| you are: INSPECTION of the MAN
It varikoznoe expansion of vessels grozdevidnogo a texture feeding jaichko. The given condition, according to the American society of reproductive medicine, is the most frequent reason of man's barreness though the role varikotsele in an aetiology of man's barreness admits not all researchers.
Classification varikotsele:
III degree - varikozno the expanded venous texture is visible approximately, vessels are looked through through a skin moshonki, easily palpated.
II degree - the expanded veins do not appear through through a skin moshonki, but is easily palpated
I degree - the expanded veins are not visible, are palpated only at performance of "reception ValsalvyĀ" - the patient holds the breath and makes an effort to a bottom, straining a stomach.
Subclinical degree - expansion of veins is defined only at performance of ultrasonic with doplerovskim research.
The Unique mechanism of possible suppression spermatogeneza at varikotsele - increase of local temperature that creates adverse conditions for ripening spermatozoidov, interfering with their development. Besides, at varikotsele there are infections of additional sexual glands, an appendage jaichka, immunologicheskie infringements is more often. Varikotsele it is considered the barreness reason only in case of sperm deterioration. Research prostaty to spend not necessarily, if there are no data (the anamnesis, clinical signs, blood and urine analyses) about presence of any diseases of additional sexual glands. In the presence of indications research prostaty is spent through the back pass, preferable position of the patient - kolenno-elbow.
|
