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Atallah A. Shaaban<br />
93<br />
<strong>Basic</strong> <strong>Urology</strong><br />
Tuberculous epididymo-orchitis:<br />
- Epididymis is thickened and craggy.<br />
- Vas is considerably thickened with beading and irregular<br />
nodulation.<br />
- The scrotum may be anchored posteriorly.<br />
- Draining scrotal sinus.<br />
- Nodular, tender prostate.<br />
SPERMATIC CORD:<br />
- Suspends the testis in scrotum and runs into the inguinal canal.<br />
- Contains vas deferens, arteries, veins, and nerves.<br />
- Surrounded by internal spermatic fascia from the transversalis<br />
fascia, cremasteric muscle and fascia from the internal oblique and<br />
external spermatic fascia from the external oblique aponeurosis.<br />
Vas deferens:<br />
- Normal: The vas lies along the posterior aspect of the cord and<br />
feels firm and wire-like. It runs from the epididymis to the external<br />
inguinal ring.
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