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Questions and Answers

What is a characteristic feature of the false capsule of the prostate?

  • Its function is to regulate blood flow
  • Formed by the urethral crest
  • Lies within the true capsule
  • Anteriorly continuous with the puboprostatic ligaments (correct)
  • Which structure is located on the posterior wall of the prostatic urethra?

  • Prostatic utricle
  • Colliculus seminalis (correct)
  • Ejaculatory duct
  • Prostatic sinus
  • Which of the following is NOT a common symptom of benign prostatic hyperplasia (BHP)?

  • Increased libido (correct)
  • Urgency
  • Frequency
  • Hesitancy
  • What anatomical feature opens in the center of the prostatic urethra?

    <p>Prostatic utricle (D)</p> Signup and view all the answers

    Which clinical condition is associated with the metastatic spread of prostate cancer?

    <p>Spread to lymph nodes and bones (C)</p> Signup and view all the answers

    Which of the following structures is classified as an accessory gland in the male reproductive system?

    <p>Seminal vesicles (A)</p> Signup and view all the answers

    What is the primary function of the scrotum in the male reproductive system?

    <p>Regulates temperature of testes (D)</p> Signup and view all the answers

    Which part of the penis is responsible for the passage of both urine and semen?

    <p>Urethra (D)</p> Signup and view all the answers

    Which condition is characterized by the abnormal positioning of the urethral opening on the penis?

    <p>Hypospadias (A)</p> Signup and view all the answers

    What term describes the male gonad, which is homologous to the female ovary?

    <p>Testis (D)</p> Signup and view all the answers

    Which structure is part of the male reproductive duct system and transports sperm from the epididymis to the ejaculatory duct?

    <p>Vas deferens (D)</p> Signup and view all the answers

    What is the primary function of the upper pole of the testis?

    <p>It attaches to the spermatic cord. (B)</p> Signup and view all the answers

    What is the primary role of the bulbourethral glands in the male reproductive system?

    <p>Provides lubrication during ejaculation (A)</p> Signup and view all the answers

    Which segment of vertebrae is primarily associated with the development of the testes?

    <p>T10 to T12 (C)</p> Signup and view all the answers

    Which of the following conditions involves the swelling of the scrotum due to fluid accumulation?

    <p>Hydrocele (A)</p> Signup and view all the answers

    Which nerve fibers are involved in the sympathetic supply to the testis?

    <p>Pre ganglionic fibers T10 &amp; T11 (C)</p> Signup and view all the answers

    In which month of intrauterine life does the descent of the testis begin?

    <p>2nd month (D)</p> Signup and view all the answers

    What is the arterial supply to the vas deferens primarily derived from?

    <p>Superior vesical artery (C)</p> Signup and view all the answers

    What is the location of the epididymis in relation to the testis?

    <p>Lateral part of the posterior border (B)</p> Signup and view all the answers

    What condition is characterized by the presence of undescended testes?

    <p>Cryptorchidism (B)</p> Signup and view all the answers

    What is the main function of the pampiniform plexus?

    <p>To facilitate venous drainage from the testes (C)</p> Signup and view all the answers

    Which feature is NOT characteristic of the posterior lobe of the prostate?

    <p>It is a common site for adenoma development. (B)</p> Signup and view all the answers

    What structural feature allows for easy palpation of the prostate during a digital examination?

    <p>The posterior surface is close to the rectum. (C)</p> Signup and view all the answers

    What is the primary function of the seminal vesicles?

    <p>They secrete fluid that forms a significant part of seminal fluid. (A)</p> Signup and view all the answers

    Which lobe of the prostate contains glandular tissue and is a common site for adenoma?

    <p>Median lobe (A)</p> Signup and view all the answers

    Which structure does the duct of the seminal vesicle join to form the ejaculatory duct?

    <p>Ductus deferens (C)</p> Signup and view all the answers

    What is the primary role of vesiculase in seminal fluid?

    <p>To coagulate the semen. (C)</p> Signup and view all the answers

    Which significant structural feature is associated with the true capsule of the prostate?

