Surgical anatomy

The normal adult testis is an ovoid sphere measuring 5 X 4 X 3 cm. Posterolaterally lies the epididymis, which is continued superiorly as the vas deferens. This lies in the spermatic cord together with the testicular artery, pampiniform plexus of veins, nerves and lymphatics. Around the

Bladder wall

Bladder wall

Figure 19.2. Male continence mechanism.

testis lies the tunica vaginalis, a double layer of peritoneum brought down as the testis descends during embryological development from its abdominal position in the foetus.

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