of cremasteric compartment complex
The spermatic cord and its structures ( vas deferens, testicular
artery, pampiniform plexus of testicular veins, lymphatics) are
encircled by the cremasteric muscle and fascia.
The encircling cremasteric muscle creates a tight compartment around
the structure of the spermatic cord.
This leads to venous stasis and secondary venous dilatation and
According to this theory, it is 'venous stasis' and not 'venous
reflux' that leads to the effects of varicocele.
The surgical approach which releases this
cremasteric entrapment should be the most ideal approach.