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Genitografija and biopsija. At recognition of some forms of barreness at men the great value has radiological research semjavynosjashchih ways - vazoepididimovezikulografija, to be exact, genitografija. Direct indications to its carrying out are inexplicable by means of other methods cases azoospermii and aspermii, and also assumptions of presence obstruktiv nogo the process demanding operative treatment. Genitografiju it is impossible to spend against an active inflammation in predstatelnoj gland and seed vials. The poet before gepitografiej it is necessary to carry out full clinical laboratory and bacteriological research of a condition of sexual system. To eliminate active inflammatory process.
Genitografija it is made in stationary conditions under local anaesthesia. A cut in the top half moshonki it is allocated semjavynosjashchy a channel, punktiruete with a needle with maidreiom and the dulled end. Through a needle enter 2-5 ml reitgenokontrastnogo substances. For this purpose it is possible to use any rentgepokontrastnye the substances applied in urological practice, but among them it is considered the best jodolipol. After introduction reitgenokontrastnogo substances make at once rentgenografiju which at necessity (incomplete clearness of a picture) repeat through 24 ch, and in some cases - through 48-72 ch and later.
At an estimation of roentgenograms consider an arrangement of family vials, their corner of a deviation, narrowings, deformations, defects of filling in a body and a neck of a seed vial are marked.
Deformation, kripty semjavynosjashchego Pay attention to passableness, of a channel and an appendage jaichka. At obliterations and gleam narrowings as in semjavynosjashchem a channel, and an appendage jaichka at safe spermatogeneze in jaichke plastic operations are made.
In spite of the fact that biopsija jaichka many decades, the relation to it inconsistent are applied. Are available both supporters, and opponents of this technique. The last wrongly Consider, that biopsija does not give additional data in comparison with spermogrammoj.
The question is not solved: to do biopsiju only on the one hand or from both? Bilateral biopsija gives fuller data. In case of asymmetry of the form and size jaichek it is without fail necessary bilateral biopsija.
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