Seed cord

Seed cord - paired organ, having the form of heavy, formed in the process of the descent of the testis from the abdomen into the scrotum. Seed cord begins at the inner hole of the inguinal canal, has a length of up to 20 cm In the composition of the spermatic cord contains: the ductus deferens, testicular artery, venous plexus, Vienna egg and VAS duct, draining lymph vessels testicles nervous plexus surrounding arteries and the ductus deferens. Around the spermatic cord and between its elements has a gentle loose connective tissue. The blood supply of the spermatic cord at the expense of internal and external seed arteries.
In the spermatic cord, there are several layers: the outer seed fascia, muscles, raising egg, and internal seed fascia (General fascia of the testis and VAS duct). When cryptorchidism (see) elements of the spermatic cord or are developing not completely absent.
The main method of investigation of the spermatic cord is a palpation, which allows you to probe the ductus deferens, round, tight freely move strand. By palpation determine accompanying duct vessels, especially veins varicose expansion. When inguinal hernia among the elements of the spermatic cord is a bulge is noticeable with a seal or a part of the intestines.
In the diagnosis of male infertility, diseases of the prostate gland and testicles used x-ray with contrast VAS duct and the seminal vesicles (vesiculography). With this purpose under local anesthesia (20 - 30 ml of 0.25% solution novokaina) in the upper third of the scrotum cut through the skin and shell, will take on the taped the ductus deferens. Enter into the lumen of the duct needle (wasapoker), and then the contrast agent and produce x-rays.
Inflammation of the spermatic cord (funicular) and VAS duct (differentit) were observed when injury, inflammation of the testes (orchitis), epididymis (epididymitis) and the prostate (prostatitis). When paniculate, which is accompanied by acute non-specific or specific (gonorrhea, tuberculosis) orhoepididimit, seed cord sharply enlarged, at a palpation is defined as busy, sharply painful strand, some of its elements poorly differentiated. On semyavynosyaschego channel tuberculosis or gonorrheal infection spreads intracanalicular by, while developing reactive inflammation in the tissues of the spermatic cord.
On the place of the inflammatory infiltrate develops sclerotic fabric with a narrowing or zaradenie VAS duct, chronic inflammation appear celabrate seals, which are especially characteristic of tuberculosis.
Trauma to the scrotum along the spermatic cord are formed hematoma, often with the outcome of the cyst, which requires surgical removal. With closed injury can occur the spermatic cord torsion with partial or complete disruption of blood circulation in the testicle; torsion by acute pain. When the spermatic cord torsion require urgent surgical intervention - the unwinding of the spermatic cord and fixing it, and testis in normal position. In the case of development of gangrene testicles produce its removal.
Treatment of inflammatory diseases of the spermatic cord or conservative (rest, ice, antibiotics), or surgical (opening and drainage of purulent foci). Tuberculosis reproductive system, urethral purulent infection, adenoma of prostate gland in order to prevent the spread of infection to produce evidence or excision of part of the sperm duct (vasectomy), or the transection duct (azotemia)or subcutaneous duct ligation (vasodilator). In subsequent cross VAS duct can be repaired with surgery (VASO-vasectomy).
Tumors of the spermatic cord are extremely rare. Described isolated cases of benign tumors (fibroma, lipoma and myoma), malignant tumors (angioma and sarcomas). Complex treatment: prompt, combined with x - ray or chemotherapy.