IJAR.2017.353

Type of Article:  Original Research

Volume 6; Issue 1.1 (January 2018)

Page No.: 4777-4783

DOI: https://dx.doi.org/10.16965/ijar.2017.353

HISTOMORPHOLOGICAL FEATURES OF HUMAN GUBERNACULUM IN THE MALE

Beulah Priyalatha Swamickan *1, Aleyamma Fenn T.K 2.

*1 Department of Anatomy, PSG Institute of Medical Sciences and Research; Coimbatore, Tamilnadu  India.

2 Department of Anatomy, Govt. Medical College,  East Yakkara   Palakkad, Kerala State. India. 

Corresponding Author: Dr Beulah Priyalatha Swamickan, Department of Anatomy, PSG Institute of Medical Sciences and Research; Coimbatore – 641 004. Tamilnadu  India.  Mobile No: +91 9363249025 E-Mail: beulahstephen@gmail.com

Abstract:

Background: Gubernaculum and the events related to the descent of testis have been studied since17th century, from the time of John Hunter onwards.  Most of the studies were done in the animals and there is paucity of information regarding gubernaculum in the humans . Present study is an attempt to throw light on the morphological features and histological structure of gubernaculum in human male fetuses.

Aims: to study the appearance, extent and microscopic structure of gubernaculum testis and to explore the role of gubernaculums in causing cryptorchidism.

Materials and Methods: The study was conducted on 35 spontaneously aborted male fetuses and on 10 tissue samples of gubernaculum from children who have come for orchiopexy, obtained from PSG Hospital.

Results and Discussion: Gubernaculum was extended from the lower pole of testis and epididymis to pubic symphysis. Gubernaculum testis was made up of collagen fibres, elastic fibres, muscle fibres and loose mesenchyme with lymphocytes, macrophages and fibroblasts embedded within it. Collagen undergoes changes as the foetal age advances and this could contribute to the role of gubernaculumin testicular descent.

Conclusion: Gubernaculum testis possibly could play a significant role in the descent of the testis, by creating the channel for the passage of the testis and do not actively pull the testis down into the scrotum as thought earlier.

Key words: Gubernaculum, Mesenchymatous Tissue, Collagen Fibres, Fibroblast, Elastic Fibres, Skeletal and Smooth Muscle, Trimester of Pregnancy.

