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Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 1
The Language Of The Language Of MedicineMedicine1010thth edition edition
Davi-Ellen ChabnerDavi-Ellen Chabner
Chapter 9Male Reproductive System
Copyright © 2014, 2011, 20057by Saunders, an imprint of Elsevier Inc. 2
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 3
Chapter Goals
• Name, locate, and describe the functions of the organs of the male reproductive system.
• Define abnormal conditions and infections that affect the male reproductive system.
• Differentiate among several types of sexually transmitted infections.
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 4
Chapter Goals (cont’d)
• Define combining forms used to describe the structures of this system.
• Describe various laboratory tests and clinical procedures that are pertinent to the disorders of the male reproductive system, and recognize related abbreviations.
• Apply your new knowledge to understanding medical terms in their contexts, such as medical reports and records.
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 5
Chapter 9 Lesson 9.1
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 6
Introduction
• The male sex cell is called a spermatozoon, or sperm cell.
• The sperm cell carries its nuclear hereditary material, or chromosomes, in its head region.
• The tail consists of a flagellum, which makes the sperm cell mobile.
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 7
Introduction (cont’d)
• Only one spermatozoon out of 300 million sperm cells released during ejaculation can fertilize a single female ovum.
• If more than one egg is present in the fallopian tubes during ejaculation, multiple fertilizations are possible.
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 8
Introduction (cont’d)
• Twins resulting from the fertilization of separate ova by separate sperm cells are called fraternal twins.
• Twins resulting from the fertilization of a single egg by a single sperm are called identical twins.
Fraternal twins. Notice the 6-week-old embryos in two separate amnionic sacs..
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 9
Introduction (cont’d)
• The organs of the male reproductive system are designed to produce and release billions of sperm cells throughout the man’s lifetime.
• The hormone called testosterone is responsible for the bodily characteristics of the male (such as beard, pubic hair, and deeper voice).
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 10
Anatomy
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 11
Anatomy (cont’d)
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 12
Anatomy (cont’d)
• Internal structure of the testis and the epididymis
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 13
Anatomy (cont’d)
• Label the passage of sperm from the seminiferous tubules to the outside of the body.
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 14
Anatomy (cont’d)
• The passage of sperm from the seminiferous tubules to the outside of the body
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 15
Vocabulary
• bulbourethral glands
• ejaculation
• ejaculatory duct
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 16
Vocabulary (cont’d)
• bulbourethral glands
• ejaculation
• ejaculatory duct
Pair of exocrine glands near male urethra; Cowper glands
Ejection of sperm and fluid from male urethra
Tube through which semen enters the male urethra
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 17
Vocabulary (cont’d)
• epididymis (pl.: epididymides)
• erectile dysfunction
• flagellum
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 18
Vocabulary (cont’d)
• epididymis (pl.: epididymides)
• erectile dysfunction
• flagellum
One of a pair of long, tightly coiled tubes above each testis that stores and carries sperm to the vas deferens
Inability of an adult male to achieve an erection; impotence
Hair-like projection on a sperm cell that makes it motile
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 19
Vocabulary (cont’d)
• fraternal twins
• glans penis
• identical twins
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 20
Vocabulary (cont’d)
• fraternal twins
• glans penis
• identical twins
Two infants resulting from fertilization of two separate ova by two separate sperm cells
Sensitive tip of the penis; comparable to the clitoris in the female
Two infants resulting from division of one fertilized egg into two distinct embryos; conjoined (“Siamese”) twins are incompletely separated identical twins
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 21
Vocabulary (cont’d)
• interstitial cells of the testes
• parenchymal tissue
• penis
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 22
Vocabulary (cont’d)
• interstitial cells of the testes
• parenchymal tissue
• penis
Specialized cells adjacent to the seminiferous tubules in the testes; produce testosterone; also called Leydig cells
Essential distinctive cells of an organ
Male external organ of reproduction
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 23
Vocabulary (cont’d)
• perineum
• prepuce
• prostate gland
• scrotum
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 24
Vocabulary (cont’d)
• perineum
• prepuce
• prostate gland
• scrotum
External region between the anus and scrotum in the male
Foreskin; fold of skin covering tip of penis
Exocrine gland at base of male urinary bladder; secretes fluid part of semen into urethra during ejaculation
External sac that contains the testes
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 25
Vocabulary (cont’d)
• semen
• seminal vesicles
• seminiferous tubules
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 26
Vocabulary (cont’d)
• semen
• seminal vesicles
• seminiferous tubules
Spermatozoa and seminal fluid discharged from the urethra during ejaculation
Paired sac-like exocrine glands that secrete fluid into the vas deferens
Narrow, coiled tubules that produce sperm in the testes
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 27
Vocabulary (cont’d)
• spermatozoon (pl.: permatozoa)
• sterilization
• stromal tissue
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 28
Vocabulary (cont’d)
• spermatozoon (pl.: permatozoa)
• sterilization
• stromal tissue
Sperm cell
Procedure that removes a person’s ability to produce or release reproductive cells through removal of testicles, vasectomy, or oophorectomy
Supportive, connective tissue or an organ; stroma
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 29
Vocabulary (cont’d)
• testis (plural: testes)
• testosterone
• vas deferens
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 30
Vocabulary (cont’d)
• testis (plural: testes)
• testosterone
• vas deferens
Male gonad (testicle) that produces spermatozoa and testosterone
Hormone secreted by interstitial tissue of the testes; responsible for male sex characteristics
Narrow tube carrying sperm from the epididymis toward the urethra; ductus deferens
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 31
QUICK QUIZ:
