male reprpductive system Flashcards

1
Q

seminal vesicles

A

located at the base of the bladder

contributes to 60% of semen

  • fructose - fuels the sperme
  • vitamin c
  • Substances that nourish and activate the sperm

contributes to fertility produces thick yellowish secretion

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2
Q

epididymits

A

spermatogeneis does not happen here - nb it happens in the testicles but then they move there to mature and grow and the vas deferens is the transporter to the urethra

divided into 3 regions
head- receives the spermatozoa
body tail

they lack the ability to swim forward (motility) and to fertilize an egg. Epididymal transit takes 2 to 6 days before they are ready to fertilise

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3
Q

where does spermatogenesi occur

A

testes

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4
Q

sertoli a

leydig

A

sertoli - nourishes

leydig - testeore

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5
Q

how does sperm get out of the epididymis

A

During emission, sperm flow from the cauda epididymis (which functions as a storage reservoir) into the vas deferens where they are propelled by the peristaltic action of muscle layers in the wall of the vas deferens, and are mixed with the diluting fluids of the prostate, seminal vesicles, and other accessory glands prior to ejaculation (forming semen).

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6
Q

surgical procedures on epididymis

A

Epididymotomy is the placing of an incision into the epididymis and is sometimes considered as a treatment option for acute suppurating epididymitis.

Epididymectomy is the surgical removal of the epididymis sometimes performed for post-vasectomy pain syndrome and for re

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7
Q

what is a vasectomy

can it be reverese?

A

either cut or block the vas deferens so no transport . our body still produces sperm, but they’re absorbed back into your body without harm.

Starting about 3 months after a vasectomy, your semen (cum) won’t contain any sperm, so it can’t cause pregnancy. But you’ll still have the same amount of semen you did before. There just won’t be any sperm in it.

Vasectomies are meant to be permanent, so they can’t always be undone. it is possible but no gurantee

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8
Q

complications of vasectomy

A

infection
long term pain after -chronic pain in one or both testicles that is still present three months after the procedure. Pain can range from a rare, dull ache to sharp, constant pain that can interfere with daily life you need another surgery , like remove epididymis, reversal of procedure or in final cases remove testicle

heamatoma into scrotum

sperm granulomas (caused by sperm leaking out)

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9
Q

posterior urtehra

A

prostatic urethra

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10
Q

Ectopic testicle

A

Ectopic testicle is when testicles are undescended in an abnormal pathway (penile, femoral, perineal or retrovesical)

know the differnece btween that and cyptochrodi

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11
Q

Complications of undescended testis:

A

increased incidence of testicular cancer, subfertility

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11
Q

Complications of undescended testis:

A

increased incidence of testicular cancer, subfertility

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12
Q

when would you do an orchiectemy for cytptochrodism

A

if an atrophic intrabdominal testis is detected (especially after puberty) as the testis is incapable of spermatogenesis and there is risk of malignancy

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13
Q

indications for orchiectomy

A

1) testicular cancer as well as male breast cancer and prostate (as it reduced androgens)
2) cytpochrodism - rare case
3) transgender people
4) severe damage beyond repair trauma, torsion

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13
Q

indications for orchiectomy

A

1) testicular cancer as well as male breast cancer and prostate (as it reduced androgens)
2) cytpochrodism - rare case
3) transgender people
4) severe damage beyond repair trauma, torsion

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14
Q

radical orchiectomy

A

you remove not only the testicle but the spermatic cord as well via an inguinal incision

15
Q

simple orchiectomy,

A

simple orchiectomy, the testicle and just a short segment of the spermatic cord are removed, typically through an incision in the scrotal wall.

16
Q

simple orchiectomy,

A

simple orchiectomy, the testicle and just a short segment of the spermatic cord are removed, typically through an incision in the scrotal wall.

17
Q

retractile testes

A

A retractile testicle is a testicle that may move back and forth between the scrotum and the groin. When the retractile testicle is residing in the groin, it might be easily guided by hand into its proper position in the scrotum Upon release, the testicle will remain in the proper position at least temporarily.

condition usually resolves before/around puberty

but sometimes it gets stuck in the inguinal canal and we call it now an ASCENDED TESTICLE

18
Q

RISK OF TESTICULAR CANCER IN CRYPTO

A

3-6 X

19
Q

RISK OF TESTICULAR CANCER IN CRYPTO

A

3-6 X

20
Q

CONDITIONS AFFECTING FERTILITY

A

Conditions causing male infertility:

· Congenital or acquired urogenital abnormalities

· Malignancies

· Urogenital tract infections

· Increased scrotal temp (as a consequence of varicocele)

· Endocrine disturbances

· Cryptorchidism

· Genetic abnormalities – microdeletions of Y chromosomes, Klinefelter’s

· Immunological factors

20
Q

CONDITIONS AFFECTING FERTILITY

A

Conditions causing male infertility:

· Congenital or acquired urogenital abnormalities

· Malignancies

· Urogenital tract infections

· Increased scrotal temp (as a consequence of varicocele)

· Endocrine disturbances

· Cryptorchidism

· Genetic abnormalities – microdeletions of Y chromosomes, Klinefelter’s

· Immunological factors

21
Q

is tx always necessary for cryptochordism

A

n most cases no treatment is necessary, as the testicles will usually move down into the scrotum naturally during the first 3 to 6 months of life.

22
Q

sperm parameters

A

Volume: 2-6ml (small volume - hypovolemia)
2. pH level: 7.2-8
3. Concentration (in 1ml): up to or = 20M (low is oligospermia, absence is azoospermia)
4. Count (in 1ml): >40M
5. Motility: more than 40% (low - astenozospermia, absent - necrozospermia)
6. Morphology: >14% (abnormal forms is teratozospermia)
Combines all parameters- oligoasthenoteratozospermia

23
Q

aa

A