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Originating in the spermatic cord with spread to the scrotum; Originating and developing within the cord (most common type) and; Originating and developing within the scrotum. At ultrasound, lipoma is a well–defined, homogeneous, hyperechoic paratesticular lesion of varying size [Fig. 14].
The spermatic cord is the cord-like structure in males formed by the vas deferens (ductus deferens) and surrounding tissue that runs from the deep inguinal ring down to each testicle. Its serosal covering, the tunica vaginalis, is an extension of the peritoneum that passes through the transversalis fascia. Each testicle develops in the lower ...
Sperm granuloma can also mimic the presence of an abnormal number of testis on ultrasound. [9] Sperm granulomas are mostly asymptomatic. [4] However, they can cause pain and swelling of the epididymis, spermatic cord, and testis.
Testicular torsion occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the blood supply to the testicle. [3] The most common symptom in children is sudden, severe testicular pain. [1] The testicle may be higher than usual in the scrotum and vomiting may occur.
The pampiniform plexus (from Latin pampinus 'tendril' and forma 'form') is a venous plexus – a network of many small veins found in the human male spermatic cord, and the suspensory ligament of the ovary. In the male, it is formed by the union of multiple testicular veins from the back of the testis and tributaries from the epididymis.
Bell-clapper deformity is a deformity in which the testicle is not attached to the scrotal walls, and can rotate freely on the spermatic cord within the tunica vaginalis. Those with Bell-clapper are at a higher risk of testicular torsion.
Intratesticular masses that appear suspicious on an ultrasound should be treated with an inguinal orchiectomy. The pathology of the removed testicle and spermatic cord indicate the presence of the seminoma and assist in the staging.
Palpate the spermatic cord and note the connection to the testicle. [1] In some instances, examiner will perform the Valsalva maneuver to assess the mass on the veins within the spermatic cord. Palpate the inguinal canals to assess for hernias or abnormal tenderness. [5] Examination is repeated with the examinee in supine position.