Write a short note on the Spermatic Cord.
Answer:
Spermatic Cord:-
It is a cord-like structure of soft tissues that extends from the upper end of the posterior border of the testis to the deep inguinal ring. It is about 3 inches (7.5 cm) long and contains the vas deferens and associated vessels and nerves.
Spermatic Cord Coverings:
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The spermatic cord is enclosed in 3 membranes which are acquired by it during the descent of the testis from the anterior abdominal wall.
From superficial to deep, these are:
- External spermatic fascia, derived from external oblique aponeurosis.
- Cremasteric muscle and fascia, are derived from internal oblique aponeurosis.
- Internal spermatic fascia, derived from fascia transversalis.
Spermatic Cord Contents:
Three arteries:
- A testicular artery from the abdominal aorta
- The cremasteric artery forms the inferior epigastric artery
- Artery of the vas deferens from inferior vesicle artery
Three nerves:
- Ilioinguinal nerve from ventral ramus of L1 (strictly speaking, it lies on and not within the cord).
- Genital branch of the genitofemoral nerve: It also gives rise to a cremasteric nerve.
- Sympathetic fibers: they form a plexus around the perivascular coat of the testicular artery and convey the fibers from T10 and T12.
Three other structures:
- Vas deferens
- Pampiniform plexus of veins
- Remains of processus vaginalis
Direct And Indirect Inguinal Hernia
Other structures: Lymphatics that drain the testis and epididymis into pre- and para-aortic lymph nodes
Note: The spermatic cord also contains fibrous remnants of processus vaginalis.
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