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Aspermatizm. Value aspermatizma in reproduktologii and its essence are treated differently. One authors, in particular And. M.Porudominsky (1968), carry aspermatizm to ekskretornomu to barreness, others (S.A.Kagan, 1974) allocate it in the independent form of barreness. Essence of considered disease tak.zhe sporna.
Under the name "aspermatizm" the pathological condition characterised by absence semjaizverzhenija and orgazma against normal display libido, steady adequate erektsii and full safety spermiogeneza is described. The essence aspermatizma consists in frustration of independent regulation of the muscular groups participating in process semjaizverzhenija. An aetiology and patogenez this condition are insufficiently studied.
A Number of authors state doubt in competency of the term "aspermatizm". Among set of the concepts explaining the mechanism of development aspermatizma, it is possible to allocate two essentially various: according to one, the term "aspermatizm" admits, but opinions disperse in treatment of its various forms (And. M.Porudominsky, 1968; N.E.Savchenko, 1975); according to the second, instead of the term "aspermatizm" it is offered the term Â"anejakuljatornoe a conditionÂ" (I.J.Juneman, 1975, 1977) as at a considered pathology it is not observed changes spermiogeneza, and is broken nervously-muscular dynamics of process ejakuljatsii.
In our opinion, the term "aspermatizm" patogeneticheski is quite proved, as at this condition is blocked not only process ejakuljatsii, but also the sensation orgazma is lost, that has the important diagnostic value. To this sign distinguish aspermatizm from aspermii at which also there is a process infringement ejakuljatsii, but remains orgazm. Infringement ejakuljatsii at aspermii has other mechanism. Ejakuljat it is allocated, but it or is thrown in a bladder owing to deformation of a back part mocheispuskatelnogo the channel and a bladder neck, or sharp reduction of quantity ejakuljata owing to androgennoj insufficiency is observed and it outside is not thrown out. Traces can be found out it in the form of insignificant osliznenija an external aperture mocheispuskatelnogo the channel after fading erektsii.
In some cases there is enough ejakuljata, but in it there are no elements spermatogeneza. Some authors (And. M.Porudominsky, 1968) qualify such condition as the mechanical form aspermatizma. In our opinion, it is impossible to agree with such statement, as the infringement mechanism ejakuljatsii thus is not connected with dynamics infringement sokratitelnoj functions of the muscular groups providing ejakuljatsiju.
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