scholarly journals Thrombosis of the pampiniform plexus

2020 ◽  
Author(s):  
Daniel Bell ◽  
Yuranga Weerakkody
Keyword(s):  
Pampiniform Plexus

Outcome of Extended Varicocelectomy in Case of High Grade Varicocele

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Essamt ◽  
Ahmed Mohamed Tawfeek ◽  
Osama Mostafa Tawfeek Abo Faddan
Keyword(s):  
Beneficial Effect ◽  
Surgical Approach ◽  
Spermatic Cord ◽  
Doppler Ultrasonography ◽  
Semen Analysis ◽  
Semen Parameters ◽  
High Grade ◽  
Postoperative Evaluation ◽  
Evaluation Period ◽  
Pampiniform Plexus

Abstract Background Varicocele is defined as abnormal dilation and tourtousity of the internal spermatic veins within the pampiniform plexus. It is common among adolescents and may contribute significantly to the risk of subfertility in adulthood. Objective To evaluate the outcome of extended varicocelectomy in case of high grade varicocele. Patients and methods In all, 30 varicocele cases including 12 left sided and 18 bilateral, comprising 48 spermatic cord units with clinically palpable varicocele and affected semen analysis underwent extended varicocele ligation. Testicular delivery was done in all the cases and assessment of the gubernacular veins was reported. The patients underwent clinical evaluation, scrotal doppler ultrasonography, as well as semen analysis to detect varicocele recurrence, hydrocele formation and early changes in semen parameters. The postoperative evaluation period was 3 months. Results No varicocele recurrences were clinically detectable after our surgical approach, No hydrocele formation, and There was improvement in the parameters of semen analysis in the entire patients presented with infertility associated with varicocele as regard improvement in the count, motility, and decrease in the abnormal forms 3 months after varicocelectomy. Conclusion Extended varicocele ligation with delivery of the testis achieve good surgical outcome with minimal varicocele recurrence and hydrocele formation, and offer beneficial effect on semen parameters.

scholarly journals Effects of the polypropylene mesh implanted through inguinotomy in the spermatic funiculus, epididium and testis of dogs

2005 ◽  
Vol 20 (6) ◽  
pp. 461-467 ◽  
Author(s):  
Alberto Goldenberg ◽  
Joaquim Ferreira de Paula
Keyword(s):  
Inflammatory Reaction ◽  
Polypropylene Mesh ◽  
Posterior Wall ◽  
Control Group ◽  
Deferent Duct ◽  
Pampiniform Plexus ◽  
Group A ◽  
Chronic Inflammatory Reaction ◽  
Group B ◽  
Surgical Manipulation

PURPOSE: To investigate the effects of polypropylene mesh, implanted by inguinotomy, in the spermatic funiculus, epididium and testis of dogs. METHODS: Eighteen dogs were considered (12-23 Kg), separated in three groups. Group A (n=7): left side (with mesh) versus right side (without mesh); Group B (n=7): left side (without mesh) versus right side (with mesh) and Group C (n=4): without any surgical manipulation (control group). After being observed for 60 days, the animals were subjected to bilateral removal of the spermatic funiculus, epididium and testis that were submitted to histological analysis. During the re-operation, a macroscopic evaluation was performed. RESULTS: On the mesh side, we noted 100% of mesh adherence to the posterior wall of the inguinal canal, as well as the adherence of the spermatic funiculus to the mesh. A congestion of the pampiniform plexus was noted in three animals. Chronic inflammation reaction and foreign body reaction in the spermatic funiculus was observed in 100% of the animals. On the side that did not carry a mesh, chronic inflammatory reaction was observed in 71% of the animals. All the animals presented chronic inflammatory reaction in the deferent duct in the mesh side and in eleven animals in the side without the mesh. These alterations were not found in Group C. There was a considerable statistical reduction in the average difference of the diameter of the lumen of the deferent duct in the mesh side. In the epididium and testis, macro and microscopic alterations were not significant, although one animal presented a marked reduction of spermatogenesis on the mesh side. CONCLUSION: The polypropylene mesh, when in contact with the spermatic funiculus of dogs, causes a more intense chronic inflammatory reaction and a significant reduction in the diameter of the lumen of the deferent duct.

scholarly journals Association between varicocele grade and semen analysis parameter

2018 ◽  
Vol 26 (4) ◽  
pp. 270-6 ◽  
Author(s):  
Ira Ariyati ◽  
Rahmad Mulyadi ◽  
Ponco Birowo ◽  
Budi Wiweko ◽  
Joedo Prihartono
Keyword(s):  
Sperm Morphology ◽  
Semen Analysis ◽  
Sperm Concentration ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Maximum Condition ◽  
Cross Sectional ◽  
Doppler Examination ◽  
Pampiniform Plexus

