男子性腺機能失調症の研究 第3篇:症例と知見の総括 附,射精液逆流症

Abstract

I have had in several years many occasions to i nspect the pathological findings of seminal vesiculograms and the histological reviews of testicular tissues caused by hypogonadisms, and up to the present I have participated in 41 patients with sterility or other sexual disturbances. From the results of examination and experience hitherto acquired, it was noticed that these morphological variations of seminal vesiculograms and testicular tissues were very closely related and connected with each other, and that they had great influences upon the various sexual disturbances. As regards above men t ioned 41 cases, the variations of seminal vesiculograms were classified into four types : Type I including 4 cases (9.8%), Type H including 18 cases (43.9%), Type III including 9 cases (21.9%) and Type IV including 10 cases (24.4%). The variations of testicular tissues were also classified into three groups : Group A including 9 cases (22.5%), Group B including 1 case (2.5%) and Group C including 29 cases (72.5%) (ref. Table 4 and 5). Under the cons i deration of corelationship between seminal vesiculogram and testicular histology, the following results were obtained. Combination N o. of Cases Percentage Type II and Group C 13 32.5% Type IV and Group C 9 2 2 .5% Type II and Group A 5 12 . 5 % Type III and Group C 5 12 . 5 % Type III and Gruop A 3 7 . 5 % Type 1 and Group C 2 5 . 0 % Type I and Group A 1 2 . 5 % Type I and Group B 1 2.5% Type III and normal 1 2 .5% After all, since the relationship between the pathological finding of s eminal vesiculograms and the histological examination of testicular tissues seems to roughly suggest us the pathogenesis of male hypogonadisms and the condition of sexual hormones in the patient, it must be true that a careful examination of these morphological variations is one of the most important clinical methods for diagnosis and treatment of male hypogonadisms. Additionally, two cases of the seminal backfiow were discussed in this r e port.