Al-Omari H, Girgis S M, Hanna A Z
Arch Androl. 1985;15(2-3):187-92. doi: 10.3109/01485018508986910.
The site of obstruction was evaluated by seminal vesiculography in 24 cases of azoospermia with normal testicular biopsies. In 21 cases, obstruction was located at the level of the tail of the epididymis; in 2 cases ejaculatory duct was obstructed; and in 1 case the injected dye was arrested at the level of internal inguinal ring, at the site of previous hernia operation. Vesiculogram in 24 obstructed cases and 4 cases of chronic seminal vesiculities without obstruction showed one normal picture, four with catarrhal inflammation, and the rest with chronic interstitial vesiculities. Radiological study of a patient complaining of aspermia showed multiple congenital anomalies. The high incidence of chronic vesiculities and postinflammatory obstruction is attributed to underlying bilharziasis.
对24例睾丸活检正常的无精子症患者进行了精囊造影，以评估梗阻部位。21例梗阻位于附睾尾部水平；2例射精管梗阻；1例注入的染料在腹股沟内环水平、既往疝气手术部位受阻。24例梗阻病例和4例无梗阻的慢性精囊炎患者的精囊造影显示，1例正常，4例为卡他性炎症，其余为慢性间质性精囊炎。对一名主诉无精子症患者的放射学研究显示有多种先天性异常。慢性精囊炎和炎症后梗阻的高发生率归因于潜在的血吸虫病。
