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Contents

I.BonesandStructuresofthePelvis........... 2 IX.Radiology .................................................. 5


II.MusclesofthePelvis................................2 X.MaleHistology..........................................5
III.BloodSupplytothePelvis........................2 XI.FemaleHistology......................................6
IV.NervesofthePelvis..................................3 XII.Embryology...............................................6
V.ThePerineum...........................................3
VI.MaleAnatomy..........................................3
VII.FemaleAnatomy.......................................4
VIII.CrossSectionalAnatomy..........................4

QuestionBreakdown
Written Practical
Reproductive: Comprehensive: GrossAnatomy: Histology:
Anatomy/Embryology:30 Spirometry:2 Structures(e.g.ligs):5 Male:6
MaleHistology:7 Appendix:2 Organs:3 Female:6
FemaleHistology:7 EsophagealMotility:1 Muscles:3 UrinarySystem:1
Physiology:29 Lipids:1 Arteries:3 GISystem:1
MaleDisorders:5 Pharmacokinetics:1 Nerves:2 Models:2(1M,1F)
FemaleDisorders:3 Smoothm.relaxation:1 Regions(Pouches):2 Radiology:2
Endocrinesecretions:1 Bones:1 Comprehensive:
CrossSection:1 Post.Abd.Wall:1
Total:81 Total:9 Heart:1

TotalQuestions:90 TotalQuestions:40


Page2 ReproducttiveExamTables
TableI Bo
onesandStructuresoftthePelvis
Bone/Structture Loccation Significance Images
Sacrospinou uslig.(SSL) Saccrum ischialspine Separatessciaticforamenintosuperiorandinferiorr
Sacrotubero ouslig.(STL) Saccrum ischialtube erosity Lowerborderoffsciaticforamen
Sacrococcyggealligs. Saccrum coccyx Stabilizecoccyxonsacrum
Sacroiliacliggs. Saccrum ilium Stabilizesacroiliiacjoint
Sacralpromontory(SP) AntteriorsuperiorborrderofS1 Superiormargin nofpelvicinlet
Iliaccrests Sup periorborderofiliium AtlevelofL5,m
marksfalsepelvis
Iliopubicemminence Iliopubicjunction Markschangefrromiliumtopubiss
Arcuateline e Meedialborderofthe eilium Formsiliopectinnealline,pelvicinlet
Ischialspine e Mid dwaydownpost.b borderofischium
AttachesSSL,dividingsciaticforam men
Ischialtuberrosity(IT) Infeeroposteriorborderofischium AttachesSTL;inwardinmales,evertedinfemales
Ischiopubicramus Infeerioredgeofobtuuratorforamen
Inferiorbordero ofpelvis,attachessobturatorint.m.
Superiorpubicramus Sup peroanterioredge eofobt.foramen
Originoflevatorranimm.
Pectineallin ne Sup peromedialedgeo ofsup.pub.ramuss
Formsiliopectinnealline,pelvicinlet
Pubictuberccle Antteromedialpubicrramus Attachesinguinaalligament
Pubicsymph hysis Meedialborderofpub bis Cartilaginousfusionofpubicbonees
Obturatorfo oramen Bettweenischiumand dpubis Conductsobturaatora/v/n,obturaatorint/extmm.
Obturatorm membrane Fillssobturatorforamen Fibroussheet
Obturatorcaanal Sup periorportionofo
obturatorforamen n
Conductsobturaatora/v/n
Sup inf:sup.ggluteala/v/n,pirifo ormism.,inf.
Greatersciaaticforamen BouundbySSL,ischiumm,andsacrum glutealn.,pudendaln.,sciaticn.,post.fem.cut.N.,,
n.toobturatoriinternus,n.toquaadratusfemoris
Tendonofobturatorinternus,int.pudendala/v,
Lessersciatiicforamen Bou undbySSL,ischiumm,andSTL
pudendaln.
Pelvicinlet BouundbySP,iliopecttinallines,pubsym
mHeartshapedin nmales,roundinffemales
Pelvicoutlett Bouundbycoccyx,ITs,pubicarch Smallinmales,llargeinfemales
False(greate er)pelvis Fro
omiliaccreststopelvicinlet Deepinmales,sshallowinfemaless
True(lesser))pelvis Fro
ompelvicinlettop
pelvicoutlet Deep/narrowin
nmales,wide/shallowinfemales

