Lecture 7 Urogenital System Copyright 2013 Wolters Kluwer

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Lecture 7: Urogenital System Copyright © 2013 Wolters Kluwer Health | Lippincott Williams &

Lecture 7: Urogenital System Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Intermediate Mesoderm Forms Much of the Urogenital System Copyright © 2013 Wolters Kluwer Health

Intermediate Mesoderm Forms Much of the Urogenital System Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Mesoderm in the Chick Embryo Paraxial mesoderm (somite) Intermediate mesoderm Lateral plate mesoderm Body

Mesoderm in the Chick Embryo Paraxial mesoderm (somite) Intermediate mesoderm Lateral plate mesoderm Body cavity Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

3 Kidney Systems 4. 5 weeks Copyright © 2013 Wolters Kluwer Health | Lippincott

3 Kidney Systems 4. 5 weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Intermediate Mesoderm Forms the Urogenital Ridge (red box) 5 Weeks Copyright © 2013 Wolters

Intermediate Mesoderm Forms the Urogenital Ridge (red box) 5 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

The Ureteric Bud Forms as an Outgrowth from the Mesonephric Duct 5. 5 Weeks

The Ureteric Bud Forms as an Outgrowth from the Mesonephric Duct 5. 5 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Collecting System Forms from the Ureteric Bud 6 -7 Weeks Copyright © 2013 Wolters

Collecting System Forms from the Ureteric Bud 6 -7 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

The Ureteric Bud Induces the Metanephric Blastema to Form Filtration Units Copyright © 2013

The Ureteric Bud Induces the Metanephric Blastema to Form Filtration Units Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Molecular Regulation of Kidney Development Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Molecular Regulation of Kidney Development Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Kidneys Develop in the Pelvic Region Copyright © 2013 Wolters Kluwer Health | Lippincott

Kidneys Develop in the Pelvic Region Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ascent of the Kidneys Copyright © 2013 Wolters Kluwer Health | Lippincott Williams &

Ascent of the Kidneys Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Pelvic and Horseshoe Kidneys Ureter Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Pelvic and Horseshoe Kidneys Ureter Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Polycystic Kidney Recessive form: 1: 5000; cysts from collecting tubules; renal failure in infancy

Polycystic Kidney Recessive form: 1: 5000; cysts from collecting tubules; renal failure in infancy Dominant form: 1: 500 -1000: cysts from anywhere; renal failure in adulthood Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Duplications of the Ureters Copyright © 2013 Wolters Kluwer Health | Lippincott Williams &

Duplications of the Ureters Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Bladder Development Proctodeum 6 Weeks 7 Weeks 8 Weeks Copyright © 2013 Wolters Kluwer

Bladder Development Proctodeum 6 Weeks 7 Weeks 8 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Bladder Development: Incorporation of the Mesonephric Duct Copyright © 2013 Wolters Kluwer Health |

Bladder Development: Incorporation of the Mesonephric Duct Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Possible Positions for Ectopic Ureters Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Possible Positions for Ectopic Ureters Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Final Position of the Ureters and Mesonephric Duct (Vas Deferens) Ejaculatory duct Copyright ©

Final Position of the Ureters and Mesonephric Duct (Vas Deferens) Ejaculatory duct Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Urorectal Septal Defects and Imperforate Anus Copyright © 2013 Wolters Kluwer Health | Lippincott

Urorectal Septal Defects and Imperforate Anus Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Urachal Abnormalities Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Urachal Abnormalities Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Relationship of the Genital Ridge to the Mesonephric System Cut Line Copyright © 2013

Relationship of the Genital Ridge to the Mesonephric System Cut Line Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Migration of the Germ Cells 4 Weeks (early) 6 Weeks Copyright © 2013 Wolters

Migration of the Germ Cells 4 Weeks (early) 6 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Relationship of Germ Cells to the Epithelium of the Genital Ridge 6 Weeks Copyright

Relationship of Germ Cells to the Epithelium of the Genital Ridge 6 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Formation of the Seminiferous Tubules 8 weeks 16 weeks Sertoli cells: derived from epithelium;

