|Inferior vena cava, left renal vein|
The testicular vein (or spermatic vein), the male gonadal vein, carries deoxygenated blood from its corresponding testis to the inferior vena cava or one of its tributaries. It is the male equivalent of the ovarian vein, and is the venous counterpart of the testicular artery.
It is a paired vein, with one supplying each testis:
- the right testicular vein generally joins the inferior vena cava;
- the left testicular vein, unlike the right one, joins the left renal vein instead of the inferior vena cava.
The veins emerge from the back of the testis, and receive tributaries from the epididymis; they unite and form a convoluted plexus, called the pampiniform plexus, which constitutes the greater mass of the spermatic cord; the vessels composing this plexus are very numerous, and ascend along the cord, in front of the ductus deferens.
Below the subcutaneous inguinal ring, they unite to form three or four veins, which pass along the inguinal canal, and, entering the abdomen through the abdominal inguinal ring, coalesce to form two veins, which ascend on the Psoas major, behind the peritoneum, lying one on either side of the internal spermatic artery.
The spermatic veins are provided with valves.
The left spermatic vein passes behind the iliac colon and is thus exposed to pressure from the contents of that part of the bowel.
Since the left testicular vein goes all the way up to the left renal vein before it empties, this results in a higher tendency for the left testicle to develop varicocele because of the gravity working on the column of blood in this vein. Moreover, the left renal vein passes between the abdominal aorta and the superior mesenteric artery en route to the inferior vena cava, and is often compressed by an enlarged superior mesenteric artery—this is called the "Nutcracker effect".
- Ahmed K, Sampath R, Khan MS (April 2006). "Current trends in the diagnosis and management of renal nutcracker syndrome: a review". European Journal of Vascular and Endovascular Surgery (European Society for Vascular Surgery) 31 (4): 410–416. doi:10.1016/j.ejvs.2005.05.045. PMID 16431142.
- Anatomy photo:40:13-0103 at the SUNY Downstate Medical Center - "Posterior Abdominal Wall: Tributaries to the Inferior Vena Cava"