TESTIS AND SPERMATIC CORD
Introduction
โ€ข Male gonad.
โ€ข Homologous with ovary.
โ€ข Function:-
โ€“ Production of
spermatozoa.
โ€“ Secretion of testosterone.
โ€ข Shape :-
โ€“ Oval/ellipsoid.
โ€ข Measurements:-
โ€“ 4x3x2.5 cms
External features
โ€ข Two poles.
โ€ข Two surfaces.
โ€ข Two borders.
โ€ข Epididymis
Covering
โ€ข Tunica vaginalis.
โ€“ Persistent lower
portion of processus
vaginalis.
โ€ข Tunica albuginea.
โ€“ Thick dense layer of
fibrous tissue.
โ€ข Tunica vasculosa.
โ€“ Inner most vascular
layer lining the lobules.
Structure
Blood supply
โ€ข Arterial
supply:-
โ€“ Testicular
artery
โ€ข Venous
drainage:-
โ€“ Pampinifor
m plexus of
veins.
Lymphatic drainage
Descent of testis
โ€ข WHY???
โ€ข Testis develops in the abdominal cavity.
โ€ข Processus vaginalis.
โ€ข Gubernaculum testis.
โ€ข Sequence:-
โ€“ Loin to iliac fossa โ€“ 3rd month of IUL.
โ€“ Deep inguinal ring โ€“ 4th โ€“ 7th IUL.
โ€“ In the inguinal canal โ€“ 7 th IUL.
โ€“ External Inguinal ring โ€“ 8th IUL.
โ€“ Scrotum โ€“ 9th month.
Descent of testis
Factors responsible for descent
โ€ข Differential growth of the body wall.
โ€ข Increased intra-abdominal pressure &
temperature.
โ€ข Hormones ( male hormones produced by
testis)
โ€ข Contraction of gubernaculum.
Embryological remnants
โ€ข Appendix of testis
โ€“ Remnant of mullerian duct.
โ€ข Appendix of epididymis.
โ€“ Mesonephric remnant
APPLIED
Hydrocele
Varicocele
โ€“ Reasons:-
โ€ข ???
Testicular Ca
Imperfect descent of the testis
โ€ข May be incomplete descent or ectopia testis.
โ€ข Cryptorchidism โ€“ absence of testis in one
scrotum.
โ€ข Incomplete descent :- types
โ€ข Ectopia testis โ€“ deviation from the normal
path of descent.
Undescended Testis
Torsion of testis
EPIDIDYMIS
Epididymis
โ€ข Comma shaped structure.
โ€ข Made up of highly coiled tubes that act as
reservoirs of the spermatozoa.
โ€ข Parts:-
โ€“ Head, body , tail.
โ€“ Head connected to the upper pole of testis by
efferent ductules.
SPERMATIC CORD
Testis & spermatic cord
Testis & spermatic cord
Testis & spermatic cord

Testis & spermatic cord