Spermatic cord Flashcards

1
Q

what does the spermatic cord refer to?

A

a collection of vessels, nerves and ducts that run to and from the testes

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2
Q

what is the spermatic cord surrounded by?

A

surrounded by fascia, forming a cord-like structure

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3
Q

what is the anatomical course of the spermatic cord

A

relatively short, beginning in the inferior abdomen and ending in the scrotum

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4
Q

where is the spermatic cord formed at?

A

formed at the opening of the inguinal canal, known as the deep inguinal ring

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5
Q

where is the opening of the inguinal canal?

A

This opening is located laterally to the inferior epigastric vessels

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6
Q

where does the spermatic cord pass through?

A

the inguinal canal, entering the scrotum via the superficial inguinal ring

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7
Q

after entering the superficial inguinal ring , where does the spermatic continue? ending?

A

It continues into the scrotum, ending at the posterior border of the testes

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8
Q

what happens after the spermatic cord ends at the posterior border of the testes?

A

its contents disperse to supply the various structures of the testes and scrotum

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9
Q

what are the contents of the spermatic cord mainly bound together by?

A

by three fascial layers - they are all derived from anterior abdominal wall

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10
Q

what are the 3 fascial layers bounding the contents of the spermatic cord?

A

external spermatic fascia
cremaster muscle and fascia
internal spermatic fascia

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11
Q

where is external spermatic fascia derived from?

A

derived from the aponeurosis of the external oblique

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12
Q

where is cremaster muscle and fascia derived from?

A

derived from the internal oblique and its fascial coverings

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13
Q

where is internal spermatic fascia derived from?

A

derived from the transversalis fascia

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14
Q

what are the 3 fascial layers covering the contents of the spermatic cord covered by? where is it?

A

a layer of superficial fascia, which lies directly below the scrotal skin

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15
Q

what does the cremaster muscle form?

A

the middle layer of the spermatic cord fasciaa

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16
Q

what is the cremaster muscle a layer of?

A

a discontinuous layer of striated muscle, that is orientated longitudinally

17
Q

Clinical: how can the cremaster reflex be stimulated?

A

by stroking the superior and medial part of the thigh

18
Q

clinical: what happens when the cremaster reflex is stimulated?

A

produces an immediate contraction of the cremaster muscle

19
Q

clinical: what does contraction of the cremaster muscle lead to?

A

elevates the testis on the side that has been stimulated

20
Q

clinical: what type of reflex is the cremaster reflex?

A

spinal reflex

21
Q

clinical: what does the cremaster spinal reflex consist of?

A

2 parts:
afferent sensory limb (stroking)
(brainstem / spine coordinate in between)
efferent motor limb (the reflex)

22
Q

clinical: which nerve coordinates the afferent sensory limb within the cremaster reflex?

A

ilioinguinal / genitofemoral nerve

23
Q

clinical: which nerve coordinates the efferent motor limb within the cremaster reflex?

A

genito branch of genitofemoral nerve