Ejaculatory duct

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Ejaculatory duct
Male anatomy 1.png
Male anatomy
Prostate - Gray1153.png
Vesiculae seminales and ampullæ of ductus deferentes, seen from the front. The anterior walls of the left ampulla, left seminal vesicle, and prostatic urethra have been cut away.
Details
Artery Inferior vesical artery, middle rectal artery
Identifiers
Latin ductus ejaculatorius (pl.: ductus ejaculatorii)
MeSH D004543
TA98 A09.3.07.001
TA2 3636
FMA 19325
Anatomical terminology

The ejaculatory ducts (ductus ejaculatorii) are paired structures in the male reproductive system. [1] Each ejaculatory duct is formed by the union of the vas deferens with the duct of the seminal vesicle. [2] They pass through the prostate, and open into the urethra above the seminal colliculus. During ejaculation, semen passes through the prostate gland, enters the urethra and exits the body via the urinary meatus. [3]

Contents

Function

Ejaculation

Ejaculation occurs in two stages, the emission stage and the expulsion stage. [4] The emission stage involves the workings of several structures of the ejaculatory duct; contractions of the prostate gland, the seminal vesicles, the bulbourethral gland and the vas deferens push fluids into the prostatic urethra. [3] The semen is stored here until ejaculation occurs. Muscles at the base of the penis contract in order to propel the seminal fluid trapped in the prostatic urethra through the penile urethra and expel it through the urinary meatus. The ejaculate is expelled in spurts, due to the movement of the muscles propelling it. These muscle contractions are related to the sensations of orgasm for the male. [5]

Sperm are produced in the testes and enter the ejaculatory ducts via the vas deferens. As they pass by the seminal vesicles, a fluid rich in fructose combines with the sperm. This addition nourishes the sperm in order to keep them active and motile. [6] Seminal fluid continues down the ejaculatory duct into the prostate gland, where an alkaline prostatic fluid is added. [4] This addition provides the texture and odor associated with semen. [4] The alkalinity of the prostatic fluid serves to neutralize the acidity of the female vaginal tract in order to prolong the survival of sperm in this harsh environment. [6] Semen is now a fructose-rich, alkaline fluid containing sperm as it enters the bulbourethral glands below the prostate. [6] The bulbourethral glands secrete a small amount of clear fluid into the urethra before the ejaculate is expelled. The functions of this fluid are not entirely known but are suggested to aid in lubricating the male urethra in preparation for the semen during ejaculation. [4] The amount of semen produced and expelled during ejaculation corresponds to the length of time that the male is sexually aroused before ejaculation occurs. [4] Generally, the longer the period of arousal, the larger the amount of seminal fluid. [7]

Ejaculation and orgasm may occur simultaneously, however they are not coupled, in that one may occur without the other. For example, a man may have a dry orgasm (termed retrograde ejaculation [8] ); there is no expulsion of ejaculate however the man still experiences orgasm. [4] Also, paraplegics may ejaculate seminal fluid but not experience the sensation of orgasm. [4]

Clinical relevance

Ejaculatory duct obstruction

Ejaculatory duct obstruction is an acquired or congenital pathological condition in which one or both ejaculatory ducts are obstructed. [9] In the case that both ejaculatory ducts are obstructed, this illness presents with the symptoms of aspermia and male infertility. [9] [10]

Benign prostatic hyperplasia

Surgery to correct benign prostatic hyperplasia may destroy these ducts resulting in retrograde ejaculation. Retrograde ejaculation empties the seminal fluid formed in the emission phase into the bladder of the male instead of expelling it through the urethra and out the tip of the penis. [4] This results in a dry orgasm, where orgasm may still be experienced but without expulsion of semen from the ejaculatory ducts.

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Urethra</span> Tube that connects the urinary bladder to the external urethral orifice

The urethra is a tube that connects the mammalian urinary bladder to the urinary meatus. Male and female placental mammals release urine through the urethra during urination, but males also release semen through the urethra during ejaculation.

<span class="mw-page-title-main">Prostate</span> Gland of the male reproductive system in most mammals

The prostate is both an accessory gland of the male reproductive system and a muscle-driven mechanical switch between urination and ejaculation. It is found in all male mammals. It differs between species anatomically, chemically, and physiologically. Anatomically, the prostate is found below the bladder, with the urethra passing through it. It is described in gross anatomy as consisting of lobes and in microanatomy by zone. It is surrounded by an elastic, fibromuscular capsule and contains glandular tissue, as well as connective tissue.

<span class="mw-page-title-main">Pre-ejaculate</span> Clear fluid emitted from the urethra of the penis during arousal

Pre-ejaculate is a clear, colorless, viscous fluid that is emitted from the urethra of the penis during sexual arousal. It is similar in composition to semen but has distinct chemical differences. The presence of sperm in the fluid is variable from low to absent. Pre-ejaculate functions as a lubricant and an acid neutralizer.

