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Vaginal Process
The vaginal process (or processus vaginalis) is an embryonic developmental outpouching of the peritoneum, parietal peritoneum. It is present from around the 12th week of gestation, and commences as a peritoneal outpouching. Sex differences In males, it precedes the testes in their descent down within the gubernaculum, and closes. This closure (also called ''fusion'') occurs at any point from a few weeks before birth, to a few weeks after birth. The remaining portion around the testes becomes the tunica vaginalis. If it does not close in females, it forms the canal of Nuck. Clinical significance Failure of closure of the vaginal process leads to the propensity to develop a number of abnormalities. Peritoneal fluid can travel down a patent vaginal process leading to the formation of a hydrocele. Persistent patent processus vaginalis is more common on the right than the left. Accumulation of blood in a persistent processus vaginalis could result in a hematocele. There is the potent ...
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Testicle
A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testosterone. Testosterone release is controlled by the anterior pituitary luteinizing hormone, whereas sperm production is controlled both by the anterior pituitary follicle-stimulating hormone and gonadal testosterone. Structure Appearance Males have two testicles of similar size contained within the scrotum, which is an extension of the abdominal wall. Scrotal asymmetry, in which one testicle extends farther down into the scrotum than the other, is common. This is because of the differences in the vasculature's anatomy. For 85% of men, the right testis hangs lower than the left one. Measurement and volume The volume of the testicle can be estimated by palpating it and comparing it to ellipsoids of known sizes. Another method is to use caliper ...
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Testes
A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testosterone. Testosterone release is controlled by the anterior pituitary luteinizing hormone, whereas sperm production is controlled both by the anterior pituitary follicle-stimulating hormone and gonadal testosterone. Structure Appearance Males have two testicles of similar size contained within the scrotum, which is an extension of the abdominal wall. Scrotal asymmetry, in which one testicle extends farther down into the scrotum than the other, is common. This is because of the differences in the vasculature's anatomy. For 85% of men, the right testis hangs lower than the left one. Measurement and volume The volume of the testicle can be estimated by palpating it and comparing it to ellipsoids of known sizes. Another method is to use cali ...
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Canal Of Nuck
__NOTOC__ The canal of Nuck, first described by Anton Nuck ( de) in 1691, is an abnormal patent (open) pouch of peritoneum extending into the labia majora of women. It is analogous to a patent processus vaginalis in males (see hydrocele testis, inguinal hernia). In rare cases, it may give rise to a cyst or a hydrocele in women and has potential to develop into an indirect inguinal hernia. The pouch accompanies the gubernaculum during development of the urinary and reproductive organs, more specifically during the descent of the ovaries, and normally obliterates. See also *List of homologues of the human reproductive system This list of related male and female reproductive organs shows how the male and female reproductive organs and the development of the reproductive system are related, sharing a common developmental path. This makes them biological homologues. T ... References Further reading * * * * * * * {{DEFAULTSORT:Canal Of Nuck Mammal female reproductive system< ...
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Testicular Torsion
Testicular torsion occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the blood supply to the testicle. The most common symptom in children is sudden, severe testicular pain. The testicle may be higher than usual in the scrotum and vomiting may occur. In newborns, pain is often absent and instead the scrotum may become discolored or the testicle may disappear from its usual place. Most of those affected have no obvious prior underlying health problems. Testicular tumor or prior trauma may increase risk. Other risk factors include a congenital malformation known as a "bell-clapper deformity" wherein the testis is inadequately attached to the scrotum allowing it to move more freely and thus potentially twist. Cold temperatures may also be a risk factor. The diagnosis should usually be made based on the presenting symptoms, but requires timely diagnosis and treatment to avoid testicular loss. An ultrasound can be useful when the diagnosis is unc ...
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Inguinal Hernia
An inguinal 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. Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Predisposition to hernias is Genetic predisposition, genetic and they occur more often in certain families. Deleterious mutations causing predisposition to he ...
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Hematocele
A hematocele is a collections of blood in a body cavity or potential space. The term most commonly refers to the collection of blood in the tunica vaginalis around the testes, known as a ''scrotal hematocele''. Hematoceles can also occur in the abdominal cavity and other body cavities. Hematoceles are rare, making them harder to diagnose and treat. They are very common especially as slowly growing masses in the scrotum usually in men older than 50 years. A scrotal mass is a lump or bulge that can be felt in the scrotum. The scrotum is the sac that contains the testicles. A scrotal mass can be noncancerous (benign) or cancerous (malignant). Benign scrotal masses will include hematocele which is a blood collection in the scrotum. A scrotal hematocele is also called a hemoscrotum (or haemoscrotum in British English). Scrotal masses are abnormalities in the bag of skin hanging behind the penis (scrotum). The scrotum contains the testicles and related structures that produce, store and ...
