Shafik A, el-Sibaei O
Department of Surgery, Faculty of Medicine, Cairo University, Egypt.
Urology. 1991 Feb;37(2):163-6. doi: 10.1016/0090-4295(91)80215-s.
Mobile epididymis plays an important role in the genesis of male infertility. It constituted 9 percent of a consecutive series of idiopathic infertility. Of 200 patients examined (100 fertile and 100 infertile), mobile epididymis was detected in 9 infertile patients. The clinical picture is characteristic. Epididymis is widely separated from testicle and moves freely from side to side. Its body and tail are ill formed and the epididymovasal angle is obtuse. Azoospermia was persistent in 3 patients and intermittent in 6 patients. Testicular biopsy showed tubular dilatation. Epididymopexy was performed in the 9 patients to fix the epididymis to testicle: 3 patients showed improvement in semen quality with two resultant pregnancies. Failures were due to advanced testicular damage. Infertility in mobile epididymis appears to result from obstruction of efferent ductules, testicular ischemia, and/or interference with sperm maturation, transport, or delivery.
游动性附睾在男性不育症的发生中起重要作用。在一系列连续的特发性不育症病例中，它占9%。在200例接受检查的患者（100例有生育能力，100例不育）中，9例不育患者检测到游动性附睾。临床表现具有特征性。附睾与睾丸广泛分离，可自由左右移动。其体部和尾部形态不佳，附睾输精管角钝。3例患者持续无精子症，6例患者间歇性无精子症。睾丸活检显示小管扩张。对这9例患者进行了附睾固定术，将附睾固定于睾丸：3例患者精液质量改善，2例最终妊娠。失败原因是睾丸损伤严重。游动性附睾导致的不育似乎是由于输出小管阻塞、睾丸缺血和/或精子成熟、运输或排出受到干扰。
