The spermatic cord is the bundle of structures that suspends each testis and runs from the deep inguinal ring through the inguinal canal to the back of the testis. It contains the vas deferens, the testicular artery, the pampiniform venous plexus, nerves and lymphatics. Three layers of fascia derived from the abdominal wall cover it.
| Location | From the deep inguinal ring, through the inguinal canal and superficial inguinal ring, to the posterior border of the testis |
|---|---|
| Parts |
|
| Nerve Supply | Genital branch of the genitofemoral nerve (cremaster); Testicular plexus; Ilioinguinal nerve (alongside the cord, not within it) |
| Blood Supply | Testicular artery; Artery to the ductus deferens; Cremasteric artery |
| Venous drainage |
|
| Lymphatic drainage |
|
Suspends the testis and carries its blood supply, venous drainage, nerves, lymphatics and the vas deferens.
Twisting of the cord causes testicular torsion. The cord is felt above the testis when examining for varicocele or hernia, since an indirect inguinal hernia descends alongside it. Surgeons tie or block it during hernia repair and orchidectomy, and local anaesthetic can be injected into it for scrotal procedures.
Twisting of the spermatic cord cutting off blood flow to the testis; a surgical emergency.
Enlarged veins of the pampiniform plexus within the cord, usually on the left side.
Abdominal contents passing through the deep ring and along the cord, sometimes into the scrotum.
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