Diagnosis of nonneoplastic disorders of the spermatic cord and testicular adnexae usually depends on imaging studies. Ultrasound is the most frequently preferred imaging technique in evaluation of these disorders. Nonneoplastic disorders of the spermatic cord include congenital anomalies such as splenogonadal fusion and absence of vas deferens, funiculitis, varicocele, and hernias. Nonneoplastic disorders of testicular appendages and adnexae include congenital anomalies, epididymitis, epididymal cysts, torsion of the testicular appendage, hernias, and fluid collections between the layers of tunica vaginalis.
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