POLYCYSTIC KIDNEY-DISEASE AND INFERTILITY

Objective: To analyze the cause of infertility in a patient with polyc ystic kidney disease. Setting: General hospital. Patient: A 32-year-ol d man known with adult polycystic kidney disease, complaining of infer tility and testicular pain. Interventions: Testicular biopsy; imaging. Results: Examination revealed bilateral severe congestion of the epid idymis. The semen contained no spermatozoa and practically no fructose . Testicular biopsy, however, showed normal spermatogenesis. Transrect al ultrasonography and computer tomography revealed severe congestion and extensive cystic changes in the seminal vesicles. Conclusion: The dilated cysts in the seminal vesicles had led to obstructive azoosperm ia, probably through compression of the ductal system.