The ilioinguinal nerve which runs anterior to the spermatic cord may be damaged during the operation and cause numbness over the inner thigh or chronic groin and scrotal pain.
22.
These include part of the spermatic cord _ the 18-inch ( 46-centimeter ) tube which holds mature sperm, plus the arteries, veins, nerves, and lymphatic vessels which surround it.
23.
One study reported that denervation of the spermatic cord provided complete relief at the first follow-up visit in 13 of 17 cases, and that the other four patients reported improvement.
24.
The deep inguinal ring, which is the beginning of the inguinal canal, remains as an opening in the fascia transversalis, which forms the fascial inner wall of the spermatic cord.
25.
When the device is used, the operator crushes the spermatic cords one at a time, leaving a space in between in order to maintain an interruption of blood-flow to the scrotum.
26.
As the inferior epigastric artery passes obliquely upward from its origin it lies along the lower and medial margins of the abdominal inguinal ring, and behind the commencement of the spermatic cord.
27.
While the risks of blood loss and infection are low, anesthesia is however necessary, as the burdizzo causes blunt force trauma to the spermatic cords, which are thickly wrapped in nerve fibres.
28.
The vas deferens, as it leaves the spermatic cord in the male, and the round ligament of the uterus in the female, winds around the lateral and posterior aspects of the artery.
29.
This intercrural fascia is continued down as a tubular prolongation around the spermatic cord and testis, and encloses them in a sheath; hence it is also called the " external spermatic fascia ".
30.
The differential diagnosis of testicular cancer requires examining the histology of tissue obtained from an inguinal orchiectomy-that is, surgical excision of the entire testis along with attached structures ( epididymis and spermatic cord ).