TableII Muscle
esofthePellvis
Images Musclee Attachmments Action Innervation
Coccyggeusm.(ischiococccygeus) Ischium
mandSSL coccyyx Closespeelvicoutlet S34 spinalnn
n.
Levato
oranimm.(ischio & Tendinousarch coccyxx& Closespeelvicoutlet,e.g.
Pudendaln.(SS24)
pubococcygeus,pubore ectalis) rectumm urine,orggasm,childbirth
Ischiop
pubicramus greeater
Abducts//externallyrotatees N.toobturatoor
Obturaatorinternusm. trochannter
thigh internus(L5SS2)
Superoolateraltotendinousarch
Greatersciaticnotch greater
g N.topiriformis
Piriformism. Externallyyrotatesthigh
trochannter (L5S2)
Maintainsclosureofanus
Ext.an
nalsphincter Coccyx surroundsanaalcanal Pudendaln.(SS24)
(voluntarry)
Maintainsclosureofanus Parasympatheetic
Int.an
nalsphincter Surroun
ndsanalcanal
(involunttary) branchesofS224

TableIII BloodSup
pplytotheP
Pelvis
ParentVessel Vessel(inbranchingorder) Structuressuupplied Images
Testicular/ovarianaa. Testicles/ovaaries
Abdominalaaorta
Mediansaacrala. L45,sacrum,,coccyx
Inf.mesente
erica. Superiorrrectala. Proximalrecttumtoint.analsp
phincter
Deepcircuumflexiliaca. Int.abd.obliq
que,transversusaabdominis
Externaliliaca.
Inferiorhyypogastrica. Rectusabdom minism.
Iliolumbarra. Psoasmajor,quadratuslumborum,iliacus
Internaliliacca.
Lateralsaccrala. Suppliesconttentsofsacralcan
nal
Posteriorbrranch
Superiorggluteala. Gluteusmaxiimus
Obturatorra. Adductors,peectineus,gracilis,obturatorext.
Medialumbilicalligs. Vestigeindeepportionofant.abd.wall
Umbilicala.
Superriorvesicala. Superiorbladdder,ureter,ductuusdeferens
Uterinnea. Uterus
Uterinea..(female)
Vaginnala. Vagina,vestibbule
Internaliliacca. Middlerectala. Rectum,prosstate(M)
Middlerectala.
Anteriorbraanch Inferiorvesicala. Fundusofblaadder,prostate(MM)
Inferiorgluteala. Gluteusmaxiimus
Intern
nalpudendala. Urethra,perineum,bulboureth hralgland
Inferiorrectala. Distalrectum
m
Internalpudendala.
Dorsaala.topenis/clito
oris Dorsumofpeenis,corpuscavern nosum
Deepa.topenis/clitoris Corpuscaverrnosum

