MALE URETHRA

Muscular tube (18-22cm) Convey urine form internal to external urethral orifice Exit for semen 4 parts : intramural (preprostatic), prostatic, intermediate and spongy urethra

Longest and most mobile Duct of bulbourethral gland open into proximal part Distally, urethral gland (secrete mucus) open into small urethral lacunae entering lumen of this part

Arterial supply, innervations of urethra 1. Intramural and prostatic part Artery : prostatic branches of inferior vesical and middle rectal arteries Nerve : prostatic plexus (mixed sympathetic , parasympathetic and visceral afferent fibers) ariding from inferior hypogastric plexus 2. Intermediate part Artery : braches of dorsal artery of penis Nerve : same with prostatic part 3. Spongy part Artery : braches of dorsal artery of penis Nerve : somatic innervations by dorsal nerve of penis, a branch of pudendal nerve

1. Intramural part Extend almost vertically through neck of bladder Surrounded by internal urethral sphincter Diameter and length vary, depend whether bladder is filling / emptying 2. Prostatic urethra Anterior of prostate Widest and most dilatable part Have urethral crest- median ridge between prostatic sinuses (bilateral groove) Secretory prostatic duct open into prostatic sinuses Seminal colliculus- round eminence in middle of urethral crest with slit-like orifice that open into prostatic utricle Ejaculatory duct open onto colliculus, hence, urinary and reproductive tracts merge in this part 3. Intermediate (membranous) part Begin at apex of prostate, transverse deep peritoneal pouch Surrounded by external urethral sphincter Penetrate perineal membrane Enter bulb of penis Bulbourethral gland at posterolateral side Narrowest and least distensible 4. Spongy urethra Course through corpus spongiosum Initial widening in bulb of penis Widen again distally in gland of penis

DUCTUS DEFERENS
Continuation of duct of epididymis End by joining duct of seminal gland and form ejaculatory duct Primary component of spermatic cord Thick muscular wall, small lumen, give cordlike firmness Lined with inner and outer longitudinal smooth muscle, middle circular mescle

SEMINAL GLANDS (vesicle)

5 cm Between fundus of bladder and rectum Obliquely placed superior to prostate Do not store sperm Secrete thick alkaline fluid with fructose (energy source for sperm) and coagulating agent

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Superior end covered with peritoneum and is posterior to ureter Rectovesical pouch separate them from rectum Inferior end closely related to rectum, separated from it only by rectovesical septum Its duct join ductus deferens form ejaculatory duct Artery : inferior vesical and middle rectal arteries

SCROTUM
Cutaneous fibromuscular sac for testes Posteroinferior to penis, inferior to pubic symphysis Scrotal raphe- bilateral embryonic formation of scrotum; continuous on vental surface of penis with penile raphe and posteriorly with perineal raphe Septum of scrotum (prolongation of dartos fascia)- divide scrotum into 2 compartment, one for each testis Artery : Anterior: anterior scrotal A. (terminal branch of external pudendal A. from femoral A.) Posterior: posterior scrotal A. (terminal branch of superficial perineal branch of internal pudendal A.) It also receive branch from cremasteric A. (branch of inferior epigastric A. from external iliac A.) Innervations: Anterior: anterior scrotal N. (from ilioinguinal N.) and genital branch of genitofemoral N. Posterior: branch of superficial perineal N. of pudendal N. and posterior cutaneous nerve of thigh Sympathetic fibers: thermoregulation of testes, stimulate contraction of smooth dartos muscle in cold, stimulate scrotal sweat wile inhibiting contraction of dartos muscle in excessive warmth

EJACULATORY DUCTS
2.5 cm Union of ductus deferens and duct of seminal gland Arise near neck of bladder Open into seminal colliculus Artery : superior vesical artery

PROSTATE
Largest accessory gland of male reproductive system Surround prostatic urethra Two third = glandular part One third = fibromuscular Have fibrous capsule Prostatic duct open into prostatic sinuses Prostatic fluid- thin, milky fluid, provide approximately 20% of volume of semen and play role in activating sperm Artery : inferior vesical artery, internal pudendal artery , middle rectal artery

PENIS
Male copulatory organ Anatomical position = penis erect Common outlet for urine and semen Have 3 cylindrical cavernous bodies of erectile tissue: paired corpora cavernosa dorsally, single corpus spongiosum ventrally Each corpora cavernosa surrounded by tunica albuginea (fibrous capsule) Corpora spongiosum contain spongy urethra

BULBOURETHRAL GLANDS
Pea-sized Posterolateral to intermediate urethra Largely embedded in external urethral sphincter Its duct open into proximal part of spongy urethra Its mucus-like secretion enter urethra during sexual arousal

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Skin of penis is thin and darkly pigmented, connected to tunica albuginea by loose connective tissue At neck of gland, skin and fascia prolonged as double layer of skin, prepuce (foreskin) Franulum of prepuce median flod that pass from deep layer of prepuce to urethral surface of gland Artery mainly by branches of internal pudendal A. (dorsal, deep arteries, and arteries of bulb of penis). For skin, by external pudendal A. (superficial and deep branch) Innervations : Skin and gland penis (sensory and sympathetic): dorsal nerve of penis, a terminal branch of pudendal N. Skin of root: branch of ilioinguinal N. Helicine arteries (artery involve in erection): cavernous nerve (parasympathetic) 3 parts: root, body, glans 1. Root Attached part Have crura, bulb, ischiocavernosus muscle and bulbospongiosus muscle Bulbospongiosus m. support and fixe pelvic floor; compress bulb of penis to expel last drops of urine/semen; assist erection by compress outflow via deep perineal vein and by pushing blood from bulb into body Ischiocavernosus m.- maintain erection by compressing outflow of vein and pushing the blood from root into body Crura and bulb have erectile tissues 2. Body Free pendulous part, suspended from pubic symphysis No muscle except bulbospongiosus near root and ischiocavernosus that embrace crura 3. Gland Distal expansion of corpus spongiosum Conical shape

Corona of gland- margin of gland which project beyond the end of corpora cavernosa Neck of gland- obliquely grooved constriction

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