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The ectopic testis can be in the perineal region, the opposite side of the scrotum, the suprapubic region, the femoral region, or the superficial inguinal pouch. [1]The ectopic testis is initially normal, but if it is ignored after childhood, it may become small and soft, with spermatogenesis arresting and interstitial cell proliferation occurring.
The epididymis (/ ɛ p ɪ ˈ d ɪ d ɪ m ɪ s /; pl.: epididymides / ɛ p ɪ d ɪ ˈ d ɪ m ə d iː z / or / ɛ p ɪ ˈ d ɪ d ə m ɪ d iː z /) is an elongated tubular genital organ attached to the posterior side of each one of the two male reproductive glands, the testicles.
This is attached to the testis and extends through the inguinal canal to the wall of the scrotum as a testis. It carries with it the ductus deference, which are testicular vessels and nerves, a portion of the abdominal muscle, and lymph vessels. All of the structures remain attached to the testis and form what is known as the spermatic cord.
The appendix testis is a Müllerian duct remnant and consists of fibrous tissue and blood vessels within an envelope of columnar epithelium. The appendix testis is attached to the upper pole of the testis and found in the groove between the testis and the epididymis. The appendix epididymis is attached to the head of the epididymis.
As the scrotum and labia majora form in males and females respectively, the gubernaculum aids in the descent of the gonads (both testes and ovaries). [3] The testes descend to a greater degree than the ovaries and ultimately pass through the inguinal canal into the scrotum. [3] The mechanism of this movement is still debated. [3]
The testes, at an early period of foetal life, are placed at the back part of the abdominal cavity, behind the peritoneum, and each is attached by a peritoneal fold, the mesorchium, to the mesonephros.
The mediastinum testis is a thick yet incomplete septum at the posterior part of the testis formed by the tunica albuginea of testis projecting into the testis at its posterior aspect where the testis is not lined by the serous membrane to allow for the attachment of the epididymis.
In cryptorchidism a diagnosis is made from a physical examination which is performed when the baby is lacking one or both testes in the dependant portion of the scrotal sac. [15] 70% of cryptorchid testes can be felt and are unable to be pulled into the scrotum or retreats quickly after being pulled into a higher position. In 30% of cases the ...