ReproducctiveExamTables Paage3
TableIV
V Nerve
esofthePelvvis
Images Nerve Origin Supplies
Iliohyppogastricn. L1 Transversusabdo ominus,skinoverlatglutealregion
Ilioinguinaln. L1 Skinoverrootofpenisandupperscrotum/labiamajo ora
Genito ofemoraln. L12 Cremasterm.,skinofscrotum,mon nspubis,labiamajjora
Lateralcutaneousn.ofthigh L23(ant) Skinonlateralthiigh
Femorraln. L24(post) Musclesofanteriorthigh(extensionofknee)
Obturaatorn. L24(ant) Musclesofmediaalthigh(adductorss,gracilis,pectineuus)
Lumbo osacraltrunk L45 Connectslumbarandsacralplexusees
Superiiorglutealn. L4S1(post) Gluteusmedius& &minimus,tensorfasciaelatae
Inferio
orglutealn. L5S2(post) Gluteusmaximus
Nervetopiriformis S12 Piriformis
Sciaticcn.tibialn. L4S3(ant) Musclesofposterriorthigh&leg,fooot
Sciaticcn.commonfibuularn. L4S3(post) Musclesofanteriorleg
N.toqquadratusfemoriss/inf.gemellus L4S1(ant) Quadratusfemoris,inferiorgemellu usmm.
N.tooobturatorinternuss/sup.gemellus L5S2(ant) Obturatorinternu us,superiorgemelllusmm.
Posterriorcutaneousn.oofthigh S13 Skinonposteriorthigh
Puden ndaln. S24 Externalgenitalia,voluntarysphincctersofbladder,annus
Superiiorhypogastricpleexus(Symp) Symp.trunk Inferiorhypogastricplexusviahypo ogastricn.
Inferio
orhypogastricplexxus(Symp) Symp.trunk Middlerectal,vessical,prostatic/uteerovaginalplexuses
Pelvicsplanchnicnn.(Paara) S24(ant) Internalurethralaandrectalsphinctters,erection

Sacralsplanchnicnn.(Syymp) Symp.trunk Inferiorhypogastricplexus

TableV The
ePerineum
Structure LLocation Significcance Imaages
Urogenitalttriangle P
Pubicsymphysisto
oischialtuberositiies Containsstructuresforuurinationandreprroduction
Collesfasciaa I
Immediatelyuponnpelvicmm. Separaatesskinfromthesuperficialperinealpouch
Ischioccavernosus,bulbospongiosus,sup.ttransverse
Superficialp
perinealpouch Collesfascia
C inf.fasciaofUGdiaphragm perinealmm.,cruraofp penis/clitoris,bulbof
penis/vvestibule,vestibular(Bartholins)gllands(F)
Urogenital(UG)diaphragm Betweensuperior
B andinferiorfasciaae Separaatessuperficialandddeepperinealpo ouches
Deepttransverseperineaalm.,ext.urethrall
Deepperine ealpouch P
Pelvis inferiorfasciaofUGdiaphrragm sphincter,bulbourethrall(Cowpers)gland d(M),
vagina,arteriesofthepeenis,urethrala.(M
M)
Analtriangle
e I
Ischialtuberosities stococcyx Containsstructuresforddefecation,ischiorretalfossa
Ischiorectalfossa B
Boundbylevatora ani,obturatorinteernusmm. Fatbody,ext.analsphin ncter,pudendalcanal
Conductsinternalpuden ndala/v,pudendaln.,
Pudendal(AAlcocks)canal Withinmedialfasc
W ciaofobturatorinternusm.
dorsaln.ofpenis/clitoriss

