Monoski Mara A, Gonzalez Ricardo R, Thomas Anthony J, Goldstein Marc
Cornell Institute for Reproductive Medicine, Center for Male Reproductive Medicine and Microsurgery, New York, New York, USA.
Urology. 2006 Jul;68(1):203.e5-6. doi: 10.1016/j.urology.2006.01.019.
We report a case of surgical correction of a scrotal arteriovenous malformation (AVM) that reversed severe oligospermia. A 31-year-old man was found to have virtual azoospermia and left scrotal swelling. The left scrotal mass was diagnosed as a varicocele, but the mass did not resolve after bilateral microsurgical varicocelectomies. Postoperative pelvic arteriography revealed a scrotal AVM that was subsequently embolized. With a microsurgical approach, the mass was excised. Surgical correction of the scrotal AVM resulted in marked improvement in his semen parameters. The effect of the AVM on spermatogenesis was most likely mediated by an elevation in scrotal temperature.
我们报告一例阴囊动静脉畸形（AVM）手术矫正后严重少精子症得以逆转的病例。一名31岁男性被发现几乎无精子症且左侧阴囊肿胀。左侧阴囊肿物被诊断为精索静脉曲张，但双侧显微外科精索静脉结扎术后肿物并未消退。术后盆腔动脉造影显示为阴囊AVM，随后进行了栓塞治疗。采用显微外科方法切除了肿物。阴囊AVM的手术矫正使他的精液参数有了显著改善。AVM对精子发生的影响很可能是由阴囊温度升高介导的。
