title: Polycystic kidney disease and infertility.
abstract: OBJECTIVE
  To analyze the cause of infertility in a patient with polycystic kidney disease.
  
  
  METHODS
  General hospital.
  
  
  METHODS
  A 32-year-old man known with adult polycystic kidney disease, complaining of infertility and testicular pain.
  
  
  METHODS
  Testicular biopsy; imaging.
  
  
  RESULTS
  Examination revealed bilateral severe congestion of the epididymis. The semen contained no spermatozoa and practically no fructose. Testicular biopsy, however, showed normal spermatogenesis. Transrectal ultrasonography and computer tomography revealed severe congestion and extensive cystic changes in the seminal vesicles.
  
  
  CONCLUSIONS
  The dilated cysts in the seminal vesicles had led to obstructive azoospermia, probably through compression of the ductal system.
authors.affiliation: Department of Urology, Eemland Hospital, Amersfoort, The Netherlands.
authors.forename: E F
authors.initials: EF
authors.lastname: van der Linden
authors.forename: A K
authors.initials: AK
authors.lastname: Bartelink
authors.forename: B W
authors.initials: BW
authors.lastname: Ike
authors.forename: B
authors.initials: B
authors.lastname: van Leeuwaarden
mesh_terms: D000328:Adult; D006801:Humans; D007248:Infertility, Male / Q000209:etiology*; D008297:Male; D007690:Polycystic Kidney Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography