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• W2174847382 abstract "No AccessJournal of UrologyAdult Urology1 Jun 2016Microsurgical Anatomy of the Spermatic Cord and Spermatic Fascia: Distribution of Lymphatics, and Sensory and Autonomic Nerves Shintaro Oka, Koji Shiraishi, and Hideyasu Matsuyama Shintaro OkaShintaro Oka More articles by this author , Koji ShiraishiKoji Shiraishi More articles by this author , and Hideyasu MatsuyamaHideyasu Matsuyama More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.11.041AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: An understanding of the microsurgical anatomy of the spermatic cord and spermatic fascia is important for surgeons during microsurgical varicocelectomy and denervation. We examined the distribution of the lymphatics, and the sensory and autonomic nerves of the spermatic cord. Materials and Methods: We collected spermatic cords from 11 men undergoing orchiectomy for localized testicular tumors and we biopsied a third of the spermatic fascia from 36 men undergoing microsurgical varicocelectomy. Immunohistochemical staining of the pan-neuronal marker PGP 9.5 (protein gene product 9.5), the sensory nociceptor marker CPRP (calcitonin gene-related peptide), the sympathetic marker TH (tyrosine hydroxylase), the parasympathetic marker VIP (vasoactive intestinal polypeptide) and the lymphatic marker D2-40 was performed. We counted the number of nerves and lymphatics. Results: PGP 9.5 staining revealed dense nerve distributions in the spermatic cord and fascia. Sensory and autonomic nerve fibers were basically co-localized in the same nerve. Of the nerves 50% were identified near the vas deferens and 20% were identified in the spermatic fascia. Sensory and sympathetic nerve fibers represented most of the nerves but a few parasympathetic nerve fibers were observed. Of the lymphatics 36 per patient were identified in the spermatic cord but only a few were identified in the spermatic fascia. Conclusions: Sensory and sympathetic nerves accounted for the majority of the nerves. Although the functional aspects of the nerves remain undetermined, information on the distribution of nerves and lymphatics is useful when dealing with nerves and preserving lymphatics during microsurgical varicocelectomy or denervation. References 1 : Microsurgical subinguinal varicocelectomy in children, adolescents, and adults: surgical anatomy and anatomically justified technique. J Androl2012; 33: 338. Google Scholar 2 : Anatomic variability of the ilioinguinal and genitofemoral nerve: implications for the treatment of groin pain. Plast Reconstr Surg2001; 108: 1618. Google Scholar 3 : The aetiology, pathophysiology and management of chronic orchialgia. BJU Int2003; 91: 435. 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Link, Google Scholar © 2016 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySimon D, Bajic P, Lynch K and Levine L (2021) Spermatic Cord Block Series as a Minimally Invasive Therapy for Chronic Scrotal Content PainJournal of Urology, VOL. 206, NO. 3, (725-732), Online publication date: 1-Sep-2021.Calixte N, Tojuola B, Kartal I, Gudeloglu A, Hirsch M, Etafy M, Mendelson R, Djokic B, Sherba S, Shah K, Brahmbhatt J and Parekattil S (2017) Targeted Robotic Assisted Microsurgical Denervation of the Spermatic Cord for the Treatment of Chronic Orchialgia or Groin Pain: A Single Center, Large Series ReviewJournal of Urology, VOL. 199, NO. 4, (1015-1022), Online publication date: 1-Apr-2018. Volume 195Issue 6June 2016Page: 1841-1847 Advertisement Copyright & Permissions© 2016 by American Urological Association Education and Research, Inc.Keywordsnervous systemspermatic cordanatomy, regionallymphatic vesselstestisMetricsAuthor Information Shintaro Oka More articles by this author Koji Shiraishi More articles by this author Hideyasu Matsuyama More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2174847382 title "Microsurgical Anatomy of the Spermatic Cord and Spermatic Fascia: Distribution of Lymphatics, and Sensory and Autonomic Nerves" @default.
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