fascia penis superficialis - vv. dorsales penis superficiales Lig. fundiforme penis, lig. suspensorium penis A. pudenda int., v. dorsalis penis spf. drains into vv. pudendae externae. V. dorsalis penis prof. ,vv. profundae penis - v. pudenda int. Nn. lymph inguinales spf., nn. lymph. iliaci ext. Sensory fibers (the glans penis is the most sensitive part of the body) are branches of the n. pudendus. Ejaculation of the semen Emission of sperms and genital glands secretion into the prostatic portion of the urethra Expulsion of the semen from the spongy urethra (ejaculation) Scrotum Raphe scroti Pubes Tunica dartos scroti - termoregulation Septum scroti Cavitas scroti A.pudenda ext., a. pudenda int., v. femoralis, v. pudenda int., nn. lymph ing. spf., Sensory - n.genitofemoralis, ilioinguinalis, pudendus, cutaneus femoris post. M. cremaster – n. genitofemoralis. Tunica dartos – plexus hypogastricus inf.