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In the retroperitoneal space the gonadal veins form a collateral circulation that has a great clinical impact on sclerotherapy or surgical ligation of varicoceles. The aim of this study was to examine the communications of the gonadal veins (according to classification, frequency of appearance, gender and syntopic differences) in human foetuses of both sexes (71 males and 59 females) aged 4–6 months of intrauterine life. On the right side the most frequently were found the gonadal-periureteral anastomosis (23%) and the gonadal-perirenal anastomosis (22%). A gonadal-lumbar anastomosis on the right side appeared in 7% of cases. On the left side the most frequent (37%) was the gonadalperirenal anastomosis, more frequently occurring as an ovarian-perirenal anastomosis (48%) than as a testicular-perirenal anastomosis (29%). Gonadal-periureteral anastomoses were found in a quarter of cases. Gonadal-lumbar anastomoses were observed in 7% of individuals. On the left side the gonadal-mesenteric inferior anastomosis was specifically observed (21%) as an ovarian-mesenteric inferior anastomosis (24%) and a testicular-mesenteric inferior anastomosis (19%). The cross-communications between the right and left gonadal veins (7%) were more frequently as the bilateral testicular (9.7%) than as the bilateral ovarian one (3%). In female foetuses gonadal-perirenal anastomoses occurred with statistically greater frequency than gonadal-periureteral anastomoses (p ≤ 0.05). The frequency of cross-communications of the gonadal veins was three times greater in male foetuses (p ≤ 0.01). Statistical analysis revealed a significantly greater frequency of left-sided anastomoses: the gonadal-perirenal in both sexes (p ≤ 0.05), the gonadal-periureteral in males (P ≤ 0.05) and the gonadalmesenteric inferior in both sexes (p ≤ 0.01).
During ontogenesis an imbalance is observable in the development of the skeletal and vascular systems. By means of anatomical and radiological methods the gonadal veins were studied in relation to the vertebral column in 60 human foetuses of both sexes aged from 4 to 6 months of prenatal life. In male foetuses aged 4–5 months the origin of the gonadal veins projected onto the sacral apex (r₁ = 0.95, r₃ = 0.85), and in 6th month they extended below the vertebral column (r₁’ = 0.80, r₃’ = 0.90). In female foetuses the origin of the gonadal veins in the 4th month projected symmetrically onto S₁ (r₅ = 0.70, r₇ = 0.70). In the 5th month of intrauterine life the origin of the left ovarian vein was found at S₂ (r₇’ = 0.80) and the origin of the right one at S₁–S₂ (r₅’ = 0.80). In the 6th month the origin of the left ovarian vein was located at S₃ (r₇’’ = 0.80) and the right one at S₂–S₃ (r₅’’ = 0.90). The skeletopic analysis of the origin of the gonadal veins demonstrated gender (the origin was higher in females) and syntopic (the origin was higher on the right side) differences (p ≤ 0.05). In foetuses of both sexes aged 4 months of prenatal life the termination of the left gonadal veins projected onto Th₁₂–L₁ (r₄ = 0.85, r₈ = 0.80) and in foetuses aged 5–6 months it projected onto L₁–L₂ (r₄’ = 0.90, r₈’ = 0.95). In both sexes the termination of the gonadal veins on the right side projected constantly onto L₂ (r₂ = 0.90, r₆ = 0.95) from the 4th to the 6th month of intrauterine life. The skeletopic analysis of the termination of the gonadal veins showed syntopic dimorphism (p ≤ 0.05) without gender differences (p > 0.05). On the right side the termination of the gonadal (testicular and ovarian) veins projected constantly onto L₂. On the left side the termination of the left gonadal (testicular and ovarian) veins apparently descended by one vertebra (pseudodescensus).
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