Background: Varicocele is a condition characterized by elongation, dilatation and tortuousity of spermatic vein in pampiniform plexus. Approximately 50% of infertility cases among men are caused by varicocele. The varicocele may affect the components of sperm. This study aimed to determine the association between varicocele grade based on ultrasound Doppler examination and sperm concentration, sperm motility, and sperm morphology based on semen analysis examination.Methods: This was a descriptive, cross-sectional study which used secondary data from 85 patients that visited Department of Urology, Cipto Mangunkusumo Hospital, then underwent ultrasonography examination at Department of Radiology, Cipto Mangunkusumo Hospital and semen analysis examination at Department of Obstetrics and Gynecology, Cipto Mangunkusumo General Hospital.Results: Varicocele grade was significantly associated with sperm morphology, concentration and motility (all p<0.05). Significant association was found between maximum condition and semen analysis component.Conclusion: Varicocele grade may affect semen analysis component.

scholarly journals Effect of inguinal hernia on the thickness and blood flow of spermatic cord in boys

2019 ◽  
Vol 2 (2) ◽  
pp. e000030
Author(s):  
Shoujiang Huang ◽  
Canping Li ◽  
Xiuzhen Yang ◽  
Jianfeng Liang ◽  
Dongpi Wang
Keyword(s):  
Blood Flow ◽  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Peak Systolic Velocity ◽  
Control Group ◽  
Pampiniform Plexus ◽  
Significant Difference ◽  
Highly Correlated ◽  
And Control ◽  
The Relationship

ObjectiveTo evaluate the effect of inguinal hernia (IH) on the spermatic cord using spermatic cord ultrasonography (SCU).MethodsFrom January 2016 to January 2017, boys with IH who received SCU at the start of open herniorrhaphy (OH) were enrolled in this study. The age and weight at SCU, width of the spermatic cord (SC-W), peak systolic velocity (PSV) in the spermatic artery (SA-PSV) and velocity in the pampiniform plexus (PP-V), and the interval between the initial and the second OH in boys with metachronous inguinal hernia (MIH) were recorded, and the relationship among them was studied. Boys with unilateral IH comprised the IH group, and boys with MIH comprised the MIH group. Boys with polydactylism served as the control. One-way analysis of variance tested the differences among groups. Spearman’s r tested the relationship between SC-W in the MIH group and the interval.ResultsA total of 80 boys were enrolled in this study (IH group 29, MIH group 26, and control group 25). SA-PSV and PP-V in the hernia side were faster and slower than the control, respectively. There was no significant difference in PP-V and SA-PSV of the treated side in the MIH group and in the control group. After herniorrhaphy, SC-W was tapered down to normal size. SC-W, SA-PSV, and PP-V in the treated side were all highly correlated to the interval in a curvilinear manner.ConclusionPSV was positively correlated with SC-W in boys with IH, and PP-V was negatively correlated; herniorrhaphy could reverse the impairment.

scholarly journals Clinical, Bacteriological, and Histopathological Findings of a Testicular Fibrosis in a 6-Year-Old Lusitano Stallion

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
A. Rocha ◽  
T. Guimarães ◽  
J. C. Duarte ◽  
C. Cosinha ◽  
V. T. A. Lopes ◽  
...  
Keyword(s):  
Bacterial Growth ◽  
Spermatic Cord ◽  
Histopathological Examination ◽  
Clinical Signs ◽  
Ultrasound Scanning ◽  
Histopathological Findings ◽  
Left Testicle ◽  
Pampiniform Plexus ◽  
Inflammatory Drugs ◽  
Testicular Degeneration

A 6-year-old Lusitano stallion was referred to our centre due to an enlarged left testicle. Anamnesis indicated that the stallion had a chronic hypertrophy of the left testicle, with no apparent ill effect on work (dressage training) or semen production. Prolonged use of anti-inflammatory drugs (NSAIDs) and antibiotics were probable. Upon examination of the animal, it was found that clinical signs were compatible with chronic testicular degeneration or fibrosis. Ultrasound scanning did not evidence the exuberant macroscopic lesions seen upon hemicastration of the left testicle, but it showed in the left spermatic cord a conspicuous absence of the typical hypoechogenic areas representing the pampiniform plexus. Swabbing of the penis, prepuce, and distal urethra resulted in the isolation ofRhodococcus equiandCorynebacteriumspp. However, histopathological examination did not support infectious orchitis as cause of the lesions and no bacterial growth was obtained from swabbing of the parenchyma in the excised testicle. Histopathological findings were compatible with chronic orchitis with fibrosis and necrosis, probably secondary to ischemia of the testicular parenchyma. After hemi-castration, the stallion resumed semen production at acceptable levels.

