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<p>A&#xa0;29-year-old man with primary infertility for 2&#xa0;years presented for further evaluation. Repeated spermiograms showed azoospermia and an acidic pH. Sonographically, both testes showed normal size and parenchyma, but the vas deferens was bilaterally not palpable. Magnetic resonance imaging showed a&#xa0;cystically dilated left vas deferens and a&#xa0;dilated left seminal vesicle. The right vas deferens could not be visualized. Testicular sperm extraction (TESE) was successful and showed only slight impairment of the spermatogenesis with a&#xa0;Johnson score of&#xa0;9.</p>

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Verschlussazoospermie bei unilateraler zystischer Alteration der Samenblase und kontralateraler Samenblasenagenesie – ein Fallbericht

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月14日

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  • Clarissa Wittler,
  • D. Engeler,
  • J. Rührup

摘要

A 29-year-old man with primary infertility for 2 years presented for further evaluation. Repeated spermiograms showed azoospermia and an acidic pH. Sonographically, both testes showed normal size and parenchyma, but the vas deferens was bilaterally not palpable. Magnetic resonance imaging showed a cystically dilated left vas deferens and a dilated left seminal vesicle. The right vas deferens could not be visualized. Testicular sperm extraction (TESE) was successful and showed only slight impairment of the spermatogenesis with a Johnson score of 9.