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By Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)

ISBN-10: 9400912374

ISBN-13: 9789400912373

ISBN-10: 9401070482

ISBN-13: 9789401070485

Infertility is an issue for the couple and review of the couple is foremost in a hospital the place either ladies and men will be obvious jointly. The contribution to care by means of the urologist and the gynaecologist each one with an curiosity in infertility is various yet complementary. My appreciation of this was once sharpened among 1976 and 1985 in the course of my organization with the area health and wellbeing Organization's Spe­ cial Programme of study improvement and learn education in Human copy on the conferences of the guidance Committee of its job strength on Infertility. The deliberations of this workforce have been aimed toward constructing a protocol for research of the infertile couple and it turned obvious to me as a gynaecologist how vital is the correct characterization of the male partner's function to the formula of the administration plan for the infertile couple. to enhance the standard of our review of the male companion our techni­ cal employees have been expert within the semen technique of the laboratory of Dr F Com­ haire of Ghent and we have been joined by way of Dr CLR Barratt, male reproductive biologist. It appeared applicable to proportion our enthusiasm for medical andrology, so after dialogue with Dr Comhaire and Professor T Glover, an eminent male reproductive biologist, then of Brisbane, who deliberate a sabbatical to his local was once prepared for 1 and a pair of could 1986. Professor Glover en­ Yorkshire, a gathering of the meeting.

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S. Afr. I. Wildl. , Russo, MA. and Stefani~ M. (1983). Intercellular communication in rat seminiferous tubules. Devel. , 100,249-55 Fenster, H. and McLoughlin, M. (1982). Varicocele: Its role in male infertility. -B. and Schwarzstein, L. ) Treatment of Male Infertility. (Berlin: Springer Verlag) Glezerman, M. and Lunenfeld, B. (1982). Treatment of male infertilty. In Bandhauer, K. and Frick, J. ) Disturbances in Male Infertility. D. (1984). Seminal Identikits: Plenary Session, Proc. Fertil. Soc.

1984). However, presumably one out of five men with varicocele will suffer from a complication of this condition, such as impaired fertility, decreased androgen secretion and sexual inadequacy (Comhaire and Vermeulen, 1975), or local discomfort. , 1987). In spite of a few reports to the contrary, the causal link between varicocele and subfertility is generally accepted. , 1967). Impairment of semen quality may occur later in reproductive life, resulting in secondary sterility. PHYSIOPATHOLOGY Varicocele is due to reflux of renal and adrenal blood into the internal spermatic vein and pampiniform plexus.

Alternatively, an end-to-end anastomosis may be done, but the fine bore of the lumen, and the disparity that often exists between the diameter of the upper and lower ends, requires a two layer microsurgical technique using the operating microscope if an accurate union is to be obtained. 6), it is generally best to make a counter incision in the groin to provide wide exposure of the vas so that the site of obstruction can be clearly defined with a view to reconstruction by vas-vas ostomy. If there is a co-existing caudal epididymal block on the opposite testicle, or if that testis is atrophic, an alternative approach is trans-vaso-vasostomy.

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Advances in Clinical Andrology by Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)

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