Aims and objectives
Dilatational deferentopathia (DD) is dilatation the vas deferens (VD),
accompanied atrophy,
sclerosis,
and loss of muscle tone wall of the VD in the outcome of the disease.
The DD may have different genesis (congenital or acquired) and nature (obstructive or nonobstructive).
Congenital non-obstructive the DD observed very rarely,
in particular,
in cases partial agenesia VD and seminal vesicles [1].
An example of the well shown acquired DD is postvasectomy syndrome,
occurred in approximately 70% of cases after ligation of the VD to a male contraceptive...
Methods and materials
Prospective examination,
including traditional clinical and laboratory investigations and ultrasound high-resolution (6 - 16 MHz),
performed in 116 patients with BPH,
106 patients with CP and of 102 men in the control group.
Age of the patients varied from 15 to 93 years of age (the average age of 54.4 ± 4.3 years).
Identified by ultrasound changes of the organs of the reproductive system in 222 patients with BPH and CP were compared with data of morphological researches of the material obtained during various operations...
Results
The DD was found in 16 (14%) patients with BPH (14%),
in 6 (6%) patients with CP and in 2 (2%) patients in the control group.
The average age of the patients with the DD amounted to 67.5 years (36 - 86 years).
85% of patients with the DD were older than 55 years.
Among patients with BPH the DD was observed more often at major sizes BPH (over 50 cm3).
In patients with CP and the DD most often met the obstructive calculous CP...
Conclusion
The clinical significance of the DD in patients,
who have no a history of operations on the seminiferous ways,
requires clarification.
This DD can be the cause of pain,
discomfort,
and even undue operation; a manifestation of the age androgen insuficiencia and is likely to support a variety of chronic inflammatory diseases of the urinary organs.
In either case,
the DD is an occasion for in-depth examination of the patient.
Taking into account the combined character of the DD,
radiology tests when the DD is...
Personal information
Prokhorov A.V.
Medical-diagnostic department № 1 of Municipal clinical hospital № 57,
Moscow,
Russia
Contact information: Prokhorov,
Andrey Vladimirovich,
[email protected],
(916) 847-69-40
References
Negri L.,
Albani E.,
Rocco M.Di.,
Levi-Setti P.E.
Aspermia and chronic testicular pain after imperforate anus correction.
Cryopreservation of sperm cells extracted from whole orchiectomized testis.
Human Reproduction 2002; 17: 2935–37.
Saboo SS,
Brodsky GL,
Di Salvo D.
Sonographic-pathologic correlation of epididymal changes in a suspected case of postvasectomy pain syndrome.
J Ultrasound Med.
2012; 31:973-4.
Jarvis LJ,
Dubbins PA.
Changes in the epididymis after vasectomy: sonographic findings.
AJR Am J Roentgenol 1989; 152:531–534.
Reddy NM,
Gerscovich EO,
Jain KA,
Le-Petross HT,
Brock JM.
Vasectomy-related...