诊断学肛门.ppt

Physical ExaminationPart 2Xue Huiping Male reproductive anatomy Structures of the penis The outer foreskin layer is a continuation of the skin of the shaft of the penis. The inner foreskin layer is not properly `skin, but mucocutaneous tissue of a unique type found nowhere else on the body. The frenar band is the interface (join) between the outer and inner foreskin layers. When the penis is not erect, it tightens to narrow the foreskin opening. During erection, the frenar band forms a ridge that goes all the way around, about halfway down the shaft. The reddish or purplish glans or glans penis (head of the penis) is smooth, shiny, moist and extremely sensitive. The frenulum, or frenum, is a connecting membrane on the underside of the penis, similar to that beneath the tongue. Here is a normal testis and adjacent structures. Identify the body of the testis, epididymis, and spermatic cord. Note the presence of two vestigial structures, the appendix testis and the appendix epididymis. 完全型具有正常女性体征，有正常女性外阴且发育良好（但阴毛稀少或缺如），阴道发育良好，深度正常。青春期后乳房可发育。不完全型外阴有不同程度的畸形，阴蒂增大，阴道短浅或呈尿生殖窦。睾丸多位于腹股沟内。 Epididymis附睾The epididymides (plural for epididymis附睾) are narrow, elongated storage vessels for newly generated spermatozoa. They are located within the scrotum阴囊, adjoining each testicle睾丸. Spermatozoa 精子remain in the cord-like epididymides附睾 until ejaculation, at which time they eject them into the vas deferens输精管. Cryptorchidism隐睾病Cryptorchidism is defined as failure of the testis to descend from its intra-abdominal location into the scrotum. Epididymis 附睾A long, narrow, convoluted tube, part of the spermatic duct system, that lies on the posterior aspect of each testicle, connecting it to the vas deferens. Elephantiasis象皮肿 of the scrotum scrotal herniaan inguinal hernia腹股沟疝 which has descended into the scrotum. The Prostate Gland 前列腺 The prostate is a walnut-sized gland that forms part of the male reproductive system. The