| you are: CLINICAL FORMS of BARRENESS At MEN
At clinical research of the patients suffering sekretorno-endokrinnym by barreness, it is necessary to pay attention first of all a pas the size, the form, an arrangement, a consistence jaichek. Further - on a condition moshonki and predstatelnoj glands, and also size of a sexual member.
Usually jaichki at them are reduced, if in norm them striking measures make 4,5x2,5-3,5x2-3 sm at patients they can be 1x0,8 sm or even less (ekzomorfnaja the form of syndrome Klajnfeltera and disgenezija gonad). The form jaichek can be correct (disgenezija gonad) or roundish, flattened (syndrome Klajnfeltera - ekzomorfnaja the form), or jaichki have the different form and size (asymmetry of the form and size). An arrangement jaichek correct (gipogonadizm, disgenezija, syndrome Klajnfeltera) they can be displaced and fixed in pahovyh channels, a belly cavity (kriptorhizm) or settle down under a skin of a forward surface of a hip, area lobka, promezhnosti (ektopija). Their consistence, as a rule, more dense, than in norm (dense, tugoelasticheskaja), or flabby, testovataja, mjagkoelasticheskaja. An appendage jaichka, semjavynosjashchy a channel, predstatelnaja gland and seed vials, as a rule, atrofichny. Moshonka more often atrofichna, it is tightened up, is more rare atonichna, unwrap and hanging down. The sexual member or is reduced in sizes, or the normal sizes (endomorfnaja the form of syndrome Klajnfeltera).
At some patients genitals are developed normally. In such cases there is one any symptom. For example, at a syndrome del Kastilo, against correctly developed genitals the consistence jaichek and some roundness of their form is defined plotnoelasticheskaja.
If sekretorno-endokrinnyi the variant diskorreljatsionnogo barrenesses develops at endokrinopatijah (a craw, illness Itsenko - Kushinga, the diabetes), genitals, as a rule, have a normal appearance, is marked only atonija them. Against atonichnoj moshonki there can be a flabbiness podovogo a member and predstatelnoj glands.
At sekretorno-endokrinnyh the forms of the barreness which have arisen owing to transferred infectious diseases (the parotitis, tuljaremija, brutsellez), in the anamnesis is established perepesennoe disease, more often a-parotitis. The parotitis that causes complications is more often, than at more mature age it transfer. After paroticheskogo orhita jaichki are reduced in the sizes, the condensed consistence more often.
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