TableVII MaleReprroductiveAn
natomy
Images Structuure Location Sign nificance
Tunicaavaginalis Visc ontestees/epididymis,Par scrotum Sero ousextensionofpperitoneum
Tunicaaalbuginea Deeptotunicaavaginalisontestis Fibrrousconnectivetisssueforsupport
Mediaastinumtestis Inwardprojectionsoftunicaalb buginea Projectssepta,forminglobules
Reteteestis Withinmediasstinumtestis Collectionoftubulesfromlobules
Epididymis Superior/proxximaltotestis Storageandmaturationofsperm
Seminiferoustubules Withintesticularlobules Meiosis,spermatoge enesis; 14perlobu ule
Pampiniformplexus Surroundingteestisandspermaticcord Heaatregulation,siteofvaricocele
Testicu
ularnervous plexuus Accompaniestesticulara. Upp perT1011,Loweer hypogastricpplxs
Internaalspermaticfascia Directlyuponspermaticcord Con ntinuationoftranssversalis fascia
Extern
nalspermaticfasciia Uponcremastterm. Con ntinuationofext.ooblique aponeuro osis
Cremaasterm. Surroundingteestisandint.spermaticfascia Raisses/lowersscrotum mforheat regulattion
Tailofepididyymis ejaculatoryyduct Vassdeferens,nerves,,testicular,defereential,
Sperm
maticcord
throughdeepinguinalring crem mastericaa.,pampiniformplexus,lyymphs
Ductuss(vas)deferens Tailofepididyymis ejaculatoryyduct Con nductspermfromepididymistoejacc.duct
Bulbo
ofpenis Superiortojun nctionoftransverseperineals Wid deningofcorpusspongiosumatroo ot
Crus(ccrura)ofpenis Lateraltobulbboneitherside Wid deningofcorporacavernosaatroott
Ischioccavernosusm. Surroundingcorporacavernosa Retardsreturnofblo oodfromCCforerrection
Bulbosspongiosusm. Midlineofperrineumsurroundin ngCS Emp ptiesurethra,erecction
Corpussspongiosum (CS)) Surroundingu urethra Fillssforerection,maintainsurethralpaatency
Corporracavernosa (CC) Paired,lengthofpenis Fillssforerectionwhenitholds90% ofbblood
Deep((Bucks)fascia DirectlyuponCS,CC,anddeepaa.ofpenis Con ntinuouswithext.sperm.fascia
Fundifformlig.ofpenis Lineaalba aroundsidesofpe
a enistobase ThicckenedScarpasfaascia
Suspen
nsorylig.ofpenis Pubicsymphysis superiorroo
otofpenis Holdspenisclosetop
pubis,supportserection
Seminalvesicles Posteriortobladder,anteriorto
orectum Secretehighfructose
efluidforsemen(70%)
Prostaate Surroundingu
urethraatitsexitffrombladder Secretesclearalkalinefluidforsemen(30%)
Ejaculaatoryduct Fromseminalvesiclestoprostaticurethra Unionofspermfromvasandsemen

Bulbou
urethral(Cowpers) Posterolateralltourethra,distaltoprostate Secretepreejaculateeforurethrallubrication
Page4 ReproducttiveExamTables
TableVIII FemaleRep
productiveA
Anatomy
Structure Location Significancce Imagess
Ovary Lateraltouterrus,atendofFTs Sourceofo oogenesis,estrogeen,progesterone
Mesovarium m Betweenamp pullaofFTandovary Partofbrooadlig.connectinggovaryandFT
Suspensorylig.ofovary Ovary roofofpelvis Conductso ovariana/v,plexus,andlymphs
Properovarianlig. Bodyofuterus medialovary Attacheso ovarytoperimetriu um
Ovarianplexxusofnn. Suspensoryligg.ofovary Arisesfrommrenalplexus,sup ppliesovary,fundus
Fallopian(utterine)tube(FT) Uterus abd dcavitynexttoovaary Conductso ovafromovarytouterus
InfundibulumofFT OvarianterminusofFT Containsfimbriaewhichcaatchreleasedovaa
AmpullaofFFT IntermediateportionofFT Usualsiteoffertilization
Uterus Pelvicmidlinee,anteverted,anteeflexed Siteoffetaaldevelopment,gestation
Endometrium Innerliningoffuterus Providesooptimalenvironmeentforimplantatio on
Myometrium m Intermediateliningofuterus Stretchesd duringgestation,ccontractsforbirth
h
Perimetriumm Outerliningofuterus Serouslayyercoveredinperitoneum
Fundusofutterus Superiorwalloppositecervix Measuredinpregnancytoaapproximategrowtth
Bodyofuterrus Fundus inte ernalos(orifice) Siteoffetuusinpregnancy
Cervix Narrowportio onofdistaluterus Dilatesinrresponsetouterinnecontractions
Roundlig.o
ofuterus Uterinehornss labiamajora Maintainsanteversion,thro oughdeeping.ringg
Broadlig.offuterus Connectsparaametriumtopelviccfloor Doublelayyerofperitoneum,maintainspositio on
Rectouterinepouch(Douglas) Spacebetwee enuterusandrectu um Deepestp pointofcavity,a.k..a.culdesac
Vesicouterinnepouch Spacebetwee enbladderanduteerus Notasofteeninflamedasrecctouterine
Vagina Cervix vaginalorifice Reproducttiveentry,birthcaanal
Fornicesofvvagina Cervicalterminusofvagina:A/P P,R/L Posterioruusedtodrainrecto outerinepouch
Clitoris IfonlyIknew.. Analogofmaleerectiletissu ue
Bulbospongiosusm. Coversvestibu ularbulb,lat.tolaabia Emptiesurrethra,closesvagiina,clitoralerectio
on
Ischiocavernnosusm. Fromclitoristtoischialtuberositty Flexesanuus,tensesvagina
Hymenalcaruncle Coveringvagin nalorifice Maybean nnular,septate,orcribriform
Grt.vestibular(Bartholins) Latedgeofvaagina,sup.peri.po ouch Providelubrication

