3 nerves : genital branch of the genitofemoral nerve ( L1 / 2 ), sympathetic and visceral afferent fibres, ilioinguinal nerve ( N . B . outside spermatic cord but travels next to it)
32.
In male patients, the progressive obstruction and destruction of the developing vas deferens ( spermatic cord ) and epididymis appear to result from abnormal intraluminal secretions, causing congenital absence of the vas deferens and male infertility.
33.
The spermatic cord in the male and the round ligament of the uterus in the female lie immediately above the anterior margin of the ring, while the inferior epigastric vessels are close to its upper and lateral angle.
34.
Long permanent sutures, usually silk or polypropylene, are left on the stump of the spermatic cord as a marker in case it needs to be removed in the future during a retroperitoneal lymph node dissection ( RPLND ).
35.
The scrotum remains connected with the abdomen or pelvic cavity by the inguinal canal . ( The spermatic cord, formed from spermatic artery, vein and nerve bound together with connective tissue passes into the testis through inguinal canal .)
36.
When assessed by ultrasound or cross sectional imaging with MRI, the major differential in diagnosing indirect inguinal hernias is differentiation from spermatic cord lipomas, as both can contain only fat and extend along the inguinal canal into the scrotum.
37.
All of the structures remain attached to the testis and form what is known as the spermatic cord by the time the testis is in the scrotal sac, the gubernaculum is no more than a remnant of scar like tissue.
38.
Just above the pubic spines on either side are the external abdominal rings, which are openings in the muscular wall of the abdomen through which the spermatic cord emerges in the male, and through which an inguinal hernia may rupture.
39.
In August 2007, Dr . Sijo Parekattil of the Robotics Institute and Center for Urology ( Winter Haven Hospital and University of Florida ) performed the first robotic assisted microsurgery procedure denervation of the spermatic cord for chronic testicular pain.
40.
It is a triangular opening that forms the exit of the inguinal canal, which houses the ilioinguinal nerve, the genital branch of the genitofemoral nerve, and the spermatic cord ( in men ) or the round ligament ( in women ).
