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单侧多睾症伴严重男性不育症 1 例报告。

Unilateral polyorchidism with severe male infertility: a case report.

机构信息

TCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, No.37, Twelve Bridges Road, Jinniu District, Chengdu City, Sichuan Province, 610075, China.

Chengdu Fifth People's Hospital, The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610041, China.

出版信息

BMC Urol. 2024 Oct 18;24(1):228. doi: 10.1186/s12894-024-01626-1.

DOI:10.1186/s12894-024-01626-1
PMID:39425083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11488241/
Abstract

Polyorchidism is an uncommon congenital condition often discovered incidentally, which may significantly impact male fertility. We present a case of a 34-year-old man with unilateral polyorchidism and associated severe asthenozoospermia and teratozoospermia. Despite normal hormonal levels and no detected genetic anomalies, the patient's sperm showed mitochondrial damage, and his fertility remained compromised after conservative management and assisted reproductive attempts. This case underscores the intricate relationship between polyorchidism and male infertility, highlighting the need for personalized management strategies and further research into its etiology and impact.

摘要

多睾症是一种罕见的先天性疾病,通常是偶然发现的,可能会对男性生育能力产生重大影响。我们报告了一例 34 岁男性单侧多睾症伴严重弱精症和畸形精子症。尽管激素水平正常且未检测到遗传异常,但患者的精子显示线粒体损伤,并且在保守治疗和辅助生殖尝试后,其生育能力仍然受损。该病例强调了多睾症与男性不育之间的复杂关系,突出了需要制定个性化的管理策略,并进一步研究其病因和影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/f8174305f041/12894_2024_1626_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/84b571a0706d/12894_2024_1626_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/c1d4396d62f9/12894_2024_1626_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/f8174305f041/12894_2024_1626_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/84b571a0706d/12894_2024_1626_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/c1d4396d62f9/12894_2024_1626_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846d/11488241/f8174305f041/12894_2024_1626_Fig3_HTML.jpg

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Unilateral polyorchidism with severe male infertility: a case report.单侧多睾症伴严重男性不育症 1 例报告。
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本文引用的文献

1
Polyorchidism: An Up-to-Date Systematic Review.多睾症:最新系统评价
J Clin Med. 2023 Jan 13;12(2):649. doi: 10.3390/jcm12020649.
2
Pentaorchidism diagnosed on ultrasound examination: A case report and literature review.超声检查诊断的五睾丸症:病例报告及文献复习。
Andrologia. 2022 Jun;54(5):e14389. doi: 10.1111/and.14389. Epub 2022 Feb 4.
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[A Case of Polyorchidism Associated with Infertility].[一例与不育症相关的多睾症病例]
Hinyokika Kiyo. 2019 Oct;65(10):425-427. doi: 10.14989/ActaUrolJap_65_10_425.
4
Acquired adenomatous hyperplasia of the rete testis: an immunohistochemical study of its pathogenesis.获得性睾丸网腺瘤样增生:发病机制的免疫组织化学研究。
Hum Pathol. 2018 Mar;73:102-107. doi: 10.1016/j.humpath.2017.09.010. Epub 2017 Sep 29.
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Bilateral polyorchidism with ipsilateral two undescended testes: a rare congenital anomaly.双侧多睾症伴同侧两个隐睾:一种罕见的先天性异常。
Andrologia. 2017 May;49(4). doi: 10.1111/and.12643. Epub 2016 Jul 4.
6
Novel insights into the pathophysiology of varicocele and its association with reactive oxygen species and sperm DNA fragmentation.精索静脉曲张的病理生理学及其与活性氧和精子DNA碎片关系的新见解。
Asian J Androl. 2016 Mar-Apr;18(2):186-93. doi: 10.4103/1008-682X.170441.
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Mitochondria functionality and sperm quality.线粒体功能与精子质量。
Reproduction. 2013 Oct 1;146(5):R163-74. doi: 10.1530/REP-13-0178. Print 2013.
8
Oxidative stress negatively affects human sperm mitochondrial respiration.氧化应激会对人类精子线粒体呼吸产生负面影响。
Urology. 2013 Jul;82(1):78-83. doi: 10.1016/j.urology.2013.03.058.
9
Apoptotic sperm biomarkers and their correlation with conventional sperm parameters and male fertility potential.凋亡精子生物标志物及其与常规精子参数和男性生育潜能的相关性。
J Assist Reprod Genet. 2012 Apr;29(4):357-64. doi: 10.1007/s10815-012-9718-x. Epub 2012 Feb 24.
10
Apoptosis, spermatogenesis and male infertility.细胞凋亡、精子发生与男性不育
Front Biosci (Elite Ed). 2012 Jan 1;4(2):746-54. doi: 10.2741/415.