    <p>It is formed by the condensation of peripheral gland parts. (A)</p> Signup and view all the answers

    What anatomical structure surrounds the bulbo-urethral glands?

    <p>Sphincter urethrae muscles (C)</p> Signup and view all the answers

    Study Notes

    Male Reproductive System Overview

    • The male reproductive system encompasses primary and accessory reproductive organs
    • Key organs include the scrotum, testes, epididymis, vas deferens, seminal vesicles, prostate gland, and bulbourethral glands
    • Spermatogenesis, factors affecting spermatogenesis, and cryptorchidism are central topics.

    Divisions of Male Genital Organs

    • External Genital Organs:
    • Penis: Provides passage for urine and semen.
    • Scrotum: Contains testes and epididymis.
    • Internal Genital Organs:
    • Testis: Male gonad, homologous to female ovaries.
    • Epididymis: Stores and matures sperm.
    • Vas Deferens: Transports sperm.
    • Accessory Glands:
    • Seminal Vesicles: Contribute to seminal fluid.
    • Prostate Gland: Produces a component of seminal fluid.
    • Bulbourethral Glands: Produce pre-ejaculate.

    Male Reproductive System - Components

    • Testis: Gonad
    • Epididymis: Duct
    • Vas Deferens: Duct
    • Ejaculatory Duct: Duct
    • Urethra: Duct
    • Seminal Vesicles: Accessory Gland
    • Prostate: Accessory Gland
    • Bulbourethral Gland: Accessory Gland
    • Scrotum: External Genitalia
    • Penis: External Genitalia

    Medial Section of Male Pelvis

    • Structures include ureters, peritoneum, urinary bladder, seminal vesicle, ejaculatory duct, prostate, corpus cavernosum, corpus spongiosum, urethra, glans penis, navicular fossa, urethral opening (meatus), bulb of penis, epididymis, testis, scrotum, rectum, and anus.

    Male Copulatory Organ - The Penis

    • Function: Passageway for both urine and semen.
    • Parts:
    • Root/Radix (attached portion)
    • Body/Corpus (free portion)
    • Glans (tip)

    Root of Penis

    • Ischiocavernosus muscle covers the crus and beginning of corpus cavernosum
    • Bulbospongiosus muscle covers the bulb of the penis

    Body of Penis

    • Contains two corpora cavernosa and one corpus spongiosum.
    • Corpora cavernosa expand and fill with blood during erection.
    • Corpus spongiosum surrounds the urethra.
    • The crus and bulb are part of the root of penis.

    Blood Supply of Penis

    • Cavernous artery (deep artery of penis) supplies the corpora cavernosa
    • Dorsal artery supplies blood to the dorsal surface of the penis
    • Circumflex artery supplies outer regions
    • Bulbourethral artery supplies the corpus spongiosum
    • Veins drain blood from the penis: deep dorsal vein, superficial dorsal vein, and crural veins (crural arteries and vein support erection)

    Nerve Supply of Penis

    • Pudendal nerve
    • Dorsal nerve of penis
    • Deep perineal nerve
    • Superficial perineal nerve
    • Posterior scrotal nerves
    • Sacral spinal nerves

    Clinical Anatomy - Hypospadias/Epispadias

    • Hypospadias: Urethral opening is on the underside of the penis.
    • Epispadias: Urethral opening is on the top surface of the penis.
    • These are congenital conditions.

    Phimosis & Paraphimosis

    • Phimosis: Foreskin cannot be retracted.
    • Paraphimosis: Foreskin becomes trapped behind the glans penis. These are conditions where a tight foreskin prevents it from being drawn back over the gland.

    Scrotum

    • Contains testes, epididymis, and lower parts of spermatic cords
    • Layers: skin, dartos muscle, external spermatic fascia, cremasteric muscle, and fascia, internal spermatic fascia
    • Blood supply includes common iliac artery, external iliac artery, internal iliac artery, external pudendal artery, dorsal artery, deep artery, posterior scrotal artery, and anterior scrotal artery.
    • Nerve supply from ilioinguinal nerve, genital branch of genitofemoral nerve, and posterior scrotal branches of perineal nerve.

