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Symptomatic male with subclinical varicocele found on ultrasound evaluation

Asian Journal of Andrology 2016年第2期18卷 313-314页

作者： Ahmad Majzoub edmund sabanegh jr. Department of Urology Glickman Urological and Kidney Institute Cleveland Clinic Foundation CLeveland Ohio USA.

Scrotal pain is a commonly encountered complaint in urology practice. It occurs in around 2%-10% of patients with *** a relatively common association, the effect ofvaricocele on pain is much less investigated than its relation with infertility. Biggers and Soderdahl were the first to explore surgical treatment for pain attributed to a clinical varicocele in 1981, reporting an improvement rate of 48% after surgery.

关键词： SCROTAL CONTENT PAIN INTERNAL SPERMATIC VEIN CHRONIC ORCHIALGIA CORD MICRODENERVATION DENERVATION LIGATION

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46 XX karyotype during male fertility evaluation; case series and literature review

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Asian Journal of Andrology 2017年第2期19卷 168-172页

作者： Ahmad Majzoub Mohamed Arafa Christopher Starks Haitham Elbardisi Sami A1 Said edmund sabanegh jr Cleveland Clinic Foundation Department of Urology Cleveland Ohio USA Hamad Medical Corporation Department of Urology Qatar Cairo University Department of Andrology Giza Egypt Reston Hospital Department of Urology Virginia USA

Forty-six XX disorder of sex development is an uncommon medical condition observed at times during the evaluation of a man＇s fertility. The following is a case series and literature review of phenotypically normal men diagnosed with this karyotype. Our goal is to comprehend the patients＇ clinical presentation as well as their laboratory results aiming to explore options available for their management. A formal literature review through PubMed and MEDLINE databases was performed using ＂46 XX man＂ as a word search. A total of 55 patients, including those conveyed in this article were diagnosed with a 46 XX karyotype during their fertility evaluation. The patients＇ mean age _＋ s.d. was 34 ＋ 10 years and their mean height ＋ s.d. was 166 ＋ 6.5 cm. Overall, they presented with hypergonadotropic hypogonadism. Sexual dysfunction, reduced hair distribution, and gynecomastia were reported in 20% （4120）, 25.8% （8/31）, and 42% （13131） of the patients, respectively. The SRYgene was detected in 36 （83.7%） and was absent in the remaining seven （16.3%） patients. We found that a multidisciplinary approach to management is preferred in 46 XX patients. Screening for remnants of the mullerian ducts and for malignant transformation in dysgenetic gonads is imperative. Hypogonadism should be addressed, while fertility options are in vitro fertilization with donor sperm or adoption.

关键词： hypogonadism infertility male sex-determining region XX disorders of sex development

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Asymptomatic postpubertal male with equally sized normal testicles with palpable left varicocele

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Asian Journal of Andrology 2016年第2期18卷 310-310页

作者： A Scott Polackwich edmund sabanegh jr Male Infertility and Microsurgery Department of Urology Glickman Urological and Kidney Institute Cleveland Clinic Foundation 9500 Euclid Avenue QIOCleveland OH 44195 USA

Varicoceles are a common finding in the general public. The incidence appears to increase later in life with a contemporary study finding an increase in incidence of 10% per decade of life） While common in the general population, they are even more common among those presenting for a fertility evaluation, as high as 39% in some series and are often initially diagnosed during such examinations） Others present without symptoms or fertility issues and are found incidentally on a physical exam by a general practitioner.

关键词： MEN

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