1. Which term refers to the skin covering the tip of the penis?
A. StromaB. Vas deferensC. PrepuceD. Seminal vesicle
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 32
Terminology
andr/o malebalan/o glans peniscry/o coldcrypt/o hiddenepididym/o epididymisgon/o seedhydr/o water, fluidorch/o, orchi/o, testis, testicle orchid/o
Combining FormCombining Form MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 33
Terminology (cont’d)
pen/o penisprostat/o prostate glandsemin/i semen, seedsperm/o spermatozoa, sementerat/o monstertest/o testis, testiclevaric/o varicose veinsvas/o vessel ductzo/o animal life
Combining FormCombining Form MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 34
Terminology (cont’d)SUFFIXES
• -genesis formation
• -one hormone
• -pexy fixation, put in place
• -stomy new opening
SuffixSuffix MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 35
Chapter 9Lesson 9.2
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 36
Pathologic Conditions
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 37
Pathologic Conditions (cont’d)
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 38
Pathologic Conditions (cont’d)
Hypospadias• Surgical repair involves
exciding a portion of the prepuce, wrapping it around a catheter, suturing it to the distal part of the urethra, bringing it to the end of the penis
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 39
Sexually Transmitted Diseases
STDsChlamydiaGonorrheaHerpes genitalisHuman papilloma virus (HPV)Syphilis
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 40
Laboratory Tests and Clinical Procedures
• Laboratory testsPSA testSemen analysis
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 41
QUICK QUIZ:
2. What does the PSA test for?
A. Levels of infectionB. Sperm mobilityC. Sperm motilityD. Levels of an antigen
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 42
Laboratory Tests and Clinical Procedures
Clinical proceduresTransurethral resection of the prostate—
TURP
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 43
Laboratory Tests and Clinical Procedures (cont’d)
Clinical proceduresVasectomy
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 44
QUICK QUIZ:
3. Which term means removal of the prostate?
A. OrchiectomyB. ProstatectomyC. VasectomyD. Prostatitis
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 45
AbbreviationsBPH benign prostatic hyperplasiaDRE digital rectal examination ED erectile dysfunctionGU genitourinaryHPV human papilloma virusHSV herpes simplex virusPID pelvic inflammatory diseasePIN prostatic intraepithelial neoplasiaPSA prostate-specific antigen
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 46
Abbreviations (cont’d)
RPR rapid plasma reaginSTI sexually transmitted diseasesTRUS transrectal ultrasoundTUIP transurethral incision of the prostateTUMT transurethral microwave thermotherapyTUNA transurethral needle ablationTURP transurethral resection of the prostate
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 47
Review Sheet
andr/o __________balan/o __________cry/o __________crypt/o __________epididym/o __________gon/o __________ hydr/o __________ orch/o, orchi/o __________
Combining FormCombining Form Meaning Meaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 48
Review Sheet (cont’d)
andr/o malebalan/o glans peniscry/o coldcrypt/o hiddenepididym/o epididymisgon/o seedhydr/o water, fluidorch/o, orchi/o testis, testicle
Combining FormCombining Form MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 49
Review Sheet (cont’d)
pen/o ___________prostat/o __________semin/i __________ sperm/o __________terat/o __________ test/o __________varic/o __________vas/o __________zo/o __________
Combining FormCombining Form MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 50
Review Sheet (cont’d)
pen/o penisprostat/o prostate glandsemin/i semen, seedsperm/o spermatozoa, sementerat/o monstertest/o testis, testiclevaric/o varicose veinsvas/o vessel ductzo/o animal life
Combining FormCombining Form MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 51
Review Sheet (cont’d)SUFFIXES
• -genesis __________
• -one __________
• -pexy __________
• -stomy __________
SuffixSuffix MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 52
Review Sheet (cont’d)SUFFIXES
• -genesis formation
• -one hormone
• -pexy fixation, put in place
• -stomy new opening
SuffixSuffix MeaningMeaning
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 53
QUICK QUIZ:
4. Which term means “no sperm or semen are produced”?
A. AspermiaB. OligospermiaC. AnorchismD. Spermolytic