Epididymis
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| Epididymis | |
|---|---|
 | |
| 1: Epididymis 2: Head of epididymis 3: Lobules of epididymis 4: Body of epididymis 5: Tail of epididymis 6: Duct of epididymis 7: Deferent duct (ductus deferens or vas deferens) | |
 | |
| The right testis, exposed by laying open the tunica vaginalis. | |
| Gray's | subject #258 1242 |
| Vein | Pampiniform plexus |
| Precursor | Wolffian duct |
| MeSH | Epididymis |
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The epididymis is part of the human male reproductive system and is present in all male mammals. It is a narrow, tightly-coiled tube connecting the efferent ducts from the rear of each testicle to its vas deferens.
Regions
The epididymis can be divided into three main regions
- the head (caput)
- the body (corpus)
- the tail (cauda)
Role in storage of sperm and ejaculation
Spermatozoa formed in the testis enter the caput epididymis, progress to the corpus, and finally reach the cauda region, where they are stored. Sperm entering the caput epididymis are incomplete - they lack the ability to swim forward (motility) and to fertilize an egg. During their transit in the epididymis, sperm undergo maturation processes necessary for them to acquire these functions.[1] Final maturation is completed in the female reproductive tract (capacitation).
During ejaculation, sperm flow from the lower portion of the epididymis (which functions as a storage reservoir). They are packed so tightly that they are unable to swim, but are transported via the peristaltic action of muscle layers within the vas deferens, and are mixed with the diluting fluids of the seminal vesicles and other accessory glands prior to ejaculation (forming semen).
The epididymis is one of only two regions of the body to have stereocilia (the inner ear being the other.)[2]
Pathology
An inflammation of the epididymis is called epididymitis. It is a swollen blood vessel from the testicle that appears or feels like an enlarged epididymis.
Embryology and vestigial structures
A Gartner's duct is a homologous remnant in the female.
Embryologically, the epididymis is derived from tissue that once formed the mesonephros, a primitive kidney found in many aquatic vertebrates. Persistence of the cranial end of the mesonephric duct will leave behind a remnant called the appendix of the epididymis. Additionally, some mesonephric tubules can persist as the paradidymis, a small body caudal to the efferent ductules.
Additional images
 Male reproductive system. |
 Testis |
 Schematic drawing of a cross-section through the vaginal process. |
 Microscopic shot. |
References
- ↑ Jones R (1999). "To store or mature spermatozoa? The primary role of the epididymis.". Int J Androl 22 (2): 57-67. PMID 10194636. abstract
- ↑ http://www.vasectomy-information.com/moreinfo/reabsorb.htm
- Moore, Keith L. & Persaud, T.V.N. (2003). The Developing Human: Clinically Oriented Embryology (7th ed.). Philadelphia: Saunders. ISBN 0-7216-9412-8
External links
- Histology at Boston University 16903loa
bs:Pasjemenik bg:Надсеменник cs:Nadvarle de:Nebenhodenfa:بربخit:Epididimo lt:Sėklidės prielipas nl:Bijbal no:Bitestikkelsimple:Epididymis sk:Nadsemenník sl:Obmodek fi:Lisäkives sv:Bitestikel
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
