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首页> 外文期刊>Archives of Andrology: An International Journal >Low plasma testosterone in varicocele patients with impotence and male infertility.
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Low plasma testosterone in varicocele patients with impotence and male infertility.

机译：精索静脉曲张和男性不育患者血浆睾丸激素水平低。

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摘要

To study the affect of bilateral varicocele (grade 3) on impotence and male infertility patients, 29 patients were selected from an outpatient clinic during 15 May 1998 to 15 August 1999 (the mean age was 33.9 +/- 6.3), 15 patients complaining of erectile dysfunction and 14 patients complaining of male infertility. The mean duration of impotence was 3 +/- 2.3 years and for male infertility was 6 +/- 2.5. All organic and psychogenic causes related to impotence and male infertility except bilateral varicocele (grade 3) and low plasma testosterone were excluded by clinical and laboratory investigations. Twenty males with normal erection and fertility were included as controls. Detailed medical history and complete physical examination included measurement of testicular size by orchiometer; semen and hormonal parameters were measured for all patients and control. In impotent patients left and right testicular volume was significantly decreased (p < .05), while in male infertility patients left and right testicular volume was highly significantly and, significantly decreased (p < .005, p < .05) compared to controls. In male infertility patients, left testicular volume was highly significantly decreased compared to impotent patients (p < .005). The sperm count and semen volume in impotent patients was significantly decreased (p < .05, p < .01), but no significant differences were found in sperm motility and abnormal forms, while in male infertility the sperm count was highly significantly decreased (p < .005), the sperm motility was significantly decreased (p < .05), the abnormal form was significantly increased (p) < .05), but in the semen volume there was no significant difference compared to controls. In impotent patients the sperm count was significantly increased and abnormal form was significantly decreased compared to male infertility (p < .05). The mean serum testosterone was significantly decreased in impotent patients (p < .01), and highly significantly decreased in male infertility (p < .005) compared to controls. The mean serum FSH was significantly increased in male infertility (p < .05) and nonsignificant in impotent patients compared to controls. The mean serum LH and prolactin levels were nonsignificant in both impotent and male infertility patients compared to controls, but LH was significantly increased in impotence compared to male infertility patients (p < .025). Therefore, bilateral varicocele (grade 3) is associated with significant reduction in testicular function with significant increase in serum levels of FSH and LH, which may cause erectile dysfunction and male infertility.
机译：为了研究双侧精索静脉曲张（3级）对阳ot和男性不育患者的影响，在1998年5月15日至1999年8月15日的门诊中选择了29例患者（平均年龄为33.9 +/- 6.3），其中15例抱怨勃起功能障碍和14例抱怨男性不育的患者。阳imp的平均持续时间为3 +/- 2.3年，男性不育的平均持续时间为6 +/- 2.5。临床和实验室研究排除了与阳ence和男性不育有关的所有器质性和心理性原因，双侧精索静脉曲张（3级）和血浆睾丸激素水平低。包括20例正常勃起和生育能力的男性作为对照。详细的病史和完整的体格检查包括通过睾丸仪测量睾丸大小;测量所有患者和对照的精液和激素参数。在无能为力的患者中，左睾丸和右睾丸体积显着降低（p <.05），而在男性不育患者中，左睾丸和右睾丸体积与对照组相比显着降低（p <.005，p <.05）。在男性不育患者中，左手睾丸体积与阳萎患者相比明显降低（p <.005）。阳patients患者的精子数量和精液量显着下降（p <.05，p <.01），但精子活力和异常形式无明显差异，而男性不育患者精子数量显着下降（p <.005），精子活力显着降低（p <.05），异常形态显着增加（p）<.05），但精液量与对照组相比无显着差异。与男性不育相比，无能的患者精子数量显着增加，异常形式显着减少（p <.05）。与对照组相比，无能的患者的平均血清睾丸激素水平显着降低（p <.01），男性不育患者的平均血清睾丸激素水平显着降低（p <.005）。与对照组相比，男性不育患者的平均血清FSH显着增加（p <.05），而无力患者的平均血清FSH则无统计学意义。与对照组相比，阳imp和男性不育患者的平均血清LH和催乳素水平均无统计学意义，但与男性不育患者相比，LH在阳ot方面显着增加（p <.025）。因此，双侧精索静脉曲张（3级）与睾丸功能的显着降低以及血清FSH和LH水平的显着升高有关，这可能导致勃起功能障碍和男性不育。

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