DEVELOPMENT
OF
MALE REPRODUCTIVE SYSTEM
                       Gonad :
                       Testis.
                       Genital Ducts:
Prostatic urethra
                       Epididymis.
                       Vas deferens.
                       Urethra.
                       Genital Glands:
                       Seminale vesicle.
                       Prostate.
                       Bulbourethral Glands.
DEVELOPMENT OF GONADS
            During 5th week: gonadal
             development occurs.
            Until 7th week: gonads
             are similar in both sexes
            Gonads are derived from
             3 sources:
        1.   Mesothelium
             (mesodermal epithelium
             lining the coelomic cavity)
        2.   Underlying mesenchyme
        3.   Primordial germ cells
INDIFFERENT GONADS
          Gonadal ridge: a bulge on the
           medial side of mesonephros
           produced by:
     1.    Proliferation of mesothelium
           (cortex)
     2.    Proliferation of mesenchyme
           (medulla)
          Gonadal (primary sex) cords:
          The proliferating mesothelial
           cells fuse and penetrate the
           underlying mesenchyme to form
           gonadal cords.
     3.   Primordial germ cells:
          endodermal cells of the yolk
          sac migrate along dorsal
          mesentery of hindgut to
          gonadal ridges & become
          incorporated into gonadal cords.
DEVELOPMENT OF TESTIS
         The Y chromosome has a testis-
           determining factor (TDS) that
           differentiates gonad into
           testis.
         At 7th week:
          Regression of cortex &
           differentiation of medulla into
           testis.
          Gonadal cords condense &
           extend into medulla
           (Medullary cords) to form
           seminiferous cords.
          The characteristic feature is
           the development of a thick
           fibrous capsule (tunica
           albuginea) that separates the
           enlarging testis from
           mesonephros.
             DEVELOPMENT OF TESTIS
                                              Seminiferous cords develop into:
                                               semineferous tubules
                                              Semineferous tubules remain solid
                                               until puberty.
                                                     puberty Its walls are
                                               composed of:
                                          1.   Sertoli cells: derived from surface
                                               epithelium of testis (mesothelial
                                               cells)
                                          2.   Spermatogonia: derived from
                                               primordial germ cells
                                              By eighth week, mesenchyme
                                               surrounding semineferous cords
Germ cells
                      Mesothelial Cells
                                               gives rise to interstitial cells (of
  Mesenchymal cells
                                               Leydig) secreting testosterone.
DEVELOPMENT OF MALE GENITAL DUCTS
 Leydig’s cells                       Sertoli cells
   Testosterone (8th
                                 Müllerian inhibiting substance
        week)
                              (Anti- Müllerian hormone) (7th week)
1) Masculine differentiation of
   mesonephric duct:                Suppression of development
   epididymis,                         of paramesonephric
   vas deferens, seminal glands,         (Müllerian) duct
   ejaculatory duct.
2) Masculine differentiation
            of external
   genitalia
     DEVELOPMENT OF MALE GENITAL
              GLANDS
1.   SEMINAL GLAND:
     mesodermal outgrowth from
     mesonephric duct.
2.   PROSTATE GLAND:
     endodermal outgrowth from
     prostatic urethra.
3.   BULBOURETHRAL
     GLAND: endodermal
     outgrowth from spongy
     urethra.
     Stroma & Smooth muscles in
     2 & 3 are derived from
     surrounding mesenchyme
Genital tubercle: produced from
mesenchyme at the cranial end of
cloacal membrane. It elongates to
form a primordial phallus
Urogenital folds: develop on each
side of cloacal membrane
Labioscrotal swellings: develop
on
each side of urogenital folds        Urogenital
                                     membrane
                                     INDIFFERENT STAGE
                                                OF
                                           EXTERNAL
                                           GENITALIA
                                       (from 4th to 7th week)
       DEVELOPMENT OF MALE EXTERNAL
                   GENITALIA
            (stimulated by testosterone)
    Begins at 9th week
    Complete differentiation
     at 12th week:
             week
1.   The phallus enlarges to
     form the penis
2.   The urogenital folds fuse
     to form the spongy
     (penile) urethra
3.   The labioscrotal folds
     (swellings) fuse to form
     the scrotum
DESCENT OF TESTIS
                                              Internal descent
                             Inguinal canal
         Labioscrotal fold
External descent
                                                 Scrotum
DESCENT OF TESTIS
         Gubernaculum:
               a mesenchymal band
          extending from inferior pole
          of gonad to labioscrotal fold.
         Inguinal canal: a pathway
          formed by gubernaculum
          through layers of anterior
          abdominal wall.
         Processus vaginalis: a
          peritoneal fold passing
          through inguinal canal before
          testis to facilitate its descent.
                 INTERNAL DESCENT OF
                       TESTIS
                           Definition: Descent of
                            testis from posterior
                            abdominal wall to deep
                            inguinal ring.
                           Time: During 12th week
                           Cause: a relative
                            movement resulting from
                            elongation of cranial part
                            of abdomen away from its
Inguinal canal
                            caudal part (future pelvic
                            cavity).
EXTERNAL DESCENT OF
      TESTIS
            Definition: Descent of
             testis from deep inguinal
             ring, through inguinal
             canal, to scrotum
            Time: Begins in 7th month
             and takes 2 to 3 days
            Causes:
        1.   Controlled by androgens.
        2.   Guided by gubernaculum.
        3.   Facilitated by processus
             vaginalis.
        4.   Helped by increased
             intra-abdominal pressure
             resulting from growth of
             abdominal viscera.
     EXTERNAL DESCENT OF
           TESTIS
1.   More than 97% of full-term new
     born males have both testes in
     scrotum.
2.   During first 3 months after birth,
                                 birth
     most undescended testes
     descend into scrotum.
3.   No spontaneous descent occurs
     after the age of 1 year.
                        year
EXTERNAL DESCENT OF
      TESTIS
       Complete descent of testis
         is associated by :
        Degeneration of
         gubernaculum.
        Obliteration of stalk of
         processus vaginalis.
        Persistence of part of
         processus vaginalis
         surrounding the testis in
         the scrotum to form
         “tunica vaginalis”
               CRYPTORCHIDISM
              (UNDESCENDED TESTIS)
    Incidence: is up to 30% of
     premature & 3-4% of full term
     males
    Cause: deficiency of
     androgens.
    Common sites: look to figure
    Complications:
1.   Sterility, if bilateral.
2.   Testicular cancer (20-44%).
         CONGENITAL INGUINAL
              HERNIA
   Definition: Herniation of a
    loop of intestine through a
    non-obliterated processus
    vaginalis.
    A: incomplete            B:
    complete (in scrotum)
   Cause: The processus
    vaginalis does not            Failure of closure of processus vaginalis
    obliterate & remains in
    open communication with
    the peritoneal cavity.
HYDROCELE OF SPERMATIC CORD                      HYDROCELE OF TESTIS
 Accumulation of fluid in spermatic     Accumulation of fluid in tunica vaginalis
cord due to a non-obliterated portion      (in scrotum) due to non-obliteration
   of stalk of processus vaginalis      of the whole stalk of Processus vaginalis
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