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THE FASCIOMUSCULAR TUBE OF THE SPERMATIC CORD A Study of its Surgical Anatomy and Relation to Varicocele. A New Concept for the Pathogenesis of Varicocele
Author(s) -
Shafik A.,
Khalil A. M.,
Saleh M.
Publication year - 1972
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1972.tb10057.x
Subject(s) - varicocele , spermatic cord , hydrocele , medicine , anatomy , surgery , infertility , biology , pregnancy , genetics
SUMMARY The anatomical, histological and morphological structure of the fasciomuscular tube which surrounds the spermatic cord was studied in 20 cadavers of full mature neonatal foetal death and in 10 varicocele patients. The spermatic and cremasteric fasciæ are composed of elastic fibres impregnated with collagen, and act as an elastic stocking to the cord. Together with the cremasteric muscle they form a fasciomuscular pump which may play an important role in the hæmodynamics of the venous return from the cord. Tubal atrophy and subluxation were found in varicocele. Tubal subluxation resulting in inefficiency of fasciomuscular pumping mechanism is discussed as an ætiological factor in varicocele.