Diagnosis in Andrology

255 Pages·1980·8.91 MB·English

by  M. H. K. Shokeir

DIAGNOSIS IN ANDROLOGY
CLINICS IN ANDROLOGY
E.S.E. HAFEZ, series editor
VOLUME 4
1. J.C. Emperaire, A. Audebert, E.S.E. Hafez, eds., Homologous artificial insemination, 1980. ISBN 90-247-2269-1.
2. L.I. Lipshultz, J.N. CorriereJr., E.S.E. Hafez, eds., Surgery of the male reproductive tract, 1980. ISBN 90-247-2315-9.
3. E.S.E. Hafez, ed., Descended and cryptorchid testis, 1980. ISBN 90-247-2299-3.
5. G.R. Cunningham, W.-B. Schill, E.S.E. Hafez, eds., Regulation of male fertility, 1980. ISBN 90-247-2373-9.
6. E.S.E. Hafez, E. Spring-Mills, eds., Prostatic carcinoma: biology and diagnosis, 1980. ISBN 90-247-2379-5.
7. S.J. Kogan, E.S.E. Hafez, eds., Pediatric andrology, 1981. ISBN 90-247-2407-7.
Series ISBN: 90-247-2333-7.
DIAGNOSIS IN
ANDROLOGY
edited by
1. BAIN
Toronto, Ontario, Canada
and
E.S.E. HAFEZ
Detroit, Michigan, U.S.A .
•
1980
MARTINUS NIJHOFF PUBLISHERS
THE HAGUE / BOSTON / LONDON
Distributors:
for the United States and Canada
Kluwer Boston, Inc.
190 Old Derby Street
Hingham, MA 02043
USA
for all other countries
Kluwer Academic Publishers Group
Distribution Center
P.O. Box 322
3300 AH Dordrecht
The Netherlands
Library of Congress Cataloging in Publication Data
Main entry under title:
Diagnosis in andrology.
(Clinics in andrology; v. 4)
Includes index.
1. Men - Diseases - Diagnosis. 2. Andrology.
l. Bain, Jerald. II. Hafez, E.S.E., 1922-
III. Series.
RC875.D47 616.6'5075 80-36708
ISBN-13: 978-94-011-7513-5 e-ISBN-13: 978-94-011-7511-1
001: 10.1007/978-94-011-7511-1
Copyright © 1980 by Martinus Nijhoff Publishers bv, The Hague.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form
or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher,
Martinus Nijhoff Publishers bv, P.O. Box 566, 2501 CN The Hague, The Netherlands.
TABLE OF CONTENTS
Contributors VII
Foreword IX
1. ENDOCRINOLOGIC AND GENETIC ASPECTS
1. Diagnosis of hypothalamic-pituitary disorders in andrology 5
M.H.K. SHOKEIR, Y. LEFEBVRE
2. Genetic and chromosomal evaluation in andrology 19
M.H.K. SHOKEIR
3. Sexual ambiguity at birth 31
P. SAENGER, L.S. LEVINE, S. PANG, M.l. NEW
4. Thyroid function and male reproduction 53
K. GILBERG, P.G. WALFISH
5. Male reproductive function in diabetes mellitus 61
B.S. LEIBEL, P.R. GARNER
II. REPRODUCTIVE ORGANS
6. Subfertility and infertility in the male - a persistent dilemma 79
l.S. GOTTESMAN, J. BAIN
7. Testicular biopsy; structur(ll aspects 87
M.B. BUCKSPAN, Y.c. BEDARD, TJ. COLGAN
8. Testicular biopsy: fine structure 93
E.S.E. HAFEZ
9. Inguinal hernia and hypospadias 109
J.F. REDMAN
10. Hydrocele, spermatocele and varicocele 121
S.D. GRAHAM, JR., D.F. PAULSON
VI T ABLE OF CONTENTS
11. Testicular tumors and cancer of the penis 135
M.A.S. JEWETT, J.L. CHIN
III. RADIOLOGICAL TECHNIQUES
12. Diagnostic radiology in andrology 153
W.A. CUMMING, J.E. CAMPBELL
13. Nuclear medicine in andrology 171
N.D. GREYSON
14. Ultrasonic techniques in andrology 185
M. MISKIN
IV. SYSTEMIC DISORDERS
15. Neurological disorders in andrology 195
P.O. LUNDBERG
16. Andrological disorders in nephrology 215
G. BUCCIANTE, A. BERNARDI
17. Andrological problems in gastrointestinal disorders 225
L.J. COLE, R. BACCHUS
18. Andrological disorders in hematology 241
H. GOLDENBERG, L.M.C. GOLDENBERG
Subject Index
255
CONTRIBUTORS
BACCHUS, R.: 222 Elm Street, # 1408, Toronto, M5T IK5, GRAHAM, JR, S.D.: P.O. Box 2977, Duke University Medical
Ontario, Canada Center, Durham, NC 27710, U.S.A.
BAIN, J.: Mount Sinai Hospital, 600 University Avenue, GREYSON, N.D.: Division of Nuclear Medicine, Mount Sinai
Toronto, M5G IX5, Ontario, Canada Hospital, 600 University Avenue, Toronto, M5G IX5,
BEDARD, Y.c.: Mount Sinai Hospital, 600 University Avenue, Ontario, Canada
Toronto, M5G IX5, Ontario, Canada HAFEZ, E.S.E.: Department of Gynecology-Obstetrics, School
BERNARDI, A.: Istituti Di Medicina Clinica dell'Universita di of Medicine, Wayne State University, Detroit, MI, 48201,
Padova, 35100 Padova, Via Giustiniani, 2 Padova, Italy U.S.A.
BUCCIANTE, G.: Istituti Di Medicina Clinica dell'Universita di JEWETT, M.A.S.: Division of Urology, Wellesley Hospital, 160
Padova, 35100 Padova, Via Giustiniani, 2, Padova, Italy Wellesley Street East, Toronto, M4Y 113, Ontario, Canada
BUCKSPAN, M.B.: Mount Sinai Hospital, 600 University Avenue, LEFEBVRE, Y.: Departments of Medicine and Medical Bio
Toronto, M5G IX5, Ontario, Canada chemistry, University of Calgary, Calgary, Alberta, Canada