REFERENCES

  1. Gray H, Standring S editors. The Anatomical basis of Clinical Practice. 40th ed. London:Churchill Livingstone; 2008.
  2. Mc Gregor AL, DuPlessis DJ. A Synopsis of Surgical Anatomy.10th ed. Bristol: John Wright & Sons Ltd. 1969.
  3. Heyns CF, Human HJ, De Klerk DP. Hyperplasia and hypertrophy of the gubernaculum during testicular descent in the fetus. J Urol.1986 May; 135(5):1043-7.
  4. Nightingale SS, Al Sharef YR, Hutson JM. Mythical ‘Tails of Lockwood’. ANZ J Surg. 2008 Nov; 87(11):999-1005.
  5. Bay K, Main KM, Toppari J, Skakkebaek NE. Testicular descent : INSL3, testosterone, genes and the intrauterine milieu. Nat. Rev. Urol. 2011:8:187-196.
  6. Radhakrishnan J, Morika Y, Donahoe PK, Hendren WH. Obeservations on the gubernaclum testis and it’s nerve supply. Invest Urol.1979:16(5);365-8.
  7. Barteczko KJ, Jacob MI. The testicular descent in human. Origin, development and fate of the gubernaculum Hunteri, processus vaginalis peritonei, and gonadal ligaments.Adv Anat Embryol Cell Biol.2000; 156:lll- X, 1-98.
  8. Hutson JM, Hasthorpe S, Heyns CF. Anatomical and functional aspect of testicular descent and cryptorchidism. Endocrine reviews.1997;18(2).
  9. HeynsCF,.Human HJ,Werely CJ. The collagen content of the gubernaculum during testicular descent in the pig fetus. J.Anat.1989; 167:161-166.
  10. Jiang XW, Li JH, Huang TH, Deng WD. Effect of prenatal exposure to diethlystilbestrol on gubernaculum development in fetal male mice Asian J Androl 2004 Dec;6:325-329.
  11. Lam SK, Clarnette TD, Hutson JM. Does the gubernaculum migrate during inguinoscrotal testicular descent in the rat? Anat Rec. 1998;250:159-163.
  12. Farooqui MM, Chanderpal,Archana Prakash A. Anatomical study on the descent of testis in prenatal goat (caprahircus).Int. J. Morphol. 2011; 29(2):318-324.
  13. Heyns CF, de Klerk DP. The gubernaculum during testicular descent in the pigs. J Urol. 1985 Apr; 133(4):694-9.
  14. Karen M, Donaldson, Tong SYC, Washburn T, Lubahn DB, Eddy EM, et.al. Morphometric study of the gubernaculum in male estrogen receptor mutant mice. J Androl.1996;17:91-95.
  15. Backhouse KM. The gubernaculum testis Hunteri: Testicular descent and maldescent. Arris and Gale lecture delivered at the Royal college of Surgeons of England, 27th October1959.
  16. Costa WS, Sampaio FJ, Favorito LA Cardoso LE. Testicular migration : remodeling of connective tissue and muscle cells in human gubernaculum testis. J Urol. 2002 May;167(5):2171-76.
  17. Tanyel FC, Talim B, KaleG, Buyukpamukcu N. A reevaluation of the structures accepted to represent the postnatal gubernaculum. Urol Int. 2002; 69(2):116-9.
  18. Tanyel FC, Talim B, Atilla P, Muftuoglu S, Kale G. Myogenesis within the human gubernaculum; histological and immunohistochemical evaluation . Eur J Pediatr Surg.2005;15(3):175-179.
  19. Amann RP, Veeramachaneni DNR. Cryptorchidism in common eutherian mammals. Reproduction. 2007;133:541-561.
  20. CharbelS,EI.Zoghbi,FavoritoLA, Costa WS,Sampaio FJB. Structural analysis of gubernaculum testis in cryptorchid patients submitted to treatment with human chronic gonadotrophin. Int.Braz J Urol.2007; 33(2).
  21. Favoirto LA, Klojda CAB, Costa WS, Sampaio FJB. Is there a relationship with anomalous insertion of the distal gubernaculum testis and testicular ectopia? Analysis in Human fetuses and patients with cryptorchidism. J Urol. 2003Aug;170: 554-557.
  22. Soito IC, Favorito LA, Costa WS, Sampaio FJ, Cardoso LE. Extracellular matrix remodeling in the human gubernaculum during fetal testicular descent and in cryptorchidic children. World J Urol.2011; 29 (4):35-40.
  23. Tanyel FC. The descent of testis and reason for failed descent. Turk J Pediatr.2004; 46 (Supplement):5-17.
  24. Heyns CF, Human HJ, Werely CJ. The collagen content of the gubernaculum during testicular descent in the pig fetus. J.Anat.1989; 167:161-166.
  25. NiikuraH, Okamoto S, Nagase S, Takano T,Murakami G, Tatsumi H et.al. Fetal development of the human gubernaculum with special reference to the fasciae and muscles around it. Clin Anat. 2008 Sep; 21(6):547-57.
  26. Heyns C F. The gubernaculum during testicular descent in the human fetus. Anat.1987;153: 93-112.

Cite this article: Beulah Priyalatha Swamickan, Aleyamma Fenn T.K. HISTOMORPHOLOGICAL FEATURES OF HUMAN GUBERNACULUM IN THE MALE. Int J Anat Res 2018;6(1.1):4777-4783. DOI: 10.16965/ijar.2017.353