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In males, indirect hernias follow the same route as the descending testes, which migrate from the abdomen into the scrotum during the development of the urinary and reproductive organs. The larger size of their inguinal canal , which transmitted the testicle and accommodates the structures of the spermatic cord , might be one reason why men are ...
The testis with accompanying cord structure and blood supply is exposed, partially separated from the surrounding tissues ("mobilized"), and brought into the scrotum. It is sutured to the scrotal tissue or enclosed in a "subdartos pouch". The associated passage back into the inguinal canal, an inguinal hernia, is closed to prevent reascent. In ...
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia. In males with strong presentation of the cremasteric reflex , the testes can—during supine sexual activity or manual manipulation—partially or fully retract into the ...
A failure in this process can cause indirect inguinal hernia or an infantile hydrocoele. [11] The testes descend into the scrotal sac between the sixth and 10th week. Descent does not occur until about the 28th week when compared to when canals form and the abdominal wall provides openings from the pelvic cavity to the scrotal sac.
The more patent the vaginal process, the more likely the patient is to develop a hernia. Congenital malformation of the vaginal process is also the leading cause of testicular torsion , since lack of attachment to the inner lining of the scrotum leaves the testicles free to twist.
PMDS Type I is also referred to as hernia uteri inguinalis, which exhibits one descended testis that has also pulled the fallopian tube, and sometimes uterus, through the inguinal canal. [8] The descended testes, fallopian tube and uterus all fall in the same inguinal canal, causing an inguinal hernia. [ 8 ]
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The descent of the testicles consists of the opening of a connection from the testis to its final location at the anterior abdominal wall, followed by the development of the gubernaculum, which subsequently pulls and translocates the testicle down into the developing scrotum. Ultimately, the passageway closes behind the testicle.
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