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testes epididymides spermatic cords & contents |
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seminal vesicles prostate gland bulbourethral (Cowper’s) glands |
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| Testis are _____ organs suspended in the ____ |
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| Left testis usually higher/lower than the right |
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Functions of the Testis: 1. Production of _____ 2. Production of _____ |
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| Tunica albuginea sends fibrous septa into the ____ dividing it into ____ |
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Visceral layer of the tunica vaginalis – derived from the _____ which is derived from _____. |
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processus vaginalis peritoneum |
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| Testis is Divided into ______ |
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| Within lobules of the testis are _____ |
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| Straight seminiferous tubules open into the _____ |
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| Rete testis open into the _____ |
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| Efferent ductules lead you to the _____. |
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| Arterial supply to the testis is ________ artery which is branch off of _______ (female analoge is _____) |
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Testicular artery abdominal aorta ovarian artery |
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| Venous drainage of the testis starts as the _____ |
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| Right testicular vein - drains to the ____ |
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| Left testicular vein drains into the ____ which drains into the ____. This is why more ____ on left testis |
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renal vein inferior vena cava varicocele (Enlarged, twisted veins in the scrotum) |
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| Lymphatic drainage of testis > ____ lymph nodes |
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| ______ = nerve supply to testis |
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| Testicular plexus - receives branches from the (4) plexuses |
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Definition
renal aortic superior hypogastric inferior hypogastric |
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| _________: Dilatation and tortuosity of the pampiniform plexus. Feels like a “bag of worms” on palpation. More common on the _____ side |
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Prevalence of Testicular Cancer __/100, 000 males |
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Peak Incidence Age for Testicular Cancer ___ to ___ -year-old group |
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Presentation of Testicular Cancer: ______, _______ enlargement of testis |
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| Testicular Cancer Metastasis directly to _______ |
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| EPIDIDYMIS is located On the _____ pole and ____ surface of the testis |
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Parts of the Epididymis
____- superior part ____- main mass ____- continuous with the ductus deferens |
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| Blood supply,lymphatic drainage,nerve supply to the epididymis is the same as the ____ |
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| __________- most common cause of tender scrotal swelling, due to mumps |
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__________: Suspends the testis in the scrotum Contains structures running to and from testis |
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spermatic cord course:
begins at ______ in transversalis fascia -> courses through _______ -> extis at _______ in external abdominal oblique -> enters ______ |
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deep inguinal ring inguinal canal superficial inguinal ring scrotum |
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SPERMATIC CORD COVERINGS Outer -> Inner
1. _____- from the _______ 2. _____- from the _______ 3. _____- from the _______ |
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Definition
External spermatic fascia -> external oblique aponeurosis Cremaster muscle and fascia -> internal oblique m. Internal spermatic fascia -> transversalis fascia |
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| Cremateric reflex: tests ________ nerve |
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| Ductus deferens conveys ____ from the _____ and joins the the _____ to form the ____. |
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spermatozoa epididymis seminal vesicle ejaculatory duct |
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SPERMATIC CORD CONTENTS FYI:
1. Vas Deferens 2. Testicular artery 3. Pampiniform plexus of veins 4. Autonomic nerves 5. Remains of the processus vaginalis 6. Cremasteric artery 7. Artery of the ductus deferens 8. Genital br. of genitofemoral nerve 9. Lymphatic vessels |
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VASECTOMY (DEFERENTECTOMY) is a Bilateral ligation of the ______. Sperm can no longer pass into the ____. |
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VASECTOMY (DEFERENTECTOMY) Procedure FYI:
A small incision is made on each side of the scrotum to isolate the vas deferens. The muscular vas is identified, and a small segment is isolated between 2 small metal clips or sutures. The isolated segment is resected, the clipped ends of the vas are cauterized and the incision is closed. |
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| Testicular torsion: Twisting of ____ cuts off the blood supply -> ____ of testis -> ____ of testis. Immediate surgery - untwisting and suturing cord in place to prevent future torsion |
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spermatic cord infarct necrosis |
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| Root of the penis is the attached portion, made of the ____, ____ & _____. |
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| bulb, left and right crus |
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| bulb of the penis continues into body of penis as _____ |
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| Bulb of the penis is Covered by the ____ muscle |
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| Crura (left & right crus) of the penis is Covered by the ______ muscle It Continues into the body of the penis as the _________ |
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ischiocavernosus corpora cavernosa |
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| THe Body of the penis is composed of ___, ____, & ____. All are bound together by ______. |
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Definition
Corpora cavernosa Corpus spongiosum Tunica albuginea Buck’s fascia |
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