EXTRAGENITAL PATHOLOGY AND CLINICAL SYMPTOMS IN MEN WITH PATHOSPERMIA

Autor: Vorobets M., Melnyk O., Fafula R., Vorobets Z.
Jazyk: angličtina
Rok vydání: 2023
Předmět:
DOI: 10.5281/zenodo.7528477
Popis: The most difficult form of male infertility to treat is azoospermia. Azoospermia is defined as the complete absence of spermatozoa in the ejaculate. The age of the patients who underwent clinical and diagnostic studies varied between 22 and 45 years. Among 119 examined patients with azoospermia, 69 (58.0%) were diagnosed with secretory infertility. In 50 (42.0%) patients, the presence of spermatogenesis in excretory-obturational infertility was established. Among 69 patients with secretory infertility, 23 had azoospermia in the absence of spermatozoa and spermatogenic cells, which accounted for 33.3% of all patients with secretory infertility (in particular, 2 with leukocytospermia, which indicated damage to the tubular apparatus as a result of previous orchitis). In 46 (66.6%) patients, azoospermia was observed in the absence of spermatozoa, but in the presence of precursor cells of spermatogenesis. Eight (11.6%) patients out of 69 (group 1) were diagnosed with concomitant diseases. We see that arterial hypertension, diseases of the gastrointestinal tract, liver, and kidneys occur. Hereditary diseases were not detected in the examined patients. One (4.3%) patient suffered from viral orchitis, one (4.3%) had an operation for phlegmon of the portcullis, three (13.0%) suffered from non-viral epididymitis, four underwent bilateral orchopexy at an early age. Pain of varying intensity was found in 6.7% of patients, varying degrees of testicular hypoplasia were found in 7.6%, dysuria in 13.4%, epididymitis in history - 8.4%; history of epidemic mumps - 6.7; 12.6% had depression, restlessness, sleep disorders, and 21.0% had erectile dysfunction. According to clinical examination and ultrasound, chronic prostatitis is suspected in 19.2% of patients. An increase in the number of leukocytes in the blood was found in 15 (13.2%) patients.
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Databáze: OpenAIRE
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