A case of improved obstructive azoospermia after treating chlamydial epididymitis

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  • Maeda Koki
    Department of Urology, Kobe University Graduate School of Medicine
  • Shigemura Katsumi
    Department of Urology, Kobe University Graduate School of Medicine Department of Public Health, Kobe University Graduate School of Health Scinence
  • Yang Young-Min
    Department of Urology, Kobe University Graduate School of Medicine
  • Nakano Yuzo
    Department of Urology, Kobe University Graduate School of Medicine
  • Fujisawa Masato
    Department of Urology, Kobe University Graduate School of Medicine

Bibliographic Information

Other Title
  • クラミジア性精巣上体炎治療により閉塞性無精子症の改善を認めた一例
  • クラミジアセイセイソウ ジョウタイエン チリョウ ニ ヨリ ヘイソクセイ ムセイシショウ ノ カイゼン オ ミトメタ イチレイ

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Description

A 22-year-old man was referred to our institution due to bilateral intrascrotal masses and a suspected testicular tumor. A magnetic resonance imaging scan revealed bilateral epididymitis; moreover, the polymerase chain reaction test was positive for chlamydia. Therefore, the patient was diagnosed with bilateral chlamydial epididymitis. A semen analysis prior to treatment revealed azoospermia and obstructive azoospermia due to chlamydial epididymitis. Subsequently, antibiotic treatment improved the epididymitis and semen findings. Chlamydial epididymitis has been reported to progress bilaterally with a chronic course due to mild symptoms, and has been known to cause narrowing of the seminal ducts, resulting in obstructive azoospermia; however, epidemiological data are still insufficient. In this study, we present a case report of obstructive azoospermia caused by chlamydial epididymitis with a literature review.

Journal

  • 日本性感染症学会誌

    日本性感染症学会誌 33 (1), 57-60, 2023-03-20

    Japanese Society for Sexually Transmitted Infections

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