Prostate
- Pyramidal shaped fibromuscular glandular organ
- Surrounds prostatic urethra
- Resembels the size and shape of a "chestnut"
- Prostatic capsules: (1) True capsule - thin fibrous sheath surrounds gland (2) false capsule - condensed extraperitoneal fascia which continues into the fascia surrounding the bladder
- Blood supply: branches of inferior vesicle artery (br internal iliac)
- Venous drainage: receives dorsal vein of penis, drains into internal iliac vein
Relationships
- Superiorly
- Continous with neck of bladder
- Urethra enters upper aspect of prostate near anterior border
- Inferiorly
- Apex of prostate rests on external sphincter of bladder
- Anteriorly
- Pubic symphysis separated by extraperitoneal fat of the "cave ofRetzius" or retropubic space
- Close agains thte prostate in this space is the prostatic plexus of veins
- Apex of prostate = pubuprostatic ligament (condensation of fibrous tissue)
- Posteriorly
- Lies rectum separated by fascia of Denonvilliers
- Laterally
- Levator ani
Scrotum
- Pouch containing testes and coverings
- Skin is thin, pigmented, rugose and marked by median longitudinal raphe
- Richly endowed with sebaceous glands
- Contains no fat but does contain involuntary dartos muscle
Testis & Epididymis
- Left lies higher than right
- Contained in white fibrous capsule (tunica albuginea)
- Anteriorly invaginated into tunica vaginalis
- Epididymis (expanded head, body, pointed tail inferiorly)
- Blood supply: testicular artery (br aorta)
- Internal structure: 200-300 lobules containing seminiferous tubules, anastamose with rete testes, pass to head of epididymis
Testicular development
-
Arises germinal ridge of mesoderm in posterior wall of abdomen
-
Enlarges, undergoes caudal migration
-
Gaubernaculum "rudder" strand guides into scrotum (rarely fragments of adjacent developing organs - spleen, suprarenal - caught up and carried into scrotum)