Le système reproducteur masculin

Male reproductive system

Several different organs and structures make up the male reproductive system. These include:

The scrotum, or scrotal sac. This is the loose bag of skin which hangs under the main body cavity between the upper thighs. It is divided into two, and each side contains one testicle (testis).

The testicles (testes). There are two testes. Each is an egg-shaped structure located in the scrotum. The testes produce sperm and also produce male hormones. The testes start developing inside the body cavity in a growing baby (fetus). About two months before a male baby is born, the testes start to drop down into the scrotal sacs. Because they are outside the main body cavity the testes are slightly cooler. This difference in temperature helps sperm production.

The epididymis. This is the tube attached to the testis where sperm is stored.

The vas deferens. This is the tube which carries the sperm from the epididymis. It may also be called the sperm duct. It meets a tube from the seminal vesicle (see below) to form a short tube called the ejaculatory duct. This then opens into the urethra, which is the tube that takes the sperm outside the body.

The accessory sex glands. There are three glands which produce fluids that mix with the sperm to make up semen. Semen is the liquid which is ejected from the penis during ejaculation. The three glands are located close to the bladder and are called:

• The seminal vesicles

• The prostate gland. The prostate gland lies just beneath the bladder (see diagram). It is normally about the size of a chestnut.

• The bulbourethral glands

The penis. The penis has a single tube in it called the urethra. There are three main parts of the penis - the root, body and glans. The root is the part attached to the skin at the top of the scrotum. The body of the penis is made up of a spongy type of tissue, which swells when blood enters during an erection. The glans penis is the slightly larger area towards the end of the penis and contains the opening of the urethra.

The urethra. This is the tube which passes from the bladder down the penis to the outside. It carries both urine and semen.

What does the male reproductive system do?

The main function is to give men the ability to fertilise a woman's egg (ovum) by producing and delivering semen. The testicles (testes) also make hormones which help men develop the characteristics associated with being male. This includes:

• The development of hair in a male distribution - for example, on the chest, under the arms, on the face and in the pubic area.

• Enlargement of the penis.

• Deepening of the voice.

• Muscle growth.

• Bone growth and increased height.

How does the male reproductive system work?

During puberty, the level of a hormone called gonadotrophin-releasing hormone (GnRH) increases. GnRH is produced in a part of the brain called the hypothalamus. In turn this causes an increase in the production of two hormones from another part of the brain, called the pituitary gland. These hormones are called luteinising hormone (LH) and follicle-stimulating hormone (FSH). LH in the bloodstream causes cells in the testicles (testes) to make and release testosterone, the main male hormone.

FSH and testosterone work together to stimulate the testes to produce sperm. Each sperm cell takes between 65-75 days to form and around 300 million are produced every day. Inside the testes sperm is made in structures called the seminiferous tubules. At the top and to the back of each testicle (testis) is the epididymis, which stores sperm.

Leading from the epididymis is the vas deferens. The vas deferens carries sperm towards the penis. Along the way it joins other tubes and during ejaculation collects fluids from the accessory sex glands. The mixture of sperm and fluids from the accessory sex glands is called semen. About two thirds of the volume of semen come from the seminal vesicles. The semen is then passed into the urethra.

When sexually aroused, a number of changes occur inside the penis. The arteries supplying the penis get bigger, allowing more blood to enter its tissues. The extra blood flow causes the penis to enlarge and to become more rigid. The extra blood flow plus signals from the nervous system and chemical changes cause an erection.

Ejaculation is the term for the contractions that release semen. This is a reflex action, which means it is not consciously controlled. As part of the reflex action, the opening that drains the bladder is closed. This means that urine is not released at the same time as semen. The volume of semen in a typical ejaculation is between 2.5-5 millilitres (mL). There are normally more than 20 million sperm in each mL of semen. During sexual intercourse, the penis of the male enters the vagina of the female, carrying the sperm to the neck of the womb (cervix) to fertilise the woman's egg.

Some disorders of the male reproductive system

• Balanite.

• Cancer of the penis.

• Cancer of the prostate.

• Cancer of the testes.

• Épididymo-orchite.

• Erectile dysfunction (impotence).

• Gonorrhée.

• Hydrocèle chez les adultes.

• Hypospadias.

• Infertilité.

• Maladie de La Peyronie.

• Hypertrophie de la prostate.

• Prostatitis - acute.

• Prostatite - chronique.

• Infections sexuellement transmissibles.

• Sténose urétrale.

• Urethritis - non-gonococcal.

• Urethritis and urethral discharge in men.

• Infection urinaire chez les hommes.

• Varicocèle.