Department of Urology, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, Chiba, Japan.
Andrologia. 2014 May;46(4):447-8. doi: 10.1111/and.12089. Epub 2013 Mar 27.
Some cases of testicular trauma cause infertility especially when the injured testes are not removed. However, only a few long-term follow-up studies investigating endocrinological and semen parameters in patients who had testicular trauma have been conducted. Herein, we report an interesting case of a patient who spontaneously recovered from azoospermia due to a traffic injury and present in detail the results of the hormonal examination and semen analysis. The patient was a 22-year-old man with a history of left testicular injury and bilateral orchidopexy. Four months after the injury, the semen parameters improved but azoospermia occurred 1 year later. However, spermatogenesis spontaneously recovered without any treatment or without undergoing orchiectomy 6 months after the testicular injury.
有些睾丸创伤病例会导致不育，尤其是受伤的睾丸未被切除时。然而，仅有少数长期随访研究调查了睾丸创伤患者的内分泌和精液参数。在此，我们报告一例因交通伤导致无精子症而自发恢复的患者，并详细介绍了激素检查和精液分析的结果。患者为 22 岁男性，有左侧睾丸受伤和双侧隐睾手术史。受伤后 4 个月，精液参数改善，但 1 年后出现无精子症。然而，在睾丸受伤 6 个月后，无需任何治疗或未行睾丸切除术，生精功能便自发恢复。