TableVIIII CrossSectionalAnattomy

ReproducctiveExamTables Paage5
TableIX
X R
Radiology
WholePelviss SacroiliacJo
oint
A. Heaadoffemur L. Ilium
B. Necckoffemur M. Sacrum
C. Gre eatertrochanter N. Sacroiliaacjoint
D. Lesssertrochanter O. Ischialspine
E. Pub bicsymphysis P. SpineoffL5vertebrae
F. Isch hialtuberosity Q. Anteriorrsacralforamen
G. Sup periorpubicramuus R. AIIS
H. Isch hialramus S. TransverseprocessofL5
I. Infe eriorpubicramuss T. Iliaccresst
J. Obtturatorforamen U. Iliopectiinealline
K. Ace etabulum

PubicR
Rami ObtturatorForamen IschialRam
mus

TableX MaleReproductiveHisstology
Structure Image Description
D Structure Image Description
D
Columnar;resistan
C ttoheat,toxins 1
1015leavingrete testis
ER,Golgi,lysosom
mes S
Simplecolumnare epith.ofvaryingheight
Supportsandproviidesnutrition,barrrier Efferentt T
Tallercellshaveci liaaidingspermm
motion
Sertolicells Secretesfluids,ABP
P,inhibin S
Shortercellsarea bsorptive
Ductule
Phagocytizesresiduualcytoplasm D
Distinctivehillsandvalleysappeaarance
SttimulatedbyFSH(ABP),testosteerone Surroundedbysm
S moothmuscle

Pseudostratifiedeepitheliumw/stereeocilia
P
Borderbasallaminnaofsem.tubules
T
Tallprincipalcellsdecreasehead tail
Spermato
ogonia Sttemcells;undergo
omitosis Epididym
mis S
Smoothmuscleinc creaseshead taail
Producespermatoccytes
S
Siteoffluidabsorpption,spermmatu
uration

Pseudostratifiedeepitheliumw/stereeocilia
P
La
argestgermcellsiinsem.tubules
M
Mucosahavelong gitudinalfolds(stellate)
Primary Concentrateinmid
C ddlezoneofepitheelium Ductus((vas)
I
Inner&outerlonggitudinal,middleccircular
spermatoocyte Haploid(23)chrom
H mosomes,diploidD DNA deferens smoothmuscle
UndergomeiosisI
U 2spermatocyttes
W
Widerandmorefo oldedatampulla

Makeuphalfthevo
M olume SSurroundedbycreemasterm.,contains
Secondaryy Liienearertothelu
umenofsem.tubuules Spermattic d
ductusdeferens(uupperR),spermaticaa.
spermato
ocyte Haploid(23)chrom
H mosomes,haploidDNA cord (
(3openingsatleft
t),pampiniformplexus
UndergomeiosisII
U spermatids (
(smallopenings)

