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 thoracic and upper lumbar region and migrates into the scrotum. During its descent it carries along with it the vas deferens, its vessels, nerves etc. There is one on each side.
The spermatic cord is ensheathed in three layers of tissue:
- external spermatic fascia, an extension of the innominate fascia that overlies the aponeurosis of the external oblique muscle.
- cremasteric muscle and fascia, formed from a continuation of the internal oblique muscle and its fascia.
- internal spermatic fascia, continuous with the transversalis fascia.
- Nerve to cremaster (genital branch of the genitofemoral nerve)
- Testicular nerves (sympathetic nerves).
The spermatic cord is sensitive to torsion, in which the testicle rotates within its sac and blocks its own blood supply. Testicular torsion may result in irreversible damage to the testicle within hours. A collection of serous fluid in the spermatic cord is named 'funiculocele'.
- Liu, Longfei (2019). "Chapter 1 - Applied Anatomy of the Scrotum and its Contents". Scrotoscopic Surgery. Academic Press. pp. 1–8. doi:10.1016/B978-0-12-815008-5.00001-7. ISBN 978-0-12-815008-5.
- Firoozabadi R, Stafford P, Routt M (2015). "Risk of Spermatic Cord Injury During Anterior Pelvic Ring and Acetabular Surgery: An Anatomical Study". Arch Bone Jt Surg. 3 (4): 269–73. PMC 4628634. PMID 26550592.
- Yin, Zhuo; Meng, Xianxi (2019). "Chapter 4 - General Techniques of Scrotoscopic Surgery". Scrotoscopic Surgery. Academic Press. pp. 23–53. doi:10.1016/B978-0-12-815008-5.00004-2. ISBN 978-0-12-815008-5.
- "Learn About Varicocele Treatment". VARICOCELE HEALING. Archived from the original on 2 February 2014. Retrieved 25 April 2018.
- Anatomy figure: 36:01-00 at Human Anatomy Online, SUNY Downstate Medical Center - "The inguinal canal and derivation of the layers of the spermatic cord."
- Anatomy image:7509 at the SUNY Downstate Medical Center
- Cross section image: pembody/body18b—Plastination Laboratory at the Medical University of Vienna
- Cross section image: pelvis/pelvis-e12-15—Plastination Laboratory at the Medical University of Vienna
- inguinalregion at The Anatomy Lesson by Wesley Norman (Georgetown University) (spermaticcord)