scholarly journals AN EPIDEMIOLOGICAL STUDY OF VARICOCELE

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Anil Kumar Dadhich ◽  
Ramgopal Meena
Keyword(s):  
General Population ◽  
Prospective Study ◽  
Epidemiological Study ◽  
General Surgery ◽  
Large Scale ◽  
Inclusion Criteria ◽  
Clinical Factors ◽  
Primary Infertility ◽  
Pampiniform Plexus ◽  
Surgery Department

Background: Varicocele, an abnormal dilatation and tortuosity of the pampiniform plexus of veins is found in about 15% of the general population with a marked left sided predominance. However this incidence rises to 35% in men with primary infertility and 70 to 80% in men with secondary infertility. Methods: Hospital based prospective study conducted on 100 cases reporting to General surgery department within the study duration and eligible as per inclusion criteria was included in study. Results: In our study out of Out of 100 patients maximum 42.00% patients were farmer followed by 22.00% patients were Coolies and Rickshaw Pullers, 17.00% patients were students, 10.00% were laborer and 9.00% were policemen. Conclusion: It conclude that Varicocele epidemiology remains incompletely understood. We need well‑designed, large‑scale studies that include evaluation of important clinical factors to comprehend fully the epidemiological aspects of this condition.

scholarly journals Testicular arteries systematization based on different levels of scrotal configuration in caprines

2008 ◽  
Vol 38 (5) ◽  
pp. 1308-1312 ◽  
Author(s):  
Mônica Marco de Almeida ◽  
Antônio Chaves de Assis Neto ◽  
Alexandra Klindline Penno ◽  
Airton Mendes Conde Júnior ◽  
Danilo Jose Ayres de Menezes ◽  
...  
Keyword(s):  
Inguinal Canal ◽  
Acetate Solution ◽  
Group Iii ◽  
Caudal Extremity ◽  
Group I ◽  
Pampiniform Plexus ◽  
Corrosion Cast ◽  
Group Ii ◽  
Collateral Vessels ◽  
Different Levels

The objective of this study was to describe the distribution of testicular arterial vessels in caprines with different degrees of scrotal division. Scrotal configurations were classified as follows; Group I: scrotum without bipartition; Group II: scrotum showing a ventral division until the middle of the testis; and, Group III: scrotal separation extended beyond the middle of the testis. A colored vinyl acetate solution was injected into 60 testicular arteries (30 pairs). After, the samples were submitted to corrosion cast method to obtain tubular vascular models for macroscopic analysis. We observed that the testicular arteries emerge from the abdominal aorta, cross the inguinal canal to become coiled and involved by the pampiniform plexus. Close to the caudal extremity of the testis, the arteries become divided in cranial and caudal branches that emit collateral vessels to originate emerging branches. Testicles with intermediate level of scrotal division (group II) showed a smaller amount of those branches than the others, being the most populated the ventrolateral and the dorsolateral quadrants. The origin, distribution and localization of the testicular arteries did not show any differences related to the degree of scrotal division in caprines.

scholarly journals Varicocele and male infertility: Historical, anatomical and urological perspectives – a mini review

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
Author(s):  
Ramachandran Kalpana ◽  
Sriram Krishnamoorthy
Keyword(s):  
Male Infertility ◽  
Regulatory Mechanism ◽  
Molecular Level ◽  
Serum Testosterone ◽  
Venous Drainage ◽  
Seminal Parameters ◽  
Anatomical Basis ◽  
Treatment Focus ◽  
Pampiniform Plexus ◽  
History Of

Varicocele is defined as an abnormal dilatation of the pampiniform plexus of the spermatic cord. This is seen in 10 to 20% of general population and is one of the most common correctable causes of male infertility. The history of varicocele dates back to the era of Ancient Greeks to about 600 BC, who had sculptured varicocele in their statues as a tortuous bag of wormsin the scrotum. It was Ambrose Pare who gave a poetic description to the pooling of blood in the spermatic cords and subsequently Curling coined the term Varicocele The intricacy of the venous drainage of the scrotum and its contents and the criss crossing of the veins makes the thermo-regulatory mechanism regulating spermatogenesis, even more complex. The Cremaster and Dartos greatly aid in facilitating the thermo-regulatory mechanism of scrotal wall, which forms the anatomical basis of oligospermia in patients with varicocele. Apart from a visible change in seminal parameters, the benefits of varicocelectomy have extended on to an improvement in serum testosterone and enhancement of erectile and ejaculatory functions. With a greater knowledge of the pathophysiology of varicocele and with better understanding of the roles of gene polymorphisms and reactive oxygen species, the indications for varicocelectomy gain more support and evidence. A sound anatomical knowledge and an in-depth understanding of the events that take place at molecular level might shift the treatment focus in future from varicocelectomy to molecular targeted therapies.

Sign in / Sign up

Export Citation Format

Share Document