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Development of
GENITAL SYSTEM
              Dr mohan angadi
Development of
•
    Gonads (testis / ovary)

•
    Genital ducts and glands

•
    Uterus and vagina

•
    External genitalia(male & female)
Introduction

     2 embryonic structures that play an imp
    role in dev of UG system

1. Intermediate mesoderm &

2. Primitive Urogenital Sinus(UGS)-a part of
  cloaca.
Intermediate mesoderm

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                                 Nephrogenic
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Urogenital ridge             −   Eighth
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                                Gonadal
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Cloaca
Development of gonads(testis/ovary)
Development of genital ducts
•
    In males- mesonephric duct
Paramesonephric(mullarian)
    derivatives in males
Prostate

Inner glandular zone-meso

Outer glandular zone-endo




Female homologues of
prostate
-Urethral glands &
-Paraurethral glands of
Skene
•
    In females
mesonephric(wolffian)derivative
       s in females
Paramesonephric(mullarian)
   derivatives in females
Development of uterus &
       vagina
Female homologues of
prostate
-urethral glands &
-
peneffdjhfgdhgffaraurethral
 glands of Sk
Dev. of vagina
Development of ext genitalia
Male urethra
Development of inguinal
canal/Descent of testis
Factors responsible for descent
•
    Initiated by-androgens

•
    Prompted by-differential growth

•
    Permitted by-lengthening of ductus

•
    Fascilitated by-gubernaculum
Control of differentiation of
            genital organs
1.   Cromosomal sex of individual-at fertilization

2. SRY gene on short arm- production of TDF

3. Testosterone –interstitial Leydig cells

4. MIS – Sertoli cells
Applied aspects
Anomalies of testis
-undescended testis/ ectopic testis
     - crptorchidism
Anomalies of processus vaginalis
•
    Congenital hernia/hydrocoele
•
    Vaginal hydrocoele
•
    Infantile hydrocoele
•
    Hydrocoele of cord
•
    Interstitial hernia
Hermaphroditism

•
    True
•
    Pseudo
    –
        Female
    –
        Male



•
    Androgen insensitivity syndrome/testicular
    feminization syndrome
Anomalies of Uterine
tube,uterus and vagina
Anomalies of female ext genitalia
•
    Clitoris - absent/bifid or double or
    enlarged(heramaphroditism)
•
    Fusion of labia minora
•
    Ectopic urethra in ant wall of vagina
•
    Anomalies of hymen
•
    Vaginal fistulas
    –
        Rectovaginal fistula
    –
        Vesico vaginal fistula
    –
        Urethrovaginal fistula




•
    Vagina duplicated/ absent/ septum
Anomalies of male ext genitalia
•
    Phimosis
•
    Hypospadias
•
    Epispadias
Epispadias
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Thank you

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