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Processus Vaginalis
The vaginal process (or processus vaginalis) is an embryonic developmental outpouching of the 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 potential for an i ...
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Testicle
A testicle or testis ( testes) is the gonad in all male bilaterians, including humans, and is Homology (biology), homologous to the ovary in females. Its primary functions are the production of sperm and the secretion of Androgen, androgens, primarily testosterone. The release of testosterone is regulated by luteinizing hormone (LH) from the anterior pituitary gland. Sperm production is controlled by follicle-stimulating hormone (FSH) from the anterior pituitary gland and by testosterone produced within the gonads. 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 compari ...
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Testes
A testicle or testis ( testes) is the gonad in all male bilaterians, including humans, and is homologous to the ovary in females. Its primary functions are the production of sperm and the secretion of androgens, primarily testosterone. The release of testosterone is regulated by luteinizing hormone (LH) from the anterior pituitary gland. Sperm production is controlled by follicle-stimulating hormone (FSH) from the anterior pituitary gland and by testosterone produced within the gonads. 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 (an ...
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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 The ovary () is a gonad in the female reproductive system that produces ova; when released, an ovum travels through the fallopian tube/oviduct into the uterus. There is an ovary on the left and the right side of the body. The ovaries are endocr ..., and normally obliterates. See also * List of homologues of the human reproductive system References Further reading * * * * * * * {{DEFAULTSORT:Canal Of Nuck Mammal female reproductive syst ...
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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; 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 ...
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Inguinal Hernia
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 the 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 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, st ...
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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 parasit ...
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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 The ovary () is a gonad in the female reproductive system that produces ova; when released, an ovum travels through the fallopian tube/oviduct into the uterus. There is an ovary on the left and the right side of the body. The ovaries are endocr ..., and normally obliterates. See also * List of homologues of the human reproductive system References Further reading * * * * * * * {{DEFAULTSORT:Canal Of Nuck Mammal female reproductive syst ...
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Tunica Vaginalis
The tunica vaginalis is a pouch of serous membrane within the scrotum that lines the testis and epididymis (visceral layer of tunica vaginalis), and the inner surface of the scrotum (parietal layer of tunica vaginalis). It is the outermost of the three layers that constitute the capsule of the testis, with the tunica albuginea of testis situated beneath it. It is the remnant of a pouch of peritoneum which is pulled into the scrotum by the testis as it descends out of the abdominal cavity during foetal development. Anatomy Visceral layer The visceral layer of tunica vaginalis of testis (lamina visceralis tunicae vaginalis testis) is the portion of the tunica vaginalis that covers the testis and epididymis. It is the superficial-most of the three layers that constitute the capsule of the testis, with the tunica albuginea of testis situated deep to it. Posteriorly, the visceral layer does not line the surface of the testis - instead, it passes onto the epididymis where t ...
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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 (testicles 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 INSL ...
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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 abdomen#Contents, 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, Thoracic diaphragm, 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 intrape ...
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Epididymis
The epididymis (; : epididymides or ) is an elongated tubular genital organ 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, in length; uncoiled the tube would be approximately 6 m (20 feet) 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. Structure The human 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 (). The head of the epididymis receives spermatozoa via the efferent ducts of the medi ...
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