<span class="mw-page-title-main">Female ejaculation</span> Expulsion of fluid during orgasm

Female ejaculation is characterized as an expulsion of fluid from the Skene's gland at the lower end of the urethra during or before an orgasm. It is also known colloquially as squirting or gushing, although research indicates that female ejaculation and squirting are different phenomena, squirting being attributed to a sudden expulsion of liquid that partly comes from the bladder and contains urine.

<span class="mw-page-title-main">Bulbourethral gland</span> Gland in males to help with sperm health

The bulbourethral glands or Cowper's glands are two small exocrine and accessory glands in the reproductive system of many male mammals. They are homologous to Bartholin's glands in females. The bulbourethral glands are responsible for producing a pre-ejaculate fluid called Cowper's fluid, which is secreted during sexual arousal, neutralizing the acidity of the urethra in preparation for the passage of sperm cells. The paired glands are found adjacent to the urethra just below the prostate, seen best by screening (medicine) MRI as a tool in preventative healthcare in males. Screening MRI may be performed when there is a positive prostate-specific antigen on basic laboratory tests. Prostate cancer is the second-most common cause of cancer-related mortality in males in the USA.

<span class="mw-page-title-main">Retrograde ejaculation</span> Redirection of ejaculated semen into the urinary bladder

Retrograde ejaculation occurs when semen which would be ejaculated via the urethra is redirected to the urinary bladder. Normally, the sphincter of the bladder contracts before ejaculation, sealing the bladder which besides inhibiting the release of urine also prevents a reflux of seminal fluids into the male bladder during ejaculation. The semen is forced to exit via the urethra, the path of least resistance. When the bladder sphincter does not function properly, retrograde ejaculation may occur. It can also be induced deliberately by a male as a primitive form of male birth control or as part of certain alternative medicine practices. The retrograde-ejaculated semen, which goes into the bladder, is excreted with the next urination.

<span class="mw-page-title-main">Seminal vesicles</span> Pair of simple tubular glands

The seminal vesicles are a pair of convoluted tubular accessory glands that lie behind the urinary bladder of male mammals. They secrete fluid that partly composes the semen.

<span class="mw-page-title-main">Epididymis</span> Tube that connects a testicle to a vas deferens

The epididymis is an elongated tubular structure attached to the posterior side of each one of the two male reproductive glands, the testicles. It is a single, narrow, tightly coiled tube in adult humans, 6 to 7 centimetres in length; uncoiled the tube would be approximately 6 m long. It connects the testicle to the vas deferens in the male reproductive system. The epididymis serves as an interconnection between the multiple efferent ducts at the rear of a testicle (proximally), and the vas deferens (distally). Its primary function is the storage, maturation and transport of sperm cells.

<span class="mw-page-title-main">Vas deferens</span> Part of the male reproductive system of many vertebrates

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 epididymides 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.

<span class="mw-page-title-main">Male reproductive system</span> Reproductive system of the human male

The male reproductive system consists of a number of sex organs that play a role in the process of human reproduction. These organs are located on the outside of the body, and within the pelvis.

<span class="mw-page-title-main">Human reproductive system</span> Organs involved in reproduction

The human reproductive system includes the male reproductive system which functions to produce and deposit sperm; and the female reproductive system which functions to produce egg cells, and to protect and nourish the fetus until birth. Humans have a high level of sexual differentiation. In addition to differences in nearly every reproductive organ, there are numerous differences in typical secondary sex characteristics.

Aspermia is the complete lack of semen with ejaculation. It is associated with infertility.

Hypospermia is a condition in which a man has an unusually low ejaculate volume, less than 1.5 mL. It is the opposite of hyperspermia, which is a semen volume of more than 5.5 mL. It should not be confused with oligospermia, which means low sperm count. Normal ejaculate when a man is not drained from prior sex and is suitably aroused is around 1.5–6 mL, although this varies greatly with mood, physical condition, and sexual activity. Of this, around 1% by volume is sperm cells. The U.S.-based National Institutes of Health defines hypospermia as a semen volume lower than 2 mL on at least two semen analyses.

Anejaculation is the pathological inability to ejaculate despite an erection in males, with (orgasmic) or without (anorgasmic) orgasm.

<span class="mw-page-title-main">Seminal colliculus</span> Part of the human male reproductive organs

The seminal colliculus, or verumontanum, of the prostatic urethra is a landmark distal to the entrance of the ejaculatory ducts. Verumontanum is translated from Latin to mean 'mountain ridge', a reference to the distinctive median elevation of urothelium that characterizes the landmark on magnified views.

