DESCENT OF THE TESTICLES

During early fœtal life the testicle is situated against the dorsal wall

of the abdominal cavity, in contact with the ventral surface of the

corresponding kidney. As growth proceeds it gradually migrates from this

primitive position, and finally passes down the inguinal canal into the

scrotum. Previous to its descent through the abdominal wall the testicle

is suspended by a fold of peritoneum, termed the =mesorchium=. This fold

contains the vessels and nerves of the testicle in its anterior border.

In its posterior edge is the elongated tail of the epididymis, and two

cords of fibrous tissue and unstriped muscle. One of these cords is

short and connects the tail of the epididymis with the testicle; later

it becomes shorter, and is termed the ligament of the epididymis. The

other cord, the =gubernaculum testis=, extends from the tail of the

epididymis to the subperitoneal tissue in the vicinity of the future

vaginal ring. The =deferential fold= (Plica ductus deferentis) is given

off from the inner face of the mesorchium, and joins the urogenital fold

posteriorly. The body of the epididymis at this time lies in the edge of

an oblique fold formed by the outer layer of the mesorchium. After the

middle of fœtal life, a pouch or diverticulum of the peritoneum, the

=processus vaginalis=, grows downward through the inguinal canal,

carrying with it cremaster fibers derived from the internal oblique

muscle and a layer from the transversalis fascia. It is accompanied by

an inguinal extension of the gubernaculum testis. The latter blends

below with the subcutaneous tissue which later becomes the dartos. The

tail of the epididymis first enters the processus vaginalis, followed by

the testicle with its mesorchium, which descends within this

diverticulum of the peritoneum until it reaches the scrotum. The vas

deferens and its fold descend synchronously with the epididymis and

testicle.

The mechanical factors concerned in the migration of the testicle are

matters on which much uncertainty still exists. That the gubernaculum

exerts sufficient traction to guide the epididymis and testicle to the

inguinal canal seems plausible. The internal inguinal ring may

constitute a locus minoris resistentiæ in the abdominal wall,

especially after the descent of the processus vaginalis. Progressive

shortening of the gubernaculum was formerly considered to be the chief

cause of the descent through the abdominal wall. Increase in the

intra-abdominal pressure is probably an important factor.

In the foal the descent of the testicles is often complete at birth, but

it frequently happens that one testicle or both may be retained in the

inguinal canal or in the abdomen for some months. In other cases the

testicle may return into the canal or abdomen, since in the young foal

the vaginal ring is large and the testicle small and soft, and not yet

closely anchored by the scrotal ligament. In rare cases the descent may

be completed as late as the fourth year (personal observation).

Indefinite retention of one testicle or both in the abdominal cavity

or inguinal canal is not rare in horses; this condition is termed

cryptorchism. Abdominal retention is the more usual form of

cryptorchism in adult horses, inguinal retention being usually

temporary. The retained testicle is usually, but not always, small,

thin, soft, and flabby, and is non-spermiogenic. The processus

vaginalis and the inguinal part of the gubernaculum are usually

present, but may be rudimentary. The ligament of the epididymis and

the corresponding part of the mesorechium are often so long that the

tail of the epididymis may be several inches distant from the

testicle. The abdominal part of the gubernaculum may be 8 to 10 inches

(ca. 20 to 25 cm.) long, and the ligament of the epididymis much

elongated (10 to 15 cm. in length according to Vennerholm); thus the

testicle may have a wide range. The vaginal ring is sometimes closed.

In many mammals the testicles normally remain in the abdominal cavity;

such animals are termed testiconda, and include the elephant, some

insectivora, hyrax, sloths, ant-eaters, armadillos, and cetacea. In

others the testicles descend periodically during the period of œstrum,

and then return into the abdomen, or they may be extruded and

retracted voluntarily; this is true of most rodents, many insectivora

(moles, shrews, hedgehog), and bats.

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