Pseudostratifiedcolumnarepitheliu
P um
Nofurtherdivision
N s Seminall
Spermatid
ds Undergospermiog
U enesis spermattozoa
V
Verylittleconnect
tivetissuesetsitaapart
vesicles f
fromretetestis

Foundinperitubulaartissue
Periurethralgland
P dslieinmucosa(BBPH)
LeydigCells Secretetestosteron ne
SttimulatedbyLH,ccontrolledby
Prostate
e P
Principalglandslie
eperipherally(canncer)
(Interstitial) C
Corporaamylacea calcifiedsecretiions
fe
eedback

Atapexofseminife
A eroustubulespriorto
LLieinconnectivettissuebehind
enteringretetestissinmediastinum Bulbourrethral m
membranousuret thra
Nospermatogenic
N cells;onlySertoliss
TubuliRecti Surroundedbyconnectivetissuewhiich
(Cowpers) S
Simplecolumnare epithelium
glands C
Clear,viscid,mucooidsecretionfor
issdevoidofsmoothmuscle
Rapidpassageofsp
R permatozoa lubrication
l

Irrregularspacesindenseconnective TTrabeculaeseparatevascularspacces
tissue H
Helicineaa.run intocavernousspaces
ReteTestis Simplecuboidal/co olumnarepithelium
m
Penis T
Tunicaalbugineacollagenous,elasstic
Rapidpassageofsp
R permatozoa A
Abundantsubcuta aneouslayer


Page6 ReproducttiveExamTables
TableXI FemaleRep
productiveH
Histology
Structure I
Image Description
D Structure Image D
Description

Days514,duringffollicledevelopmeent
D
Quiescent,about4
Q 400,000innumberr
Primordiaal Proliferattive G
Glandcellsprolifer
rate,migratetosu
urface
Oocyte:largenucle
O eus,prom.nucleolus
Follicle Phase S
Stratumbasalisremmains,glandselonngate
Singlelayerofsquaamousfolliclecellss
S
Stromaproliferatees

UnderFSHstimula
U tion
Days1528,duringgCLdevelopment
D
Folliclecellsbecom
mecuboidal,stratiffied
Primary Secretoryy U
Uterineglandsbeccometortuous,dilated
Zonapellucidaform ms(spermrecepto ors)
Follicle Phase E
Endometriumreac chesmaximumthiickness
Thecafolliculiintterna:endocrine
P
Progeteronestimuulatesglandsecrettion
(steroidsecreting),externa:connecctive

Secondaryy Wallsofcoiledaa.contract ischemia


W
In
ncreasessize,irreggularfluidfilledsp paces
Menstruaal O
Occursw/noimpla antation,fallingsteroids
(vesicularr) Oocytereachesful
O lsize,folliclestillggrows
D
Desquamationofe endometrium
Spacesgrowandjo oin,formingantrum Phase
Follicle O
Onlystratumbasa lisremainsatend

1014daysfromprrimordialfollicle
Graafian SSimplecolumnareepith.w/laminappropria
Cumulusoophorus
C sfixesoocytetow
wall
L
Lowamountofsm moothmuscle
(mature) Thecainternareach hesmaxdevelopm ment Cervix N
Numerousbranche edglandsmakemmucus
Follicle Coronaradiatafor
C msaroundovum
E
Externalaspectco veredbyvaginaleepith.
Folliclebulgesfrom
movariansurface

