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Angioarchitecture testiculaire: revue de la littérature et implications chirurgicales

The testicular angioarchitecture of the human testis: description, review of the litterature and clinical implications

Résumé

Une revue de la littérature concernant la vascularisation extra puis intra-testiculaire, ainsi que de la microvascularisation du testicule permet d'établir le caractère terminal de la vascularisation du parenchyme. Ce type de vascularisation est donc la source de certaines complications postopératoires fréquemment observées, à type de nécrose et d'atrophie testiculaires.

Abstract

Trough a review of the litterature concerning the human vascularization of the testis, we emphasis the fact that there is a close relationship between the angioarchitecture and the tissue organization. At the contact of the testis the artery split up into 2 branches, which penetrate it and run beneath the tunica albuginea, in the tunica vasculosa. Then, they split up into 3 or 4 branches: the centripetal arteries. They run within the testicula septa and become the recurent arteries before the rete testis. This arteries penetrate into the lobule by a centrifugal running. From the recurent arteries arrise the segmental arteries which supplies parts of the parenchyma. This segmental angioarchitecture is an endarteries system.

This end-arteries architecture description can be incriminate into the focal testicular atrophy which is sometimes observed after testicular biopsies, or after an orchidopexy.

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Clavert, P., Maillot, C. & Clavert, A. Angioarchitecture testiculaire: revue de la littérature et implications chirurgicales. Androl. 8, 357–361 (1998). https://doi.org/10.1007/BF03034572

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