Download Advances in Clinical Andrology by Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. PDF

By Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)

Infertility is an issue for the couple and overview of the couple is prime in a sanatorium the place either women and men could be visible jointly. The contribution to care by way of the urologist and the gynaecologist every one with an curiosity in infertility is various yet complementary. My appreciation of this used to be sharpened among 1976 and 1985 in the course of my organization with the realm well-being Organization's Spe­ cial Programme of study improvement and study education in Human replica on the conferences of the steerage Committee of its activity strength on Infertility. The deliberations of this staff have been aimed toward constructing a protocol for research of the infertile couple and it turned obvious to me as a gynaecologist how vital is the appropriate characterization of the male partner's function to the formula of the administration plan for the infertile couple. to enhance the standard of our assessment of the male companion our techni­ cal employees have been educated within the semen method of the laboratory of Dr F Com­ haire of Ghent and we have been joined by way of Dr CLR Barratt, male reproductive biologist. It appeared acceptable to proportion our enthusiasm for medical andrology, so after dialogue with Dr Comhaire and Professor T Glover, an eminent male reproductive biologist, then of Brisbane, who deliberate a sabbatical to his local used to be prepared for 1 and a couple of could 1986. Professor Glover en­ Yorkshire, a gathering of the meeting.

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If there is a co-existing caudal epididymal block on the opposite testicle, or if that testis is atrophic, an alternative approach is trans-vaso-vasostomy. However, this has given rather disappointing results in the author's hands. 7 Vasogram showing ejaculatory duct cyst after transurethral incision: note that there is some dye in the bladder indicating that patency has been restored. 39 ADVANCES IN CLINICAL ANDROLOGY Ejaculatory duct obstruction Surgical correction of these blocks is difficult, since the area is very inaccessible.

But because the value of one test does not correlate well with that of another, it should not be rejected as being useless. Some criteria of semen quality will correlate positively with others, some will be negatively correlated, and yet most will show no significant relationship to each other whatsoever, or, for that matter, with evidence of fertility. , 1984), but if it is selected alone with no reference to other semen characteristics, the lack of a relationship tells us very little. If a morphological deformity is serious, the relevant spermatozoon is not likely to be functionally normal, so sperm morphology cannot be totally disregarded as a potentially significant semen test.

4). Clinical history, physical examination and the presence of antisperm antibodies, can suggest the possibility of unilateral testicular obstruction, but confirmation of the diagnosis requires exploratiory scrototomy. Unilateral obstruction, a correctable cause of infertility, should be recognised and treated. SUMMARY AND CONCLUSIONS The diagnosis and correction of testicular obstruction is clearly an integral part of the treatment of an infertile male. However, the urologist must look beyond the actual blockage, to the pathological condition causing it, and to its immunological consequences, if the results of such treatment are to improve.

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