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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1986-5-2
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pubmed:abstractText |
With the use of semi-thin sections of 88 testicular biopsies from 44 patients, we were able to separate a relatively uniform group of patients with idiopathic left varicocele and infertility into 4 groups with different pathophysiological conditions. Group 1 patients had atrophy of the Leydig cells, decreased Leydig cell ratio, low plasma testosterone, and normal luteinizing and follicle-stimulating hormone levels. Surgery resulted in a significant improvement in sperm count. Group 2 patients had undergone attempted repair of Leydig cells, and had a normal Leydig cell ratio, and normal testosterone, luteinizing hormone and follicle-stimulating hormone plasma values. Group 3 patients demonstrated hyperplasia and an increased Leydig cell ratio, high luteinizing and follicle-stimulating hormone values, and relatively high testosterone values. Group 4 patients had an increased Leydig cell ratio but severe atrophy of the Leydig cells and tubuli, indicating burned out testes with high luteinizing and follicle-stimulating hormone but low testosterone levels. A successful operation failed to increase the sperm count in the latter groups. The technique used should allow better patient selection for medical treatment, as well as lead to a better understanding of the etiopathogenesis of infertility in varicocele patients. Therefore, the histological technique has an important role in the evaluation of patients suffering from infertility in general.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0022-5347
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
135
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
707-10
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3083115-Adolescent,
pubmed-meshheading:3083115-Adult,
pubmed-meshheading:3083115-Biopsy,
pubmed-meshheading:3083115-Follicle Stimulating Hormone,
pubmed-meshheading:3083115-Humans,
pubmed-meshheading:3083115-Infertility, Male,
pubmed-meshheading:3083115-Leydig Cells,
pubmed-meshheading:3083115-Luteinizing Hormone,
pubmed-meshheading:3083115-Male,
pubmed-meshheading:3083115-Middle Aged,
pubmed-meshheading:3083115-Sperm Count,
pubmed-meshheading:3083115-Testis,
pubmed-meshheading:3083115-Testosterone,
pubmed-meshheading:3083115-Varicocele
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pubmed:year |
1986
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pubmed:articleTitle |
The value of testicular biopsy in patients with varicocele.
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pubmed:publicationType |
Journal Article,
Comparative Study
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