Organ
Testis
The gonad that produces sperm and androgens
High-yield
Testicular lymph follows the gonadal vessels to lumbar retroperitoneal nodes. Right-sided drainage commonly includes interaortocaval nodes and left-sided drainage para-aortic nodes; this differs from the superficial inguinal route of scrotal skin.
Overview
Each testis contains seminiferous tubules for sperm production and interstitial Leydig cells for androgen secretion. A fibrous capsule organizes the organ into lobules, while the epididymis follows its posterior side. Although the testes descend into the scrotum, their main vessels and lymphatic routes retain connections to the abdomen.
Reference facts
- Location
- The paired organs lie in the scrotal compartments, suspended from their cords; the left often sits lower, and each epididymis follows the posterior aspect.
- Parts
- Tunica albuginea encloses lobules separated by septa. Seminiferous tubules drain through straight segments to the rete in the posterior mediastinum.
- Blood supply
- The principal testicular artery usually arises from the abdominal aorta below the renal arteries. Deferential and cremasteric vessels provide collateral connections.
- Innervation
- The testicular plexus carries autonomic and visceral sensory fibers with the vessels. Afferent connections to lower thoracic spinal levels help explain referred lower abdominal or periumbilical pain.
- Venous/Lymphatic drainage
- Pampiniform veins converge into the testicular vein, usually entering the left renal vein on the left and the inferior vena cava on the right. Lymph ascends to side-dependent lumbar nodal groups.
- Relations
- The epididymis and vascular entry region lie posteriorly. Tunica vaginalis covers much of the remaining surface, and cord structures approach superiorly.
- Function
- Seminiferous epithelium generates sperm under Sertoli-cell support, while Leydig cells release testosterone into the circulation.
Clinical correlation
Retroperitoneal nodal patterns are central to the assessment of testicular germ-cell tumors. A high tunica vaginalis attachment can leave the testis unusually mobile within its serous covering, the bell-clapper configuration associated with intravaginal torsion. This mechanism differs from the extravaginal torsion seen particularly around birth.
Frequently asked questions
Where is the testis located?
The paired organs lie in the scrotal compartments, suspended from their cords; the left often sits lower, and each epididymis follows the posterior aspect.
What does the testis do?
Seminiferous epithelium generates sperm under Sertoli-cell support, while Leydig cells release testosterone into the circulation.
What are the parts of the testis?
Tunica albuginea encloses lobules separated by septa. Seminiferous tubules drain through straight segments to the rete in the posterior mediastinum.
What is the blood supply of the testis?
The principal testicular artery usually arises from the abdominal aorta below the renal arteries. Deferential and cremasteric vessels provide collateral connections.