Shafik A, Olfat S
Br J Urol. 1981 Feb;53(1):50-4. doi: 10.1111/j.1464-410x.1981.tb03128.x.
The anatomy of scrotal fat was studied histologically and by dissection in 28 normal cadavers and 44 idiopathic infertile subjects. Two fat patterns were described: normal and infertile. In the normal pattern, a small posterior extratunicary pad of fat was constantly encountered. Intratunicary fat occurred as small granules between the cord veins. Thirty-eight of the 44 idiopathic infertile subjects had scrotal lipomatosis, of which 2 types were recognised: extratunicary and intratunicary. The latter showed 2 patterns: diffuse and lobular. The diffuse pattern occurred in obese subjects and those of normal build, and the fat was firmly adherent to the cord veins. The lobular pattern occurred exclusively in the obese, and the lobules were loosely connected to the cord. The anatomical features of the normal fat pattern in relation to maximal testicular thermoregulatory efficiency were discussed. The role of scrotal lipomatosis in infertility was clarified and the relationship of scrotal lipomatosis to obesity presented.
对28具正常尸体和44例特发性不育患者的阴囊脂肪进行了组织学和解剖学研究。描述了两种脂肪模式：正常模式和不育模式。在正常模式下，始终能见到一个位于后方的小的鞘膜外脂肪垫。鞘膜内脂肪呈小颗粒状位于精索静脉之间。44例特发性不育患者中有38例存在阴囊脂肪瘤病，其中可识别出2种类型：鞘膜外和鞘膜内。后者表现为2种模式：弥漫型和小叶型。弥漫型见于肥胖者和体型正常者，脂肪与精索静脉紧密相连。小叶型仅见于肥胖者，小叶与精索疏松相连。讨论了正常脂肪模式与最大睾丸温度调节效率相关的解剖学特征。阐明了阴囊脂肪瘤病在不育中的作用，并呈现了阴囊脂肪瘤病与肥胖的关系。
