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Cardiology3 papers

Infection of spermatic cord

Last edited: 4/23/2026

Overview

Spermatic cord arteriovenous fistula (AVF) is an uncommon complication characterized by an abnormal connection between arteries and veins within the spermatic cord, often presenting as a symptomatic vascular anomaly following procedures like vasectomy 1.

Diagnosis

  • Clinical Presentation: Symptoms may include pulsatile groin masses, pain, and potential hemorrhage 1.
  • Imaging: Doppler ultrasound or CT angiography can confirm the presence of an AVF by demonstrating turbulent blood flow 1.
  • Diagnostic Criteria: Definitive diagnosis relies on imaging findings showing direct communication between arterial and venous structures 1.

    • Management

  • Surgical Intervention: Primary treatment involves surgical ligation or resection of the fistula to prevent complications such as hemorrhage and chronic anemia 1.
  • Preoperative Planning: Detailed imaging is crucial for surgical planning to identify the exact location and extent of the AVF 1.
  • Postoperative Care: Close monitoring for signs of recurrence or complications is essential 1.

    • Special Populations

  • Post-Vasectomy Patients: This complication is noted primarily in individuals who have undergone vasectomy, with no specific guidance provided for other populations 1.

    • Key Recommendations

  • Imaging Confirmation: Utilize Doppler ultrasound or CT angiography for definitive diagnosis of spermatic cord AVF (Evidence: Weak) 1.
  • Surgical Repair: Perform surgical ligation or resection as the primary treatment modality for symptomatic AVFs (Evidence: Weak) 1.
  • Close Monitoring: Postoperatively monitor patients for recurrence and complications following surgical intervention (Evidence: Expert opinion) 1.

    • References

    1 Auman JR. Spermatic cord arteriovenous fistula: an unusual complication of vasectomy. The Journal of urology 1985. link47432-5)

    Original source

    1. [1]
      Spermatic cord arteriovenous fistula: an unusual complication of vasectomy. — Auman JR The Journal of urology (1985)
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