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Vascular Diseases of the Testis

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PanVascular Medicine

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Abstract

Palpable scrotal mass, acute scrotal pain, and enlarged scrotum are common scenarios in clinical practice. These symptoms are frequently caused by abnormalities and alterations of the vessels within the scrotal sack. This chapter reviews syndromes related to the vasculature of the scrotum, including both the arteries and veins. A miscellany number of less frequent diseases are also included to complete differential diagnostic evaluations. In addition, a full description of the anatomy of the vessels within the scrotal sack and a brief reminder of the embryological development of these vessels provide morphological background and complete this chapter.

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Abbreviations

Extratesticular varicocele:

Abnormal enlargement or dilatation of the internal spermatic vein and the pampiniform venous plexus of the testis due to the inversion of venous blood flow within the spermatic cord

Intratesticular arteriovenous malformation:

Arteriovenous malformation within the testicular parenchyma

Intratesticular varicocele:

Abnormal enlargement or dilatation of the intraparenchymal testicular venous net

Segmental testicular infarction:

Arterial ischemic testicular damage presenting with a typical ultrasound diffuse segmental pattern due to a number of various etiologies

Testicular amyloidosis:

Intratesticular deposit of amyloid

Testicular hemangioma:

Benign soft tissue neoplasm of the testis commonly presenting abnormal vascular growth pattern

Testicular torsion:

Twist of the spermatic cord causing testicular ischemia

Venous testicular infarction:

Ischemic damage to the testicle due to localized edema (commonly associated to a local inflammation-infection process) occluding the venous drainage of different portions/the entire testis

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Further Readings

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Authors and Affiliations

  1. Servicio de Urología, Hospital Central de la Cruz Roja San José y Santa Adela, Avenida de Reina Victoria 22-26, Madrid, 28003, Spain

    Prof. Javier González M.D., MBA

  2. Department of Urology and Department of Surgery, Division of Transplantation, University of Miami; Leonard M. Miller School of Medicine, Jackson Memorial Hospital, Miami Transplant Institute, 012440, Miami, FL, 33101, USA

    Prof. Gaetano Ciancio M.D., MBA, FACS (Associate Director, Kidney and Kidney/Pancreas Transplantation, Chief Medical/Academic Officer of the Miami Transplant Institute)

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  1. Prof. Javier González M.D., MBA
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  2. Prof. Gaetano Ciancio M.D., MBA, FACS
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Correspondence to Javier González M.D., MBA .

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  1. Akademisches Lehrkrankenhaus MLU, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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González, J., Ciancio, G. (2014). Vascular Diseases of the Testis. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37393-0_153-1

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