Epididymis

The epididymis is a highly coiled, tubular structure that plays an important role in sperm maturation, storage and transport. The epididymal glands are surrounded by concentric layers of fibromuscular tissue rich in smooth muscle cells with blood vessels and nerves in the adjacent supporting stroma.

The epididymis is usually divided into three regions: Head, body and tail. What is shown in this section is the head region of the epididymis. The differences between the regions are mostly the thickness of the epithelium and smooth muscle walls.

The main structure that can be observed at a microscopic level in the epididymis is:

  • The epididymal glands, they are lined with pseudostratified columnar epithelial cells called principal cells.

The principal cells are the major cell type and they have straight non-motile stereocilia that enable extensive absorptive and secretory functions.

Together with the peristaltic movement of the smooth muscle, the epididymal duct cells (glands) facilitate the flow of sperm through the epididymis to the vas deferens and connecting excretory tubes. In addition to the principal cells, the epididymal duct also consists of several other types of epithelial cells called clear cells, narrow cells, basal cells, halo cells, and the mitochondria rich apical cells. However, the functions of these cells are poorly understood. A few scattered macrophages and lymphocytes can also be present in the stromal compartment.

Normal epididymis

Section of normal epididymis, stained with hematoxylin and eosin for contrast.

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Epididymis

The most important elements of the epididymis include:

  • Epididymal glands, important for storage and maturation of the sperm
  • Efferent ducts, transporting the spermatozoa from the testis to the head of the epididymis
  • Blood vessels, scattered throughout the epididymis to supply nutrients