Intraoperative characterization of arterial vasculature in spermatic cord

Urology
Jay D Raman, Marc Goldstein

Abstract

To characterize the arterial microanatomy within the spermatic cord. Between June 2002 and March 2003, 72 men underwent 120 microsurgical subinguinal varicocelectomies for the treatment of varicocele. A micro-ruler was used to measure the diameter of each artery in the spermatic cord at the external inguinal ring. A single testicular artery was identified in 83 (69%), two testicular arteries in 32 (27%), and three arteries in 4 (3%) of 120 cases. The testicular artery diameter ranged from 0.2 to 1.9 mm (mean 1.0). A single vasal artery was identified in 117 (98%) of 120 cases, with the vasal artery diameter ranging between 0.2 and 1.8 mm (mean 0.6). A single cremasteric artery was identified in 66 (55%), two arteries in 37 (31%), and three arteries in 5 (4%) of 120 cases. The cremasteric artery diameter ranged from 0.1 to 1.5 mm (mean 0.5). The diameter of the testicular artery was equal to or greater than the sum of the vasal and cremasteric artery diameters in 69 (57.5%) of 120 spermatic cords. The testicular artery was consistently the largest caliber arterial vessel, with a diameter equal to or greater than the sum of the vasal and cremasteric arteries in more than 50% of the spermatic cords. This suggests that although the...Continue Reading

References

Dec 1, 1972·Annals of Surgery·I PennT E Starzl
Jun 1, 1984·Journal of Pediatric Surgery·L M LeeM G McLoughlin
Oct 1, 1994·Urology·J A RossJ P Jarow

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Citations

Feb 2, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·T ForziniF Saint
Mar 14, 2016·International Urology and Nephrology·Xiaokang QiWei Zhang
Sep 13, 2014·Urologia·Giorgio FrancoCarlo De Dominicis
Jul 13, 2006·Nature Clinical Practice. Urology·Marc Goldstein, Cigdem Tanrikut

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