3-6 Spermatic Cord; Scrotum; Testes

Front 1

Spermatic Cord
(suspends, in general - contains)

Back 1

suspends testis in scrotum
contains structures running to and from testis

Front 2

Testes have to leave _.
Take _ with them

Back 2

testes have to leave abdominal cavity
take nerves, ducts, vessels with them

Front 3

Testes Pathway

Back 3

Deep inguinal ring >
inguinal canal >
superficial inguinal ring >
posterior testis

Front 4

Spermatic Cord
Coverings

Back 4

internal spermatic fascia
cremasteric fascia/muscle
external spermatic fascia

Front 5

internal spermatic fascia
(from)

Back 5

from transversalis fascia

Front 6

cremasteric fascia/muscle
(which layer, from, muscle innervated by)

Back 6

middle layer
from internal oblique fascia and muscle
muscle innervated by genital branch of genitofemoral nerve

Front 7

external spermatic fascia
(from)

Back 7

external oblique aponeurosis

Front 8

Processus Vaginalis (peritoneum)
( _ structure)

Back 8

embryonic

Front 9

Spermatic Cord
Contents

Back 9

Ductus (vas) deferens
Arteries
-testicular artery
-artery of ductus deferens
-cremasteric artery
Veins
-pampiniform plexus
Nerves
-autonomics
-genitofemoral nerve
Lymphatics
-lateral aortic nodes

Front 10

Ductus (vas) deferens
(role)

Back 10

conveys sperm from epididymis to ejaculatory duct

Front 11

Vasectomy (deferentectomy)

Back 11

must be done on both sides
pg. 381

Front 12

Spermatic Cord
Arteries
(name)

Back 12

testicular artery
artery of ductus deferens
cremasteric artery

Front 13

testicular artery
(from)

Back 13

aorta

Front 14

artery of ductus deferens
(from)

Back 14

from inferior vesical artery

Front 15

cremasteric artery
(from)

Back 15

from inferior epigastric artery

Front 16

Spermatic Cord
Veins

Back 16

pampiniform plexus > testicular vein

Front 17

varicocele

Back 17

feels like bag of worms
(p. 215)

Front 18

Spermatic cord
nerves

Back 18

autonomics
genitofemoral nerve (genital branch)

Front 19

genitofemoral nerve
(supplies)

Back 19

supplies cremaster muscle

Front 20

Spermatic cord
Lymph vessels

Back 20

lateral aortic nodes

Front 21

Obliterated processus vaginalis

Back 21

?

Front 22

torsion of spermatic cord

Back 22

p. 214

Front 23

Female -
_ ligament of _ goes thru _ canal to _

Back 23

round ligament of the uterus goes thru inguinal canal to labium majus

Front 24

What passes thru inguinal canal with spermatic cord or round ligament?

Back 24

*ilioinguinal nerve*

Front 25

Ilioinguinal nerve passes thru inguinal canal with _

Back 25

spermatic cord or
round ligament

Front 26

Scrotum
(characteristics)

Back 26

cutaneous outpouching of anterior abdominal wall in male

Front 27

Scrotum
R and L halves each contain _
Which side is lower?

Back 27

R and L halves each contain a testis
left usually lower

Front 28

Scrotum
What divides the halves?
fusion line = ?

Back 28

septum (internal)
raphe - fusion line

Front 29

Scrotum
skin = ?

Back 29

pigmented

Front 30

Scrotum
Dartos fascia/muscle
(type of muscle, what does it do, contain fat?, continuous with _ and _)

Back 30

smooth muscle
skin wrinkles when cold
no fat
continuous with Scarpa's fascia and Colles' fascia

Front 31

Scrotum
Arteries
(name)

Back 31

anterior scrotal arteries
posterior scrotal arteries
cremasteric branch of inferior epigastric artery

Front 32

anterior scrotal arteries
( _ branches of _)

Back 32

external pudendal branches of
femoral artery

Front 33

posterior scrotal arteries
( _ branch of _)

Back 33

perineal branch of internal pudendal artery

Front 34

Scrotum
Veins

Back 34

follow arteries

Front 35

Scrotum
Nerves
(name)

Back 35

Anterolateral: genitofemoral nerve
anterior: ilioinguinal nerve
posterior: pudendal nerve
inferior: posterior femoral cutaneous nerve

Front 36

Scrotum
Nerves
(anterolateral)

Back 36

genitofemoral nerve (genital branch) - L1-2

Front 37

Scrotum
Nerves
(anterior)

Back 37

ilioinguinal nerve (sensory) - L1

Front 38

Scrotum
Nerves
(posterior)

Back 38

pudendal nerve (perineal branches) - S2-4

Front 39

Scrotum
Nerves
(inferior)

Back 39

posterior femoral cutaneous nerve (perineal branches) - S2-3

Front 40

Cremasteric reflex
(involves)

Back 40

genitofemoral nerve
ilioinguinal nerve
(pg. 212)

Front 41

anesthesia

Back 41

must get both sides
(pg. 214-215)

Front 42

Scrotum
Lymphatic drainage

Back 42

Lymphatic vessels > ***superficial inguinal nodes***
(palpable, can catch things)

Front 43

Distension of scrotum

Back 43

p. 426

Front 44

Testes
(components)

Back 44

scrotal ligament
tunica vaginalis
-parietal and visceral layers
tunica albuginea
seminiferous tubules
rete testis
efferent ductules
testicular arteries and veins
testicular plexus of autonomic nerves
lymphatic drainage > lumbar (lateral aortic) nodes

Front 45

Scrotal ligament
(was, role)

Back 45

in development = gubernaculum testis
anchors testis to scrotum

Front 46

tunica vaginalis
(location, layers, fluid?)

Back 46

on front sides of testis
parietal and visceral layers
fluid

Front 47

Visceral layer of tunica vaginalis
(location)

Back 47

on surface of testis

Front 48

hydrocele
hematocele

Back 48

pp 212-214

Front 49

tunica albuginea
(characteristics, location, forms)

Back 49

tough fibrous coat deep to visceral layer of tunica vaginalis
septa

Front 50

seminiferous tubules
(characteristic, produce _)

Back 50

highly coiled
*produce sperm*

Front 51

Rete testis
(network of _, location)

Back 51

network of canals
in mediastinum of testis

Front 52

Efferent ductules
(role)

Back 52

transport sperm from rete testis to epididymis

Front 53

Testicular plexus of autonomic nerves

Back 53

vagal and sympathetic

Front 54

testicular arteries and veins

Back 54

pampiniform plexus

Front 55

Testes
Lymphatic drainage

Back 55

**lumbar (lateral aortic) nodes

Front 56

palpation (p 426)
testicular cancer (p 215)

Back 56

pp 426, 215

Front 57

Epididymis
(location, role, transports sperm from _ to _, components)

Back 57

on posterior testis
stores sperm
transports sperm from efferent ductules to ductus deferens
Head, body, tail

Front 58

Epididymis
Sinus

Back 58

slitlike recess of tunica vaginalis b/w body of epididymis and testis

Front 59

***Direct vs. Indirect Hernias***

Back 59

p. 212

Front 60

direct hernia
(what happens)

Back 60

herniating bowel passes *medial* to inferior epigastric vessels pushing thru peritoneum and transversalis fascia in inguinal triangle to enter inguinal canal

Front 61

Indirect hernia
what happens?

Back 61

herniating bowel passes *lateral* to inferior epigastric vessels to enter deep inguinal ring

Front 62

direct vs. indirect hernias
both go thru _
only indirect thru _

Back 62

both go thru superficial ring
only indirect thru deep ring