    Testes

    • Male gonads, homologous to ovaries
    • Suspended in scrotum by spermatic cord
    • Upper pole tilted forward and laterally
    • Location: within the scrotum
    • External features: poles (upper and lower), borders (anterior and posterior), surfaces (medial and lateral)

    Coverings of Testes

    • Tunica vaginalis (parietal and visceral layers)
    • Tunica albuginea (capsule)

    Structure of Testes

    • Lobules containing seminiferous tubules
    • Tubuli recti, rete testis, vasa efferentia
    • Head, body, and tail of the epididymis

    Blood Supply of Testes

    • Testicular artery
    • Pampiniform plexus

    Nerve Supply of Testes

    • Sympathetic: Pre-ganglionic fibres (T10 & T11), Post-ganglionic fibres (renal & aortic plexuses)
    • Sensory & vasomotor nerves
    • Pain referred to umbilicus

    External Features of Epididymis

    • Head, body, and tail

    Descent of Testes

    • Develops in relation to segments T10 to T12
    • Descend into scrotum in the 2nd month of intrauterine life
    • Stages: reaches iliac fossa, deep inguinal ring, traverses inguinal canal, superficial inguinal ring. Reaches bottom of the scrotum in the 9th month

    Cryptorchidism/Undescended Testes

    • Undescendent testes remain in the abdominal cavity instead of descending into the scrotum
    • Ectopic testes are located outside the normal scrotum location

    Varicocele

    • Varicose veins in the spermatic cord.

    Tumors of Testes

    • Types/distribution (statistics are provided)

    Vas Deferens (Ductus Deferens)

    • Location within the male reproductive system
    • Transports sperm from the epididymis to the ejaculatory duct
    • Arterial supply: branch of superior vesical artery
    • Venous drainage: Pampiniform plexus
    • Nerve supply: testicular plexus

    Vasectomy

    • Surgical procedure to prevent pregnancy

    Ejaculatory Duct

    • Formed by the union of the vas deferens and the seminal vesicle duct
    • Empties into the prostatic urethra.

    Seminal Vesicles

    • Paired lobulated sacs between the bladder and rectum
    • Secrete a component of seminal fluid; contains vesiculase (coagulating enzyme)

    Bulbo-Urethral Glands

    • Located in the deep perineal pouch on either side of the membranous urethra
    • Secrete pre-ejaculate.

    Prostate

    • Accessory gland, located in the lesser pelvis
    • Contains fibromuscular stroma with embedded glandular elements
    • Shape: inverted cone
    • Gross features: apex, base, anterior surface, posterior surface, inferolateral surface.
    • Lobes: Anterior, Posterior, Median/middle/prespermatic lobe.

    Capsules of Prostate

    • True capsule (formed by condensation of peripheral part of the gland, fibromuscular)
    • False capsule (lies outside true capsule, Anteriorly continuous with puboprostatic ligaments, Posteriorly forms by rectovesical fascia of Denonvillier's)
    • Contains no venous plexus

    Structures within Prostate

    • Prostatic urethra
    • Prostatic utricle
    • Ejaculatory duct
    • Urethral crest
    • Colliculus seminalis
    • Prostatic sinus
    • Opening of prostatic ducts

    Blood Supply & Venous Drainage of Prostate

    • Inferior vesical arteries
    • Superior (central) prostatic pedicle
    • Inferior (capsular) prostatic pedicle
    • Middle rectal artery
    • Apical prostatic-rectal anastomoses
    • Venous drainage: venous plexus

    Nerve Supply of Prostate

    • Inferior mesenteric plexus
    • Hypogastric nerve
    • Pelvic plexus (inferior hypogastric plexus)
    • Pelvic nerves (parasympathetic)

    Age Changes of Prostate

    • Prostate gradually increases in size from adolescence to older adulthood
    • Typical size at different ages (walnut, golf ball, lemon, cricket ball)
    • Symptoms associated with age-related prostate enlargement: urinary frequency, urgency, hesitancy

    Clinical Anatomy of Prostate

    • Benign Prostatic Hyperplasia (BPH): Enlargement of prostate causing urinary problems
    • Prostate cancer: presence/detection/metastatic spread

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