Polycystic kidney disease and infertility.
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.
van der Linden
E F
EF
Department of Urology, Eemland Hospital, Amersfoort, The Netherlands.
Bartelink
A K
AK
Ike
B W
BW
van Leeuwaarden
B
B
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