2023-10-27 18:30:00
Anatomical definition: what is the spermatic cord?
The spermatic cord, also known as the “testicular cord”, corresponds to the structure of the male genital tract. “This conduit starts from the abdominal cavity and goes to the epididymis and the testicle. It is cylindrical in shape,” explains Dr. Antoine Faix, urologist. .
In composition
The spermatic cord includes all the vascular, nervous and functional elements intended for the epididymis and the testicle: the vas deferens, the spermatic and deferential vessels, the nerve threads and the Cloquet ligament.
What is his role ?
“The spermatic cord plays an important role in the movement of sperm from the testicle to the urethra, where they will be ejaculated” indicates Dr. Antoine Faix. In addition to transporting sperm, the testicular cord also helps hold the testicles in position, protect them against twisting and facilitate the exchange of substances between the testicles and the rest of the body.
Associated disorders & pathologies and their treatments
Several problems can occur with the spermatic cord:
Testicular torsion
We speak of torsion when the spermatic cord twists : “It is a mechanical problem which is often linked to an abnormality of fixation of the testicle inside the scrotum.” This scenario is very serious because the blood flow is interrupted and can jeopardize the survival of the testicle. “Urgent surgical intervention following the torsion is essential to maintain the viability of the testicle. Note that the latter can twist at any age, although there are two major peaks of occurrence: around birth (perinatal period) and in young people after puberty (post-pubertal period).
Varicocele
This is a dilation of the veins of the spermatic cord, similar to varicose veins, which occurs in the scrotal region, more often on the left than on the right. “This pathology can lead to discomfort and pain, and a reduction in fertility. It is considered “benign” but requires treatment in the event of persistent pain and fertility problems, particularly in adolescents and children. young man” indicates Dr Antoine Faix.
Funiculitis
An infection of the spermatic cord. “It is often associated with orchiepidimytis (inflammation of the testicle and epididymis). “Given that there is a risk of fertility, it should also be treated quickly with antibiotics for example” warns the urologist.
Tumors
They are exceptional and often called “benign” (like fibroids, which represent the majority of cases) or malignant (like cancers). “They can cause palpable masses in the scrotum, pain and require surgical treatment” says Dr Antoine Faix.
Spermatic cord cyst
The cord cyst results in a fluid accumulation in a “pocket” located above the testicle at the level of the spermatic cord.
There is no risk of becoming infected or developing into a more serious illness. Dr Antoine Faix, urologist.
“However, in the event that it presents discomfort or pain, it can be removed via surgery.” The absence of treatment exposes the risk of an increase in volume of the bursa with the appearance or worsening of symptoms” indicates the French Association of Urology (source 1).
In the event of symptoms (abnormal, sudden and acute pain; lumps, etc.) it will therefore be important to consult a health professional for an accurate diagnosis and appropriate treatment.
Do all men have a spermatic cord?
“Every man has one. It is made little by little in the mother’s womb, arriving in the bursa with the testicle at birth. If the testicle is not present in the bursa at birth and in the first year, a surgical procedure to lower the testicle into the bursa called orchidopexy will be considered,” continues the urologist.
How to prevent spermatic cord injuries?
In order to avoid certain problems related to the spermatic cord, here are some indicative tips:
- Protect the genitals : protect your genitals in the event of sporting activities or at risk of genital trauma, in particular by wearing adequate protection such as a shell.
- Recognize the signs of trouble and act quickly : “At the slightest abnormal sign (pain, swelling, change in size, discomfort, etc.) or any other unusual symptom, seek urgent medical advice.
1698437194
#spermatic #cord