male repro epididymis vas seminal vescile

18
Maj Rishi Pokhrel [email protected] Slideshare.net

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Page 1: Male repro epididymis vas seminal vescile

Maj Rishi [email protected]

Page 2: Male repro epididymis vas seminal vescile

Introduction• Parts – Testis– Genital ducts• Epididymis• Ductus Deferens

– Accessory Glands• Seminal Vesicles• Prostate• Bulbouretheral glands

– Penis

Page 3: Male repro epididymis vas seminal vescile

Epididymis• Along posterior (post-lat)

border of testis

• Single long tube, coiled – 6 m

• Receives efferent ductules at head

• Continuous with Ductus Deferens

• Parts: head, body, tail

Page 4: Male repro epididymis vas seminal vescile
Page 5: Male repro epididymis vas seminal vescile

Epididymis• Sinus of epididymis: narrow slit

b/w epididymis and testis

• Blood supply: branch from testicular A

• Dev: mesonephric duct

• Appendix of epididymis: remnant of mesonephric tubule

• Paradidymis: at lower end of spermatic cord

Page 6: Male repro epididymis vas seminal vescile

Histology

• Smooth regular lumen

• Pesudostratified columnar with stereocilia

• Circularly arranged smooth muscle fibres – Thicker at distal end

Page 7: Male repro epididymis vas seminal vescile

Epididymis

Page 8: Male repro epididymis vas seminal vescile

Epididymis

Page 9: Male repro epididymis vas seminal vescile

Ductus / vas Deferens• Thick walled muscular tube

• Tail of epididymis -> spermatic cord -> Enters abd at deep ring -> side wall & floor of pelvis ->back of bladder ->

Page 10: Male repro epididymis vas seminal vescile
Page 11: Male repro epididymis vas seminal vescile
Page 12: Male repro epididymis vas seminal vescile

Course & Relations• At deep inguinal ring: hooks around inter-foveolar

ligament & inf epigastric A,

• Crosses ext iliac A & V, obliterated umbilical artery, obturator N, A & V,

• Cross above the ureter, approaches opposite fellow, turn downward and dilate to form ampulla

• Join with seminal vesicle to form ejaculatory duct

• Blood supply: artery to vas, br of inf vesical artery

Page 13: Male repro epididymis vas seminal vescile
Page 14: Male repro epididymis vas seminal vescile
Page 15: Male repro epididymis vas seminal vescile

Histology• Small lumen folded irregular• Pesudostratified columnar

ep with stereocilia• Lamina propria – Fibro

elastic (thin)• Muscular layer - 3, Thick,

palpable (cord like)• Adventitia - fibroelastic• Surrounded by arteries,

nerves, lymphatics & pampiniform plexus

Page 16: Male repro epididymis vas seminal vescile

Seminal vesicle

• Paired, thin walled, elongated, lobulated sac

• Blind tube folded on itself

• On base of bladder above the prostate,

• Post – rectovesical fascia

Page 17: Male repro epididymis vas seminal vescile

Seminal vesicle• Join lower end of ampulla

of vas -> ejaculatory duct

• 80% of seminal fluid,

imparts motility

• Vesical & middle rectal A

• Dev: mesonephric duct

Page 18: Male repro epididymis vas seminal vescile

Applied anatomy

• Vasectomy