Email this article Diagnosis and treatment of male infertility in patients with common pathology of genitals and inguinal region
- Authors: Sobennikov I.S.1, Zhiborev B.N.2, Kotans S.Y.1, Cherenkov A.A.1
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Affiliations:
- Municipal Clinical Hospital №11
- Ryazan State Medical University
- Issue: Vol 25, No 3 (2017)
- Pages: 460-468
- Section: Surgery
- URL: https://journals.rcsi.science/pavlovj/article/view/7107
- DOI: https://doi.org/10.23888/PAVLOVJ20173460-468
- ID: 7107
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Abstract
The article presents a study of reproductive function and fertility prognosis in 27 male patients of reproductive age with common diseases of genitals and inguinal region. These patients were under observation in the outpatient clinics with the diagnosis of male infertility. Blood levels of sex hormones and spermograms were evaluated in dynamics before and after surgical treatment of the main disease. In the research it was found that surgical removal of the probable cause of infertility in marriage resulted in normalization of spermogram parameters in 15% of cases and to the onset of pregnancy in 22.2% of cases. No significant changes in the dynamics of sex hormones were found. Besides, in the course of research a positive clinical effect of conservative treatment for the connective tissue dysplasia associated with the main disease and infertility in marriage, was obtained. This effect was confirmed by the onset of pregnancy in 29.4% of patients who underwent drug therapy.
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##article.viewOnOriginalSite##About the authors
I. S. Sobennikov
Municipal Clinical Hospital №11
Author for correspondence.
Email: Isobennikov@mail.ru
urologist
Russian Federation, 26/17, Novoselov str., Ryazan, 390037B. N. Zhiborev
Ryazan State Medical University
Email: Isobennikov@mail.ru
PhD, MD, Associate Professor of the Department of Surgical Sciences with course of urology
Russian Federation, 9, Vysokovoltnaya str., Ryazan, 390026S. Ya. Kotans
Municipal Clinical Hospital №11
Email: Isobennikov@mail.ru
urologist, Head of the Regional Urological Department
Russian Federation, 26/17, Novoselov str., Ryazan, 390037A. A. Cherenkov
Municipal Clinical Hospital №11
Email: Isobennikov@mail.ru
urologist of Regional Urological Department
Russian Federation, 26/17, Novoselov str., Ryazan, 390037References
- Gamidov SI, Iremashvili VV, Tha-gapsoeva RA. Muzhskoe besplodie: sovre-mennoe sostoyanie problemy [Male infertility: the current state of the problem]. Farmateka [Pharmateka]. 2009; 9: 12-7. (in Russian)
- Stepanov VN, Kadyrov Z.A. Diag-nostika i lechenie varikocele [Diagnosis and treatment varikotsele]. Moscow: Trasdor-nauka; 2001. 11 p. (in Russian)
- Akramov NR Omarov TI, Gima-deeva LR, Gallyamova AI. Reproduktivnyj status muzhchin posle klassicheskoj gernioplastiki, vypolnen-noj v detskom vozraste pri pahovoj gryzhe [Reproductive status of men after classical hernioplasty performed in childhood with inguinal hernia]. Kazanskij medicinskij zhurnal [Kazan Medical Journal]. 2014; 95 (1): 7-11. (in Russian)
- Yamaguchi K, Ishikawa T, Nakano Y, Kondo Y, Shiotani M, Fujisawa M. Rapidly progressing, late-onset obstructive azo-ospermia linked to herniorrhaphy with mesh. Fertil. Steril. 2008; 5: 5-7.
- Kirillov YuB, Astrakhantsev AF, Zotov IV. Morfologicheskie izmeneniya yaichka pri pahovyh gryzhah [Morphological changes in the testicle during inguinal hernia]. Hirurgiya [Surgery]. 2003; 2: 65-7. (in Russian)
- Zhiborev BN. Hirurgicheskie zabo-levaniya polovoj sistemy muzhchin i naru-sheniya fertil'nosti [Surgical diseases of the reproductive system of men and impairment of fertility]: dis. doct. (Med. Sci.). Ryazan; 2008. (in Russian)
- Yakovlev VM, Nechaeva GI. Klassi-fikacionnaya koncepciya nasledstvennoj dis-plazii soedinitel'noj tkani [Classification conception of hereditary connective tissue dysplasia]. Omskij nauchnyj vestnik [Omsk scientific herald]. 2001; 16: 68-70. (in Russian)
- Mosca M. Mixed connective tissue diseases: new aspects of clinical picture, prognosis and pathogenesis. Isr. Med. Assoc. J. 2014; 16 (11): 725-6.
- Bannikov G.A. Molekulyarnye mekhanizmy morfogeneza [Molecular mechanisms of morphogenesis]. In: Results of science and technology. VNIITI and morphology of humans and animals. M., 1990. Vol. 14. 148 p. (in Russian)
- Kadurina TI, Gorbunov VN. Displaziya soedinitel'noj tkani [Connective tissue dysplasia: manual for doctors]. St. Petersburg: Elbi-SPb; 2009. 704 p. (in Russian)
- Tvorogova TM, Vorobyova A.S. Nedifferencirovannaya displaziya soedinitel'-noj tkani s pozicii dizehlemen-toza u detej i podrostkov [Undifferentiated connective tissue dysplasia from the perspective of diselementosis in children and adolescents]. RMZH [RMJ]. 2012; 24: 12-5. (in Russian)
- Repina NB, Salha M. Ben Aktual'-nost' problemy spaechnogo processa v malom tazu, ego posledstviya i rol' nedifferenciro-vannoj displazii soedinitel'noj tkani v ego razvitii [The urgency of the problem of adhesions in the pelvis, its consequences and the role of undifferentiated connective tissue dysplasia in its development]. Rossijskij mediko-biologicheskij vestnik imeni akademika I.P. Pavlov [I.P. Pavlov Russian Medical Biological Herald]. 2016; 24 (1): 155-60. (in Russian)
