Tek Taraflı Seminal Vezikül Agenezi İle Karşı Taraf Seminal Vezikül Hipoplazisi Birlikteliği: Bir Olgu Sunumu

Yıl 2009, Cilt: 14 Sayı: 1, 75 - 77, 01.02.2009

Kenan İsen Birsen Cihan

Öz

Tek taraflı seminal vezikül yokluğu ile karşı taraf seminal vezikül hipoplazisi olan 42 yaşındaki bir erkek sunulmuştur. Hasta infertilite nedeniyle başvurdu. Fizik muayenesi normaldi. Semen analizi azoospermi ve 1ml'nin altında semen volümü olduğunu gösterdi. Transrektal Ultrasonografi (TRUS), Bilgisayarlı Tomografi (BT) ve Manyetik Resonans Görüntüleme (MRI) ile sol seminal vezikül yokluğu ve sağ seminal vezikül hipoplazisi saptandı. TRUS bu tip anomalilerin ilk değerlendirmesinde iyi bir metod olabilir. Bununla birlikte, BT ve MRI, TRUS bulguları kesin değilse çekilmelidir. Hastaya çocuk sahibi olması için yardımcı üreme teknikleri önerildi.

Anahtar Kelimeler

Seminal vezikül, agenez, anomali, infertilite

Unilateral Seminal Vesicle Agenesis Associated with Contralateral Hypoplasia of Seminal Vesicle: A Case Report

Öz

A 42-year-old man with unilateral agenesis of seminal vesicle associated with contralateral hypoplasia of seminal vesicle is presented. The patient was referred for evaluation of infertility. Physical examination was normal. Semen analysis yielded azoospermia with low seminal volume of 1 mL. Transrectal ultrasonography (TRUS), Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) demonstrated absence of left seminal vesicle and hypoplastic right seminal vesicle. TRUS may be a good method for initial evaluation of these such anomalies. However, CT and MRI should be reserved for the cases whose TRUS results are not conclusive. Assisted reproductive techniques were recommended to the patient for children.

Anahtar Kelimeler

-

Kaynakça

• Nino-Murcia M, Friedland GW, deVries PA. Congenital anomalies of the male genitalia. In: Pollack HM(Editor). Clinical Urology. vol 1, Philadelphia: Saunders, 2002: 868-891.
• Sandlow JI, Williams RD. Surgery of the seminal vesicles. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (Editors). Champbell’s Urology. vol 4, Philadelphia: Saunders, 2002: 3869- 3885.
• Wu HF, Qiao D, Qian LX, et al. Congenital agenesis of seminal vesicle. Asian J Androl 2005; 7:449-452.
• King FB, Hattery RR, Lieber MM, Williamson B, Hartman GW, Berquist TH. Seminal vesicle imaging. RadioGraphics 1989; 9:653-676.
• Gonzales GF. Function of seminal vesicles and their role on male fertility. Asian J Androl 2001; 3: 251-58.
• Vohra S, Morgentaler A. Congenital anomalies of the vas deferens, epididymis, and seminal vesicles. Urology 1997; 49:313- 321.
• Kenney PJ, Leeson MD. Congenital anomalies of the seminal vesicles: spectrum of computed tomographic findings. Radiology 1983; 149:247-251.
• Arora SS, Breiman RS, Webb EM, Westphalen AC, Yeh BM, Coakley FV. CT and MRI of congenital anomalies of the seminal vesicles. AJR Am J Roentgenol 2007; 189:130-35.
• Dominguez C, Boranat F, Cunat E, Broseta E, Martinez R, Jimenez-cruz JF. Agenesis of seminal vesicles in infertile males: ultrasonic diagnosis. Eur Urol 1991; 20:129-132.
• Qui Y, Yang DT, Wang SM, Sun HQ, Jia YF. Successful pregnancy and birth after intrauterine insemination caput epididymal sperm by percutaneous aspiration. Asian J Androl 2003; 5:73-75.
• Kabul Tarihi:13.02.2008