FormsfromLHstim mulation
SStratifiedsquamouusnonkerat.epith.
Consistsoffolliclec
C cells&thecainterrna
N
Novaginalglands;;highglycogenco
ontent
Secretesprogesterronepreventingneew
Corpusluteum folliculardevelopm
f ment
Vagina A
Adventitia:denseconnectivetissue
L
Laminapropriaan dadventitia:ellastic
14daysformensess,6monthsforpreeg.
A
Acidduetobacter
riafermentingglyccogen
Corpusalbicansd
C degeneratingoldC CL
Modifiedapocrine
M e sweatglands
Receives/nourishes
R sovulatedovum
Mammarry L
Lactiferousducte mergesintopapillla
Siteoffertilization,,initialdevelopmeent
Uterinetu
ube/ E
Estrogen/progeste eronestimulategrrowth
La
ayers:mucosa,mu uscularis,serosa gland O
Oxytocinstimulateesmyoepithelialccellsto
Oviduct Highlyfoldedinam
H mpulla,lessinisthmus (Lactating) promotemilklettdown
Ciliatedcellsmore
C numerousinampulla
Plasmacellssecret
P teIgA passiveimmty
Glandular,secretor
G rylining
Simplecolumnar,m mostlysecretoryeepith.
Intralobulardenseeconnectivetissueewith
Epitheliuminvaginaates uterineglaands
Mammarry v
varyingdegreesoffadipose
Endometrrium Connectivetissues
C stromacontainssttellate
D
Ductalelementsst tillpresent
cellswhichresem
c blemesenchyme gland(Inactive)
A
Alveoliaresmalla ndfew
Sttratumfunctionalis(80%)shed

Sttratumbasalisreemainsaftermensses

4layers,varyingdirrectionanddispossition
Hypertrophy,hype
H rplasiaatpregnan
ncy
Myometrium Highprogesterone
H contractions

Oxytocin,prostagla
O andinscontractions

TableXII ReproducctiveEmbryology
Event Male Fem
male
SRYencodesforTDFwhiichdirectsdevelop
pmenttowardstestes NoYchromosom me,hencedefaultd differentiationtowwardsovaries
Gonadalcordsextendin
ntomedulla,condeenseanddifferenttiateinto Gonadalcordsexxtendintomedullaa,degenerate,and ddisappear
Gonadal seminiferouscords Medullaregressees,cortexproliferaatesandgivesrisetocorticalcords
differentiatiion Seminiferouscordsbranchandanastomossetoformretetesstis Corticalcordsbreeakupintoprimorrdialfollicles
Cordsd
disconnectfromccortexandaresurrroundedbytunicaaalbuginea Activeoogoniawithinfolliclesundeergoactivemitosisduringfetallife,stops
atbirth
SertolicellssecreteAntiMllerianHormoone(AMH/MIS)inweeks67, Paramesonephricc(Mllerian)ducttsdevelopinabsenceofAMH/MIS,form
causinggMlleriantodisaappearbyweek8 uterinetubes,uterus,uppervagina
Leydigcellssecretetestoosteroneinweek8causingdevelop
pmentof Mesonephric(Wo olffian)ductdegen
neratesinabsenceeoftestosterone
Formationoof meson nephric(Wolffian)ductintoepididyymis,vasdeferenss,seminal Sinustubercleforrmswhenuterovaaginalprimordium mmeetsurogenitalsinus
genitalducts vesicle
es,ejaculatoryducct Sinovaginalbulbssendodermoutgrowthsmeetuterovaginalprimord dium,
Prostatteandbulbourethhral(Cowpers)glanddevelopfrommmultiple fusetoformvaginnalplate
endodeermoutgrowthsfrromurethra Paraurethralglanndsgrowoutfromurethra;greatervvestibular(Bartholins)
glandsgrowoutffromurogenitalsin nus
Primorrdialphallus penis(week8) Primordialphallus clitoris(weekk8)
Formationoof
Urogennitalfolds spongyurethra(week10) Urogenitalfolds labiaminora(w week10)
external
Labiosccrotalswellings scrotum(week12) Labioscrotalswellings labiamajo ora(week11)
genitalia
Urogenitalsinus vestibule(weekk12)
Atroph
hyofmesonephrossandMllerianduuctsallowcaudalm
movement Gubernaculum properovarianlig(cranial),roundlig.ofuterus(cau udal)
Descent

Descen
ndthroughprocessusvaginalisthrou
ughinguinalcanalsweek26 Processusvaginallisobliteratesprebirth,calledCanaalofNuckifpersisttent