Male infertility associated with adult dominant polycystic kidney disease: a case series.
BACKGROUND
Although described earlier, the association of male infertility with adult dominant polycystic kidney disease (ADPKD) is quite rare and unfamiliar to some of the multidisciplinary team members caring for affected men.


METHODS
Infertile men diagnosed to have ADPKD were evaluated by clinical characteristics including testis volume, as well as serum hormone levels, semen analysis, and transrectal ultrasonography (TRUS) because of low volume ejaculate.


RESULTS
Semen analysis revealed low-normal volume, normal pH, and azoospermia/virtual azoospermia. Serum hormones were within the normal range. Transrectal ultrasonography demonstrated cystic dilatation of the seminal vesicles in all three men.


CONCLUSIONS
Patients should be referred for andrological evaluation of a presentation similar to obstructive azoospermia. Their potential to achieve paternity by surgical sperm retrieval combined with assisted reproductive technology is another example of cooperation between andrologists and gynecologists.
Shefi
Shai
S
Petach Tikva Andrology Practice, Petach Tikva, Israel. dr.andrology@gmail.com
Levron
Jacob
J
Nadu
Andrei
A
Raviv
Gil
G
D000328:Adult; D053713:Azoospermia / Q000150:complications; D005837:Genitalia, Male / Q000000981:diagnostic imaging; D006801:Humans; D007248:Infertility, Male / Q000150:complications*; D008297:Male; D009845:Oligospermia / Q000150:complications; D009929:Organ Size; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*; D013737:Testis / Q000473:pathology*; D014463:Ultrasonography