The external spermatic fascia is the outermost covering of the spermatic cord and testis. It is a continuation of the external oblique aponeurosis and is picked up by the cord as it passes through the superficial inguinal ring.
| Location | Around the spermatic cord and testis from the superficial inguinal ring into the scrotum. |
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Forms the outer covering of the spermatic cord and testis.
Surgeons identify this layer when opening the inguinal canal or the scrotum, as the first of the three cord coverings. In inguinal hernia repair the superficial ring formed by its origin is assessed for width. An indirect hernia sac lies inside this and the two deeper coverings.
A hernia that follows the spermatic cord through the inguinal canal, lying within the external spermatic fascia and the other cord coverings as it descends toward the scrotum.
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