Spermatic cord swelling

Introduction Sperm thickening and swelling is one of the symptoms of spermatic sinusitis, which is mainly caused by vas deferens or other tissues (including blood vessels, lymphatic vessels or connective tissue), usually secondary to prostatitis, seminal vesiculitis, especially epididymis inflammation.

Cause

Spermitis is mainly caused by infection of other tissues (including blood vessels, lymphatic vessels or connective tissue), usually secondary to prostatitis, seminal vesiculitis and epididymitis; traumatic, sterilized operation of vas deferens, or surgical trauma itself It can also induce chronic inflammation of the original genitourinary system. Infection can directly lead to spermatic inflammation along the vas deferens, lymphatic vessels or infections, and can form abscesses in severe cases.

an examination

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After getting spermatic inflammation, inflammation can cause thickening and swelling of the spermatic cord. When it adheres to surrounding tissues, scrotal swelling, lower abdominal pain and perineal traction pain can occur. If the infection is serious, there may be systemic reactions such as fever and headache. Simple spermatic cords are rare, mostly caused by the spread of infections in other parts of the reproductive system. The disease is more acute, the spermatic cord is thicker, the local pain is more obvious, and it can be radiated along the spermatic cord to the groin, even the upper or lower abdomen. Check the surface of the skin redness and swelling, the spermatic cord is spindle-shaped or strip-like thickening, tenderness is obvious, and the vas deferens is unclear. There is a sense of fluctuation after the abscess is formed.

Differential diagnosis

Varicocele: Varicocele refers to the expansion of the veins in the spermatic cord due to obstruction of reflux. It is a common disease in young and middle-aged people. It refers to the vasodilatation, distortion and lengthening of the spermatic plexus (venous vascular plexus) caused by the accumulation of spermatic vein blood flow. The incidence rate is 10-15% for males and 15-20% for male infertility. This disease occurs mostly on the left side, but it is not uncommon for both sides to develop, which can be as high as 20%. Varicocele may be associated with testicular atrophy and spermatogenesis disorders, resulting in male infertility. Varicocele can also be caused by a kidney tumor or other retroperitoneal tumor. The varicocele caused by compression is called symptomatic or secondary varicocele.

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