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Vagina The vagina, from the Latin word meaning sheath, is the receptacle for the penis during sexual intercourse, the birth canal, and the outlet for the menstrual fl ow.

This muscular tube has a protective mucosal lining of stratifi ed squamous epithelium. Approximately 10 cm (4 inches) in length, it expands at its superior end to form a cuffl ike wrapping around the cervix of the uterus. The caverns of the cuffl ike superior end are called the fonices, and it is in this region that the sperm are deposited during intercourse.

1 Vagina

2 Nonkeratinized stratified squamous epithelium of the mucosa

3 Lamina propria of the mucosa

4 Inner circular layer of tunica muscularis

5 Outer longitudinal layer of tunica muscularis

6 Adventitia

7 Fundus of uterus

8 Body of uterus

9 Cervix of uterus

10Bladder

11Urethra

12Rectum

13Rectouterine pouch

14Vesicouterine pouch

15Pubic symphysis

16Clitoris

7

8

13

914

10

1

15

11

12

16

Sagittal section showing vagina in situ

Medial view

Photomicrograph of vaginal wall

25x

2

3

4

5

6

326

Female External Genitalia

Surrounding the openings of the vagina and ure-

thra in the perineum of the female are the external genital structures. Bounding the openings on either side are the folds of skin called the labia majora and labia minora. Between these folds is the common entry way to both urethra and vagina, the vestibule. Deep to the labial skin are the erectile tissues of the female, the clitoris and bulb of the vestibule. The greater vestibular glands empty their lubricating secretions into the vestibule and opening of the vagina.

1

Body of clitoris

7

Ischiocavernosus muscle

13

Gluteus maximus muscle

2

Crura of clitoris

8

Bulbospongiosus muscle

14

Gluteus medius muscle

3

Bulb of vestibule

9

Ischioanal fossa

15

Ischium

4

Greater vestibular gland

10

Perineal membrane

16

Gracilis muscle

5

Vestibule

11

Deep perineal fascia

17

Adductor muscles

6

Transverse perenei superficialis

12

Head of femur

18

Femoral artery

1

18

16

2

17

83

 

12

5

 

 

 

7

 

 

14

 

 

4

 

 

 

 

 

10

11

 

6

15

9

 

13

 

Perineal dissection revealing details of external genitalia

Inferior view

327

Male Reproductive Organs

Like the female, there are both internal and external genital organs in the male.

The major difference between the sexes is the enlargement of the erectile tissue organs of the male and the descent of the gonads, the testes, from an internal position to a suspended position outside the body cavity. The male genital organs include the testes suspended in the scrotum. The testes consist of an extensive tubular system that gives rise to the sperm, which then pass through the tubular ducts of egress — the rete testis, epididymis, ductus deferens, ejaculatory duct, and urethra — to exit from the male body. Accessory glands of the male join the ducts of egress and add secretions to the sperm, and the erectile intromittant organ, the penis, introduces the sperm into the female system.

1

Scrotum

18

2

Testis

 

3

Glans penis

 

4

Corpus cavernosum penis

 

5

Corpus spongiosum penis

17

6

Bulb of penis

7

Spongy urethra

 

8

Crus of penis

 

9

Bulbourethral gland

16

10Prostate gland

11Seminal vesicle

12Bladder

13Pubic symphysis

14

Rectus abdominis

14

 

15

Rectum

 

12

16

Sigmoid colon

 

11

17

Small intestine

 

 

 

18

Sacrum

 

15

 

 

13

10

9

8

6

5

4

7

1

2

3

Parasagittal section of male pelvis

Medial view

328

Testis and Epididymis

The testes are the site of sperm production in the male. Unlike the solid, cellular ovaries, the testes are collec-

tions of small, highly coiled tubes, the seminiferous tubules. Beginning at puberty the spermatogonia, sperm stem cells, in the walls of the seminiferous tubules begin meiosis and produce hundreds of millions of sperm cells daily. From the testis the sperm are moved into the epididymis where they are stored and reach maturity prior to passing into the ductus deferens.

1

Coelom of testis

7

Rete testis

13

Sertoli cell

2

External spermatic fascia

8

Spermatic cord

14

Basement membrane

3

Cremaster muscle

9

Spermatogonium

15

Interstitial cells (of Leydig)

4

Tunica albuginea of testis

10

Primary spermatocyte

16

Sperm in lumen of epididymis

5

Epididymis

11

Secondary spermatocyte

17

Mucosa of epididymis

6

Seminiferous tubules

12

Spermatid

18

Stereocilia

16

18

17

Photomicrograph of epididymis

200x

8

8

3

 

2

 

3

2

5

 

4

1

Testis and spermatic cord

Testis and spermatic cord

with fascia removed

with fascial coverings

Medial view

Medial view

 

12

11

10

9

8

5

7

6

14

13

13

15

15

Photomicrograph of seminiferous tubules

40x, callout 160x

Sagittal section of testis and spermatic cord

Medial view

329