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The vas deferens, with the more modern name ductus deferens, is part of the male reproductive system of many vertebrates. The ducts transport sperm from the epididymis to the ejaculatory ducts in anticipation of ejaculation. The vas deferens is a partially coiled tube which exits the abdominal cavity through the inguinal canal.
The spermatic cord is the cord-like structure in males formed by the vas deferens and surrounding tissue that runs from the deep inguinal ring down to each testicle. Its serosal covering, the tunica vaginalis, is an extension of the peritoneum that passes through the transversalis fascia. Each testicle develops in the lower thoracic and upper lumbar region and migrates into the scrotum. During its descent it carries along with it the vas deferens, its vessels, nerves etc. There is one on each side.
The cremaster muscle is a paired structure made of thin layers of striated and smooth muscle that covers the testicles and the spermatic cord in human males. It consists of the lateral and medial parts. Cremaster is an involuntary muscle, responsible for the cremasteric reflex; a protective and physiologic superficial reflex of the testicles. The reflex raises and lowers the testicles in order to keep them protected. Along with the dartos muscle of the scrotum, it regulates testicular temperature, thus aiding the process of spermatogenesis.
The inguinal canal is a passage in the anterior abdominal wall on each side of the body which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males.
The genitofemoral nerve is a mixed branch of the lumbar plexus derived from anterior rami of L1-L2. It splits a genital branch and a femoral branch. It provides sensory innervation to the upper anterior thigh, as well as the skin of the anterior scrotum in males and mons pubis in females. It also provides motor innervation to the cremaster muscle.
Orchiopexy is a surgery to move and/or permanently fix a testicle into the scrotum. While orchiopexy typically describes the operation to surgically correct an undescended testicle, it is also used to resolve testicular torsion.
An inguinal hernia or groin hernia, is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area.
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.
The transversalis fascia is the fascial lining of the anterolateral abdominal wall situated between the inner surface of the transverse abdominal muscle, and the preperitoneal fascia. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fascia.
The tunica vaginalis is a pouch of serous membrane within the scrotum that lines the testis and epididymis, and the inner surface of the scrotum. It is the outermost of the three layers that constitute the capsule of the testis, with the tunica albuginea of penis situated beneath it.
The pubic tubercle is a prominent tubercle on the superior ramus of the pubis bone of the pelvis.
The testicular artery is a branch of the abdominal aorta that supplies blood to the testis. It is a paired artery, with one for each of the testes.
The testicular vein, the male gonadal vein, carries deoxygenated blood from its corresponding testis to the inferior vena cava or one of its tributaries. It is the male equivalent of the ovarian vein, and is the venous counterpart of the testicular artery.
The cremasteric artery is a branch of the inferior epigastric artery which accompanies the spermatic cord to supply the cremaster muscle as well as other coverings of the spermatic cord in the male.
The medial umbilical ligament is a paired structure found in human anatomy. It is on the deep surface of the anterior abdominal wall, and is covered by the medial umbilical folds. It is different from the median umbilical ligament, a structure that represents the remnant of the embryonic urachus.
The external spermatic fascia is a thin membrane, prolonged downward around the surface of the spermatic cord and testis. It is separated from the dartos tunic by loose areolar tissue. It is occasionally referred to as 'Le Fascia de Webster' after an anatomist who once described it.
The internal spermatic fascia is a thin layer, which loosely invests the spermatic cord.
The pampiniform plexus is a venous plexus – a network of many small veins found in the human male spermatic cord, and the suspensory ligament of the ovary. In the male, it is formed by the union of multiple testicular veins from the back of the testis and tributaries from the epididymis.
The genital branch of the genitofemoral nerve, also known as the external spermatic nerve in males, is a nerve in the abdomen that arises from the genitofemoral nerve. The genital branch supplies the cremaster muscle and anterior scrotal skin in males, and the skin of the mons pubis and labia majora in females.
The development of the gonads is part of the prenatal development of the reproductive system and ultimately forms the testicles in males and the ovaries in females. The gonads initially develop from the mesothelial layer of the peritoneum.
References
This article incorporates text in the public domain from page 414 of the 20th edition of Gray's Anatomy (1918)
- ↑ Ellis, Harold (2009-07-01). "Anatomy of the anterior abdominal wall and inguinal canal". Anaesthesia & Intensive Care Medicine. 10 (7): 315–317. doi:10.1016/j.mpaic.2009.04.009. ISSN 1472-0299.
- ↑ Ellis, Harold (20 November 2006). Clinical Anatomy: Applied Anatomy for Students and Junior Doctors. New York: Wiley. p. 64. ISBN 1-4051-3804-1.
- ↑ Jacob, S. (2008-01-01), Jacob, S. (ed.), "Chapter 4 - Abdomen", Human Anatomy, Churchill Livingstone, pp. 71–123, doi:10.1016/b978-0-443-10373-5.50007-5, ISBN 978-0-443-10373-5 , retrieved 2021-02-05
