流行性囊病变与男性进行生育评估的精液参数受损无关
Daniel R Greenberg1, Luis C Gago1, Sai Kaushik S R Kumar1
1Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois.
The Journal of urology
|August 26, 2024
概括
流行性囊病变 (ECL) 不会影响正在接受生育评估的男性的精液参数. 这些发现表明,对无症状ECL的保守管理是适当的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 生殖医学 生殖医学
背景情况:
- 冠状腺囊病变 (ECL),包括精子细胞和冠状腺囊,经常在体检或阴囊超声 (SUS) 期间偶然发现.
- 了解ECL和男性生育能力之间的关系对于适当的患者咨询和管理至关重要.
研究的目的:
- 在寻求生育评估的男性中,调查 epididymal 囊病变 (ECL) 和精液参数的存在和特征之间的关联.
主要方法:
- 在2002年至2022年期间,对861名男性进行了回顾性审查,并提供了精液分析和阴囊超声波 (SUS) 数据.
- SUS数据包括丸测量,静脉瘤存在以及ECL大小/侧面性. 人口,临床,荷尔蒙和精液参数在有和没有ECL的男性之间进行了比较.
主要成果:
- 在861名男性中,19%的人有右侧单边ECL,22%的人有左侧单边ECL,13%的人有双边ECL. 患有ECL的患者年龄较大,但在精液量,精子度,运动性,形态,总运动精子数量或激素水平上没有显著差异.
- 脑脊髓的大小和横向性与任何评估的精液参数都没有相关性.
结论:
- 在评估生育能力的男性中, epididymal 囊病变 (ECL) 和精液参数之间没有发现联系.
- 在接受生育评估的男性中,无症状的ECL需要保守的管理和观察.
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