Grade 5: spontaneous basal reflux that does not increase during the Valsalva maneuver, testicular hypotrophy, overt varicocele, varicosities in the pampiniform
Varicocele repair involves the ligation of the dilated veins of the pampiniform
plexus represented by a fine network of testicular veins almost completely involves the segment of the testicular artery in the spermatic funiculus.
The spermatic cord is an extremely unusual site for this tumor, where it is thought to arise from the pampiniform
The veins that take blood from the testicle (technically called the pampiniform
plexus) become permanently swollen and engorged with blood.
Color Doppler US revealed the presence of two testes in the same left hemiscrotum and dilated pampiniform
High frequency ultrasonography with Doppler is highly sensitive in demonstrating the dilated, tortuous veins of pampiniform
plexus and flow reversal on Valsalva manoeuvre.
Varicoceles (VCs), which are defined as dilations and tortuosities of the pampiniform
venous plexus in the spermatic cord, are the predominant cause of male infertility .
A varicocele is the result of an abnormal enlargement of the pampiniform
venous plexus, the structure responsible for venous drainage of testicles to the gonadal vein trunci, pudendal and cremasteric veins.
The difference in insertion of the left testicular vein is believed to have resulted in an increase in hydrostatic pressure which is transmitted subsequently to the pampiniform
plexus and causing dilatation and tortuosity of the veins.
A varicocele is a vascular abnormality of the scrotum that is defined as pathological dilations of venous pampiniform
plexus [1,2] resulting from absence or incompetence of the valves of the internal spermatic vein.
Varicocele, the varicosity of the pampiniform
venous plexus of the spermatic cord, represents the first cause of male infertility .