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SCROTUM
The scrotum
• It is a loose
fibromuscular sac
postero-inferior to penis
and inferior to
symphysis pubis
• A midline raphe on the
anterior surface of the
scrotum continues
posteriorly as the
perineal raphe,
indicating bilateral
formation
(development) of the
scortum
• It also continues on
ventral surface of penis
Scrotal (perineal )raphe
1. Skin
2. Dartos fascia:
– Fat-free fascial layer
– Dartos muscle
Dartos fascia is continuous
with Scarpa’s & Colles
fasciae
Dartos muscle assists
cremaster muscle in
reducing surface area of
the skin when cold, to
reduce heat loss
Constituents of the scrotal sac:
skin
S
C
R
O
T
U
m
Scarpa’s and Colles fasciae
Scrotum con’t…
Internally, scrotal sac is
divided into: right & left
compartments by the
scrotal septum (fascia)
Externally, division is
marked by the scrotal
raphe
Contents of the scrotum
• Testis with its coverings
• Epididymis
• Distal part of the
ductus deferens Ductus deferens
Blood supply and venous drainage of the
scrotum
Arterial supply:
• Posterior scrotal arteries
(Branches of perineal branch of internal pudendal A)
• Anterior scrotal arteries
(Branches of the deep external pudendal branch of femoral A)
• Cremasteric artery
(A branch of inferior epigastric A, which is a branch of
external iliac A)
Venous drainage:
Veins accompany arteries and drain into external
pudendal vein which are tributaries of saphenous
vein
Lymphatic drainage and nerve supply of the
scrotal sac
Lymphatic drainage: →Superficial inguinal LN
Nerve supply:
Anterolateral surface: by genital branch of
genitofemoral nerve (L1-2)
Anterior surface: by anterior scrotal nerves, branches
of ilioinguinal nerve (L1)
Posterior surface: by posterior scrotal N, branches of
perineal branches of pudendal nerve
Inferior surface: Perineal branches of posterior
cutaneous nerve of the thigh (S2-3)
Clinical: To anesthetize anterior & anterolateral surfaces of
scrotum, anesthetic agent is given at a higher
spinal cord level than when anesthetizing the
posterior & inferior surfaces because of the origin
of the nerves to these surfaces from the spinal
cord.

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SCROTUMgggggggggg&gggggggggggvv.....pptx

  • 2. The scrotum • It is a loose fibromuscular sac postero-inferior to penis and inferior to symphysis pubis • A midline raphe on the anterior surface of the scrotum continues posteriorly as the perineal raphe, indicating bilateral formation (development) of the scortum • It also continues on ventral surface of penis Scrotal (perineal )raphe
  • 3. 1. Skin 2. Dartos fascia: – Fat-free fascial layer – Dartos muscle Dartos fascia is continuous with Scarpa’s & Colles fasciae Dartos muscle assists cremaster muscle in reducing surface area of the skin when cold, to reduce heat loss Constituents of the scrotal sac: skin S C R O T U m
  • 5. Scrotum con’t… Internally, scrotal sac is divided into: right & left compartments by the scrotal septum (fascia) Externally, division is marked by the scrotal raphe Contents of the scrotum • Testis with its coverings • Epididymis • Distal part of the ductus deferens Ductus deferens
  • 6. Blood supply and venous drainage of the scrotum Arterial supply: • Posterior scrotal arteries (Branches of perineal branch of internal pudendal A) • Anterior scrotal arteries (Branches of the deep external pudendal branch of femoral A) • Cremasteric artery (A branch of inferior epigastric A, which is a branch of external iliac A) Venous drainage: Veins accompany arteries and drain into external pudendal vein which are tributaries of saphenous vein
  • 7. Lymphatic drainage and nerve supply of the scrotal sac Lymphatic drainage: →Superficial inguinal LN Nerve supply: Anterolateral surface: by genital branch of genitofemoral nerve (L1-2) Anterior surface: by anterior scrotal nerves, branches of ilioinguinal nerve (L1) Posterior surface: by posterior scrotal N, branches of perineal branches of pudendal nerve Inferior surface: Perineal branches of posterior cutaneous nerve of the thigh (S2-3) Clinical: To anesthetize anterior & anterolateral surfaces of scrotum, anesthetic agent is given at a higher spinal cord level than when anesthetizing the posterior & inferior surfaces because of the origin of the nerves to these surfaces from the spinal cord.