Microanatomy of the spermatic cords during microsurgical inguinal varicocelectomy: Initial experience in Asian men

Xue Ke Wang*, Hong Zhen Wang, Ding Jun Fu, Ming Kuen Lai

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

3 Scopus citations

Abstract

The microanatomy of the inguinal spermatic cords has never been reported in Asia. The purpose of this study was to describe the number and relationship of the veins, arteries and lymphatics in the spermatic cord and to clarify the location of the vas deferens in Asian men. Fifty-one patients receiving 79 primary microsurgical varicocelectomies performed by a single surgeon from April 2011 to July 2012 were studied. The number of internal and external spermatic veins, testicular arteries and lymphatic channels preserved during the inguinal microsurgical varicocelectomy were recorded. The relationship between the right and left vascular anatomy during bilateral varicocelectomies was evaluated. The data showed that mean numbers of 1.5±0.9 arteries, 5.6±2.2 spermatic veins and 3.6±1.9 lymphatics were identified during the repairs. The internal spermatic arteries were surrounded by a dense complex of adherent veins in 81.2% of the cases. The external spermatic vein or veins were found in 60.8% of the cases. The vas deferens may be contained within the internal spermatic fascia. The results suggest that the number of veins may be highly variable and less than those reported in the English literature, but there is some similarity in the inguinal microanatomy of the right and left spermatic cords. Further research is warranted to clarify our results.

Original languageEnglish
Pages (from-to)897-899
Number of pages3
JournalAsian Journal of Andrology
Volume14
Issue number6
DOIs
StatePublished - 11 2012
Externally publishedYes

Keywords

  • infertility
  • spermatic cord
  • varicocele

Fingerprint

Dive into the research topics of 'Microanatomy of the spermatic cords during microsurgical inguinal varicocelectomy: Initial experience in Asian men'. Together they form a unique fingerprint.

Cite this