<span class="mw-page-title-main">Human penis</span> Human male external reproductive organ

In human anatomy, the penis is an external male sex organ that additionally serves as the urinary duct. The main parts are the root, body, the epithelium of the penis including the shaft skin, and the foreskin covering the glans. The body of the penis is made up of three columns of tissue: two corpora cavernosa on the dorsal side and corpus spongiosum between them on the ventral side. The human male urethra passes through the prostate gland, where it is joined by the ejaculatory duct, and then through the penis. The urethra traverses the corpus spongiosum, and its opening, the meatus, lies on the tip of the glans. It is a passage both for urination and ejaculation of semen.

<span class="mw-page-title-main">Semen</span> Reproductive biofluid of male or hermaphroditic animals

Semen, also known as seminal fluid, is an organic bodily fluid that contains spermatozoa. Spermatozoa are secreted by the male gonads and other sexual organs of male or hermaphroditic animals and can fertilize the female ovum. Semen is produced and originates from the seminal vesicle, which is located in the pelvis. The process that results in the discharge of semen from the urethral orifice is called ejaculation. In humans, seminal fluid contains several components besides spermatozoa: proteolytic and other enzymes as well as fructose are elements of seminal fluid which promote the survival of spermatozoa and provide a medium through which they can move or "swim". The fluid is adapted to be discharged deep into the vagina, so the spermatozoa can pass into the uterus and form a zygote with an egg.

<span class="mw-page-title-main">Ejaculation</span> Euphoric stimulative semen discharge of the male reproductive tract

Ejaculation is the discharge of semen from the male reproductive tract. It is normally linked with orgasm, which involves involuntary contractions of the pelvic floor. It is the final stage and natural objective of male sexual stimulation, and an essential component of natural conception. Ejaculation can occur spontaneously during sleep, and is a normal part of human sexual development. In rare cases, ejaculation occurs because of prostatic disease. Anejaculation is the condition of being unable to ejaculate. Ejaculation is normally intensely pleasurable for men; dysejaculation is an ejaculation that is painful or uncomfortable. Retrograde ejaculation is the condition where semen travels backwards into the bladder rather than out of the urethra.

Ejaculatory duct obstruction (EDO) is a pathological condition which is characterized by the obstruction of one or both ejaculatory ducts. Thus, the efflux of semen is not possible. It can be congenital or acquired. It is a cause of male infertility and/or pelvic pain. Ejaculatory duct obstruction must not be confused with an obstruction of the vas deferens.

<span class="mw-page-title-main">Male accessory gland</span> Sexual gland in males

Male accessory glands (MAG) in humans are the seminal vesicles, prostate gland, and the bulbourethral glands. In insects, male accessory glands produce products that mix with the sperm to protect and preserve them, including seminal fluid proteins. Some insecticides can induce an increase in the protein content of the male accessory glands of certain types of insects. This has the unintended effect of increasing the number of offspring they produce.

References

  1. Andrology, American Society of (1995). Handbook of andrology.
  2. "Function of seminal vesicles and their role on male fertility". Asian Journal of Andrology: 251–258. December 3, 2001. Archived from the original on 2016-03-03.
  3. 1 2 Nieschlag, Eberhard; Behre, Hermann M.; Nieschlag, Susan (2010-01-13). Andrology. Springer. ISBN   9783540783558.
  4. 1 2 3 4 5 6 7 8 Rathus, S. A., Nevid, J. S., Fichner-Rathus, L., Herold, E. S. (2010). Human Sexuality in a World of Diversity. Pearsons Education Canada, Pearson Canada Inc. Toronto, ON.
  5. Jones, Mark M. (2012-12-02). Human Reproductive Biology. Academic Press. ISBN   9780323144810.
  6. 1 2 3 Esmail, S. (2010). HECOL 211 Human Sexuality Lecture Manual 2010. Department of Human Ecology, University of Alberta, Edmonton, AB.
  7. "American Society of Andrology - Andrology Handbook, 2nd Edition". Archived from the original on 2015-04-16. Retrieved 2015-04-16.
  8. Retrograde ejaculation treatments
  9. 1 2 McQuaid, J. W.; Tanrikut, C. (2013). "Ejaculatory duct obstruction: Current diagnosis and treatment". Current Urology Reports. 14 (4): 291–7. doi:10.1007/s11934-013-0340-y. PMID   23733548. S2CID   12902575.
  10. Practice Committee of the American Society for Reproductive Medicine (2006). "Report on management of obstructive azoospermia". Fertility and Sterility. 86 (5 Suppl 1): S259-63. doi: 10.1016/j.fertnstert.2006.08.031 . PMID   17055837.