CAMPBELL, J.E.: Department of Radiology, Sunnybrook Medi LEIBEL, B.S.: Hospital for Sick Children, 555 University Avenue,
cal Centre, 2075 Bayview Avenue, Toronto, M4N 3M5, Toronto, M5G IX8, Ontario, Canada
Ontario, Canada LEVINE, L.S.: The New York Hospital-Cornell Medical Center,
525 East 68th Street, New York, NY 10021, U.S.A.
CHIN, J.L.: Department of Surgery, Wellesley Hospital, 160
LUNDBERG, P.O.: Akademiska Sjukhuset, Neurologiska klini
Wellesley Street East, Toronto, M4Y 113, Ontario, Canada
ken, 750 14 Uppsala 14, Sweden
COLE, L.J.: 99 Avenue Road, Toronto, M5R 2G5, Ontario,
MISKIN, M.: Division of Diagnostic Ultrasound, Mount Sinai
Canada
Hospital, 600 University Avenue, Toronto, M5G IX5,
COLGAN, T.1.: 386 Glengarry Avenue, Toronto, M5M IE8,
Ontario, Canada
Ontario. Canada
NEW, M.I.: The New York Hospital-Cornell Medical Center,
CUMMING, W.A.: Department of Radiology, Oakville Trafalgar
525 East 68th Street, New York, NY 10021, U.S.A.
Memorial Hospital, 327 Reynolds Street, Oakville, L6J 3L7,
PANG, S.: The New York Hospital-Cornell Medical Center, 525
Canada
East 68th Street, New York, NY 10021, U.S.A.
GARNER, P.R.: Department of Obstetrics and Gynecology,
PAULSON, D.F.: Division of Urology, Duke University Medical
Ottawa Civic Hospital, 1053 Carling Avenue, Ottawa, KIY
Center, P.O. Box 2977, Durham, NC 27710, U.S.A.
4E9, Ontario, Canada
REDMAN, J.F.: Department of Urology, University of Arkansas
GILBERG, K.: Organon Canada Limited, 565 Coronation Drive,
for Medical Sciences, 4301 W. Markham, Little Rock, AK
West Hill, MIE 4S2, Ontario, Canada
72201, U.S.A.
GOLDENBERG, H.: 99 Avenue Road, Toronto, M5R 2G5,
SAENGER, P.: The New York Hospital-Cornell Medical Center,
Ontario, Canada
525 East 68th Street, New York, NY 10021, U.S.A.
GOLDENBERG, L.M.C.: 99 Avenue Road, Toronto, M5R 2G5, SHOKEIR, M.H.K.: Room 515, Ellis Hall, University Hospital,
Ontario, Canada Saskatoon, S7N OWO, Saskatchewan, Canada
GOTTESMAN, I.S.: 15 Coach Liteway, Willowdale, M2R 3J8, WALFISH, P.G.: Mount Sinai Hospital, 600 University Avenue,
Ontario, Canada Toronto, M5G IX5, Ontario, Canada
FOREWORD
Despite the increasing number of andrological pub opment of basic and clinical research in andrology,
lications, the diagnostic aspects of andrology have to analyze modern techniques for the evaluation of
received relatively little attention. In the last decade male infertility, to stimulate the development of
substantial progress has been made in the under guideliness for therapeutic procedures, to recom
standing of the fundamentals of andrology, this ment common norms of measurement, to promote
progress resulting from modern techniques and and interchange of information and to stimulate the
instrumentation in microanatomy, immunology, interest of scientists and clinicians in andrological
neurophysiology, pathology, genetics, endocrino problems.
logy, biochemistry, biophysics, urology and sur We are grateful to the authors who have given so
gery. These studies are scattered in such a wide much of their time and talents to produce chapters
spectrum of journals that andrologists can hardly of depth and breadth and who have made such a
keep abreast of the advances. There have been significant contribution to the andrological litera
textbooks on the testes, male accessory organs and ture. We are also indebted to Morag M. Smith, Lori
semen but none that have attempted to bring Rust and Penny Stoops for the time and patience
together the various aspects of diagnosis. Since they exhibited in typing, collation of material and in
there is an increasing literature concerning diag the many editorial skills necessary to put a book
nostic andrology widely scattered in many different such as this together. Finally, we would like to
publications, we hope that a useful purpose will be thank Mr Jeffrey K. Smith of Martinus Nijhoff for
served by summarizing the more pertinent material his excellent cooperation in the production and
which can be made readily available to students and publication of this volume.
practitioners of andrology. This volume is an at
tempt to coordinate anatomical, physiological, bio
chemical, endocrinological, radiological, cytogenic, J. BAIN Toronto, Ontario, Canada
pharmacological and immunological techniques of and
diagnosis and to bring together the various medical E.S.E. HAFEZ Detroit, Michigan, U.S.A.
aspects of andrology.
This volume is intended to encourage the devel- May, 1980
DIAGNOSIS IN ANDROLOGY