External Male Reproductive Anatomy

Time to Read

3–4 minutes

Male Reproductive Anatomy

This is a posterior view of male anatomy. Let’s begin by thinking about the purpose of the male reproductive organs—which is to make and deliver sperm. Sperm is produced in the testis from cell divisions of the stem cell. Once made, sperm is stored in the epididymis. This structure looks like a bubbly formation. It is sort of like half a wig sitting atop the testis.  Sperm is then transported via the ductus or vas deferens to the urethra and out through the external urethral orifice.  Along the way, accessory organs contribute fluids and solutes to the interstitial fluids to create semen. 


The Scrotum

The scrotum is essentially a fleshy pouch that contains the testes. It is divided into right and left chambers by a septum, called the raphe.  The left testis usually hangs lower than the right, but I sincerely forget why right now.  Sorry.

From superficial to deep, the layers of the scrotum include:

Scrotal skin is the outermost covering.  This skin has more sebaceous glands, dark pigmentation and has vellus or fine hair on it.  The dartos muscle is just deep to the scrotal skin and contracts to wrinkle the skin and reduce heat exchange.  The scrotal fascia, a connective tissue layer, separates the dartos muscle from the cremaster muscle.  The cremaster muscle pulls the testes and spermatic cord closer to the body when it’s cold. 


Spermatic Cord

The spermatic cord is a significant anatomical structure that people often don’t learn about until a class like this. It’s a bundle that includes nerves, arteries, veins, and the ductus deferens. The spermatic cord punches through the abdominal wall and suspends the testis outside of the body, into the scrotum.

Inside the spermatic cord is the genitofemoral nerve, which includes both sympathetic and parasympathetic fibers. The sympathetic fibers that cause ejaculation come from the T10 T11 level of the spinal cord.  They direct vasomotion to regulate blood flow to the testes. 

Vascularizing the testes, the veins and arteries within the cord form something called the pampiniform plexus. This plexus regulates the temperature of the testis, which needs to be lower than body temperature for correct sperm development. If the testes are held too close to the body, sperm may not develop properly. The little tails (flagella) may be impaired.

The pampiniform plexus helps maintain testicular temperature through a heat exchange process. Hot arterial blood traveling toward the testis transfers heat to the cooler venous blood traveling back to the body. This process keeps the testis cooler overall.


All the Urethras

I need you to create a mid-sagittal view with me.  Here, are the testes.  This is the pubic symphysis and here is the bladder.  The vas deferens extends from the testes. It goes up through the spermatic cord and moves anterior to the pubic symphysis. Then, it travels across the superior wall of the bladder and across the posterior wall of the bladder. Finally, it goes below the pubic symphysis to join with the urethra.  That is a long route.  The urethra is divided into different sections. First, there’s the ejaculatory duct, which is where the ductus deferens joins with structures near the urinary bladder. The sperm passes through the membranous urethra. It continues through the spongy urethra. Finally, it exits through the external opening of the urethra.

Testes Descent

A structure called the gubernaculum is a connective tissue anchor that secures the testes to the abdominal-pelvic cavity floor.  The gubernaculum passes between the internal and external oblique muscles. It enters the inguinal canal, which is anterior to the pubic symphysis.

At 6 weeks, the testes start descending.  At month 7, they will pass through the inguinal canal. The spermatic cord will develop from tissue of the internal oblique.  Undescended testes is called cryptorchidism.


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