Formation of the Seminiferous Tubules 8 weeks 16 weeks Sertoli cells: derived from epithelium; serve as nurse cells for sperm and produce antimüllerian hormone (AMH; also called müllerian-inhibiting substance [MIS]) Interstitial cells (of Leydig): derived from mesenchyme of genital ridge; secrete testosterone (mesonephric ducts, tubules, etc. ; dihydrotestosterone, external genitalia) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Male Tubules and Ducts 16 Weeks 9 Months Copyright © 2013 Wolters Kluwer Health

Male Tubules and Ducts 16 Weeks 9 Months Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Formation of Primary Oocytes and Follicular Cells 7 Weeks 20 Weeks Copyright © 2013

Formation of Primary Oocytes and Follicular Cells 7 Weeks 20 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Derivatives of the Paramesonephric Ducts 9 Months 8 Weeks Copyright © 2013 Wolters Kluwer

Derivatives of the Paramesonephric Ducts 9 Months 8 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Growth of the Urogenital Ridge Produces Fusion between the Paramesonephric Ducts Copyright © 2013

Growth of the Urogenital Ridge Produces Fusion between the Paramesonephric Ducts Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Formation of the Ovarian Ligaments Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Formation of the Ovarian Ligaments Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Induction of the Vagina by the Paramesonephric Ducts 9 Weeks 12 Weeks Newborn Copyright

Induction of the Vagina by the Paramesonephric Ducts 9 Weeks 12 Weeks Newborn Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Vaginal Development Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Vaginal Development Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Uterine Abnormalities Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Uterine Abnormalities Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Testis and Ovary Development Copyright © 2013 Wolters Kluwer Health | Lippincott Williams &

Testis and Ovary Development Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Genetic Signals: Male vs. Female Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Genetic Signals: Male vs. Female Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

External Genitalia: Indifferent Stage 6 Weeks 4 Weeks Copyright © 2013 Wolters Kluwer Health

External Genitalia: Indifferent Stage 6 Weeks 4 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Penis and Scrotal Development 10 Weeks Newborn Copyright © 2013 Wolters Kluwer Health |

Penis and Scrotal Development 10 Weeks Newborn Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Male 8 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Male 8 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Male 12 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Male 12 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Hypospadias Glandular Hypospadius Urethral and Glandular Hypospadias Copyright © 2013 Wolters Kluwer Health |

Hypospadias Glandular Hypospadius Urethral and Glandular Hypospadias Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Female 11 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Female 11 Weeks Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Female External Genitalia 6 Weeks 5 Months Newborn Copyright © 2013 Wolters Kluwer Health

Female External Genitalia 6 Weeks 5 Months Newborn Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Female Pseudohermaphrodism (Adrenogenital Syndrome) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams &

Female Pseudohermaphrodism (Adrenogenital Syndrome) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Androgen Insensitivity Syndrome (Testicular Feminization) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Androgen Insensitivity Syndrome (Testicular Feminization) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Signals for Sexual Differentiation SRY –SRY, +WNT 4 Copyright © 2013 Wolters Kluwer Health

Signals for Sexual Differentiation SRY –SRY, +WNT 4 Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Descent of the Testes 8 Weeks 28 Weeks 19 Weeks Newborn Cryptorchidism: Failure of

Descent of the Testes 8 Weeks 28 Weeks 19 Weeks Newborn Cryptorchidism: Failure of the testes to reach the scrotal sac (3% of newborns) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Layers Covering the Testis Copyright © 2013 Wolters Kluwer Health | Lippincott Williams &

Layers Covering the Testis Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Indirect Inguinal Hernias and Hydroceles Copyright © 2013 Wolters Kluwer Health | Lippincott Williams

Indirect Inguinal Hernias and Hydroceles Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Remnants of the Mesonephric Duct in Females Copyright © 2013 Wolters Kluwer Health |

Remnants of the Mesonephric Duct in Females Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins