I. Gross Anatomy and Histology
Objectives:
After completing this section you will
be able to:
- List the various parts and structures that form the testis
- describe the basic gross anatomy and histology of the
testis
- Anatomy
The testis is the paired male gonad located outside the body cavity in the
scrotum. Each testis is a roughly egg-shaped, and in the adult, measures approximately
4 cm between the rounded superior and inferior poles, 3 cm wide and 2.5 cm
deep. Each testis is invested with a serous sac, the tunica vaginalis
and covered by a smooth white capsule, the tunica albuginea, from which
septa extend into the organ to divide it into approximately 250 pyramidal
lobules. Each lobule contains about 3 tightly packed and highly convoluted
seminiferous tubules, which contain gametes in various stages of development.
The tubules in each lobule join to form a short, straight tube called the
tubulus rectus. Towards the posterior portion of the testis, tubuli
recti from all lobules form a network of interconnecting tubes called the
rete testis, which empties into highly convoluted efferent ductules.
Attached to the posterior aspect of the testis and running longitudinally
along its postero-lateral aspect is the C-shaped epididymis, which
is made up of a tightly coiled tube, the duct of the epididymis. The efferent
ductules drain into the duct of the epididymis in the upper portion of the
epididymis (called the head or caput), descends in the body
of the epididymis to the tail at the inferior pole where it becomes
the ductus or vas deferens. The vas ascends behind the testis
into the spermatic cord, which also contains the artery, vein and lymphatics.
Question: What lymph node group do lymphatics from the testes drain
into?
Histology
Each seminiferous tubule is surrounded by a well-defined basement membrane.
The epithelium is composed of two basic cell types: the support or sustentacular
cells called the Sertoli cells, and spermatogenic or germ
cells. The Sertoli cells are non-proliferating elongated cells whose cytoplasm
extends from the basement membrane to the lumen of the tubule. The spermatogenic
cells are actively replicating cells at various stages of a complex differentiating
process called spermatogenesis.
Before onset of sexual maturity at puberty, the tubules contain only small
numbers of the most immature germ cell, the spermatogonia. After puberty,
the spermatogonia, which are located near to the basement membrane, undergo
mitosis to produce primary spermatocytes. The primary spermatocytes
undergo first meiotic division to produce transient secondary spermatocytes,
which in turn undergo second meiotic division to produce haploid spermatids.
The spermatids then mature by the process of spermiogenesis into spermatozoa.
As the germ cells proliferate and undergo maturation, they move toward the
lumen of the seminiferous tubules such that more differentiated forms are
nearer the lumen.

Section through the wall of a seminiferous tubule in the testis showing the
various cell types that make up the epithelium. The arrows point to spermatogonia,
which are located close to the basement membrane. Primary spermatocytes have
large nuclei with condensed chromatin and deep to them (closer to the lumen)
are the round spermatids. Spermatozoa are located closest to the lumen of
the tubule.

Portions of three seminiferous tubules. Sertoli cells have irregular or pear-shaped
nuclei with prominent single nucleolus. Spermatogonia, primary spermatocytes,
spermatids and spermatozoa are located as in the previous photomicrograph.
The tubules are embedded in the interstitium, loose connective tissue, which
contains blood vessels, lymphatics and nerves. Also present in the interstitium
are Leydig or interstitial cells, large, polygonal cells with
round nuclei and abundant eosinophilic cytoplasm, which may contain rectangular
crystalloids (Reinke crystals).

Section of portions of four seminiferous tubules and intervening interstitium.
Several Leydig cells with abundant cytoplasm and round nuclei and fibroblasts
with spindle-shaped nuclei are seen.
Question: What is the function of Leydig or interstitial cells?
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