Volume 33 1963

Page 62

--Reproductive System------- -- - -- - -- C. Abnormal development in FemaleAbnormalities in the female system result from failure of fusion to a greater or lesser degree of the paramesonephric (Mullerian) ducts. 1. Uterine anomalies (a) Bicornuate uterus results f rom failure of fusion of the primordia ( paramesonephric ducts) in the fundus. (b) Bipartite uterus is a failu re of the partition between the ducts to break down. (c) Bilateral uteri result from complete failure of the ducts to unite. 2. Agenesis and hypoplasia-This condition may involve ovaries, all or a portion of the ducts, and the clitoris. 3. H yperplasia of clitoris-This condition is usually seen in association with hermaphroditism. 4. Imperforate hymen-Failure of normal break-through at the Miillerian tubercle to occur. 5. Turner's syndrome has characteristically infantile uterus or infantile genital organs.

CON CLUSION The importance of a knowledge of the embryology of the reproductive system, indeed of all systems of the body, is that it offers a rational explanation for the anatomical disorder found in congenital anomalies and stimulates research into the basic cause of this important aspect of disease. Suggestions and assistance f rom D r. D. H. Carr, Assistant Professor of Anatomy, are gratefully acknowledged. REFERENCES 1. Allan : F.Jsentials of H uman Embryology, Fifth edition, ew York. Oxford University Press, 1960. 166pp., 2. Arey: De11elopmental Anatomy, Edition 5. Saunders, 265 pp. 3. Alexander D . S. et ai: Chromosomal studies in Some Variants of Male Pseudohermaphroditism. ]. Pediat. 28: 1, 1961. 4. Atwell, ]. D .: Inguinal H erniae and the Testicular Feminization Syndrome in Infancy and

Childhood. Brit. ]. of Surg. 69: 216, 1962. 5. Backhouse, K. M .: T esticular D escent and Ascent in Mammals. Int. Cong. of Zool. Sect. 5, Paper 15. 6. Blehova, B. et al: A Contribution of the Genetic Problem of Adrenogenital Syndrome, Acta genet. 11 : 52 pp, 1961. 7. Bulmer, D .: H istochemical Obser11ations on the Foetal Vaginal Epithelium. ]. Anat. 93: 1, 1959. 8. Bulmer, D.: The Epithelium of the Urogenital Sinus in Female Human Foetuses, ]. Anat. 93: 4 1959. 9. Bulmer, D.: The D e11elopment of the Human Vagina,]. Anat. 91 : 4, 1957. 10. Ferguson-Smith, M . A.: The Chromosome Compliment in True H ermaphroditism. Lancet 126, 1960. 11. G lenister, T . W .: A correlation of the Normal and Abnormal D e11elopment of the Penile Urethra and the Infra Umbilical Abdominal Wall. Brit. ]. Urol.: 30: 2, 1958. 12. Gle.nister, T. W .: A Consideration of the ProceJJes In vol11ed in the De11elopment of the Prepuce in Man. Brit. J. Urol. 28 : 1958. 13. Glenister, T . W .: The origin and Fate of the Urethral Plate in Man. ]. Anat 88: 3, 1954. 14. Gresham, G . A. et al : True H ermaphroditism. Brit. ]. Surg . 48 : 235 pp, 1960. 15. Gruenwald, P.: Growth and D e11elopment of the Uterui: T he Relationship of Epithelium to Mesenchyme, Ann NY Acad. Sci. 75: 436pp, 1959. 16. Grumbach M . W .: The Effecti of Androgens on Fetal Sexual D evelopment. Fertil. Steril. 11 : 2, 1960. 17. H ammar, B. et al : True H ermaphroditism, Brit. ]. Surg. 49: 216, 1962. 18. Kanagasuntheram, R. et al: Nature of the Obstructing Membrane in Primary Cryptomenorrhoea. ]. Obstet. Gynaec. Brit. Emp. 65 : 3, 1958. 19. Krantz, K. E.: The Cross and Microscopic Anatomy of the H uman Vagina. Ann. N .Y. Acad. Sci . 83 : 89, 1959. 20. Lemeh, C. .: A study of the De11elopment and Structural Relatiomhips of the Tei tii and Gubernaculum. Sucg. Gynaec. Obstet. 110: 164 pp, 1960. 21. McGocern, ]. H . et al: Three Cases of True H ermaphroditism. ]. Urol. 88: 5, 1962. 22 . Patten, B. M . et al: The Genesis of Exstrophy of the Bladder Epispadias. Am. ]. Anat. 90: 1, 1952. 23. Pinkerton,]. H . M . et al: D e11elopment of the H uman 0 11ary--A Study Using H istochemical Technics. Obstet. Gynaec. (NY ) 18 : 2 1961. 24. Puck, T. T . et al: Familial Primary Amemorrhea Due to Testicular Feminization : A H uman Gene Affecting Sex Differentiation . Proc. Soc. Exp. Bioi. Med. 103 : 192 pp, 1960. 25. W illiams, D . I. : The De11elopment and Abnormalities of the Penile Urethra. Acta Anat. 15: 1952. 26. Witschi E.: Embryology of the Uterus: N ormal and Experimental. Ann NY Acad. Sci 75: 412pp, 1959. 27. Zuspan, F. P .: Testicular Feminization Syndrome in Male Pseudohermaphroditism. Amer. ]. Obstet. Gynaec. 80 : 454pp, 1960.

U.W.O.

MEDICAL JOURNAL


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