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Hydrocele
A hydrocele is an accumulation of serous fluid in a body cavity. A hydrocele testis, the most common form of hydrocele, is the accumulation of fluids around a testicle. It is often caused by fluid collecting within a layer wrapped around the testicle, called the tunica vaginalis, which is derived from peritoneum. Provided there is no hernia present, it goes away without treatment in the first year. Although hydroceles usually develop in males, rare instances have been described in females in the Canal of Nuck. Primary hydroceles may develop in adulthood, particularly in the elderly and in hot countries, by slow accumulation of serous fluid. This is presumably caused by impaired reabsorption, which appears to be the explanation for most primary hydroceles, although the reason remains obscure. A hydrocele can also be the result of a plugged inguinal lymphatic system caused by repeated, chronic infection of ''Wuchereria bancrofti'' or ''Brugia malayi'', two mosquito-borne parasites o ...
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Canal Of Nuck
__NOTOC__ The canal of Nuck, first described by Anton Nuck ( de) in 1691, is an abnormal patent (open) pouch of peritoneum extending into the labia majora of women. It is analogous to a patent processus vaginalis in males (see hydrocele testis, inguinal hernia). In rare cases, it may give rise to a cyst or a hydrocele in women and has potential to develop into an indirect inguinal hernia. The pouch accompanies the gubernaculum during development of the urinary and reproductive organs, more specifically during the descent of the ovaries, and normally obliterates. See also *List of homologues of the human reproductive system This list of related male and female reproductive organs shows how the male and female reproductive organs and the development of the reproductive system are related, sharing a common developmental path. This makes them biological homologues. T ... References Further reading * * * * * * * {{DEFAULTSORT:Canal Of Nuck Mammal female reproductive system< ...
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Tunica Vaginalis
The tunica vaginalis is the pouch of serous membrane that covers the testes. It is derived from the vaginal process of the peritoneum, which in the fetus precedes the descent of the testes from the abdomen into the scrotum. After its descent, that portion of the pouch which extends from the abdominal inguinal ring to near the upper part of the gland becomes obliterated; the lower portion remains as a shut sac, which invests the surface of each testis, and is reflected on to the internal surface of the scrotum; hence it may be described as consisting of a visceral and a parietal lamina. Visceral lamina The visceral lamina (lamina visceralis) covers the greater part of the testis and epididymis, connecting the latter to the testis by means of a distinct fold. From the posterior border of the gland it is reflected on to the internal surface of the scrotum. Parietal lamina The parietal lamina (lamina parietalis) is far more extensive than the visceral, extending upward for some di ...
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Gubernaculum
The paired gubernacula (from Ancient Greek κυβερνάω = pilot, steer) also called the caudal genital ligament, are embryonic structures which begin as undifferentiated mesenchyme attaching to the caudal end of the gonads (testes in males and ovaries in females). Structure The gubernaculum is present only during the development of the reproductive system. It is later replaced by distinct vestiges in males and females.The gubernaculum arises in the upper abdomen from the lower end of the gonadal ridge and helps guide the testis in its descent to the inguinal region. Males * The upper part of the gubernaculum degenerates. * The lower part persists as the gubernaculum testis ("scrotal ligament"). This ligament secures the testis to the most inferior portion of the scrotum, tethering it in place and limiting the degree to which the testis can move within the scrotum. * Cryptorchidism (undescended testes) are observed in ''INSL3''-null male mice. This implicates INSL3 as a ...
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Peritoneum
The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal (or coelomic) organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves. The abdominal cavity (the space bounded by the vertebrae, abdominal muscles, diaphragm, and pelvic floor) is different from the intraperitoneal space (located within the abdominal cavity but wrapped in peritoneum). The structures within the intraperitoneal space are called "intraperitoneal" (e.g., the stomach and intestines), the structures in the abdominal cavity that are located behind the intraperitoneal space are called "retroperitoneal" (e.g., the kidneys), and those structures below the intraperitoneal space are called "subp ...
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Epididymis
The epididymis (; plural: epididymides or ) is a tube that connects a testicle to a vas deferens in the male reproductive system. It is a single, narrow, tightly-coiled tube in adult humans, in length. It serves as an interconnection between the multiple efferent ducts at the rear of a testicle (proximally), and the vas deferens (distally). Anatomy The epididymis is situated posterior and somewhat lateral to the testis. The epididymis is invested completely by the tunica vaginalis (which is continuous with the tunica vaginalis covering the testis). The epididymis can be divided into three main regions: * The head ( la, caput). The head of the epididymis receives spermatozoa via the efferent ducts of the mediastinium of the testis at the superior pole of the testis. The head is characterized histologically by a thick epithelium with long stereocilia (described below) and a little smooth muscle. It is involved in absorbing fluid to make the sperm more concentrated. The concentrat ...
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