Irisawa C, Adachi Y, Watanabe H, Kubota Y, Ishii N
Department of Urology, Yamagata University, School of Medicine.
Hinyokika Kiyo. 1989 Sep;35(9):1623-8.
A 32-year-old man with the chief complaint of male infertility for two years was admitted to our clinic for extensive examination of azoospermia. Physical examination revealed no abnormal findings in the bilateral testis, epididymis or prostate except for hard thickening of bilateral deferens ducts. Serum follicle stimulating hormone, luteinizing hormone, prolactin and testosterone levels were within normal range, and specimens from testicular biopsy demonstrated normospermatogenesis. Examination of urinary tract disclosed no abnormal findings. Seminal vesiculography, pelvic computed tomographic scan, and pelvic plain X-ray after seminal vesiculography showed that bilateral seminal vesicles were dilated remarkably without filling defect. A cap-shaped silicone prosthesis was installed on caudal portion of right epididymis. Fourteen days later, we punctured it, but enough seminal fluid to provide homologous artificial insemination was not obtained. Sixty five cases of pathological dilatation of seminal vesicle were collected from Japanese literature. A brief review on age, symptoms, complications, therapies and transferrin in seminal fluid were discussed.
一名32岁男性，因男性不育两年为主诉入院，接受无精子症的全面检查。体格检查发现双侧睾丸、附睾或前列腺无异常，仅双侧输精管呈硬增厚。血清促卵泡激素、黄体生成素、催乳素和睾酮水平在正常范围内，睾丸活检标本显示精子发生正常。泌尿系统检查未发现异常。精囊造影、盆腔计算机断层扫描以及精囊造影后的盆腔平片显示双侧精囊明显扩张，无充盈缺损。在右侧附睾尾部安装了帽状硅胶假体。十四天后，我们对其进行穿刺，但未获得足够用于同源人工授精的精液。从日本文献中收集了65例精囊病理性扩张病例。并对年龄、症状、并发症、治疗方法以及精液中的转铁蛋白进行了简要综述。
