agxАндрология и генитальная хирургияAndrology and Genital Surgery2070-97812412-890210.17650/1726-9784-2022-23-1-13-20agx-540Research ArticleОБЗОРНАЯ СТАТЬЯREVIEWИнструментальные методы визуализации при обструкции семенных путейImaging methods for seminal tract obstructionhttps://orcid.org/0000-0002-3902-9236ШатылкоТ. В.ShatylkoT. V.

Тарас Валерьевич Шатылко  

117198 Москва, ул. Академика Опарина, 4

Taras Valeryevich Shatylko 

4 Akademika Oparina St., Moscow 117198

moscowandrology@gmail.comhttps://orcid.org/0000-0002-9128-2714ГамидовС. И.GamidovS. I.

117198 Москва, ул. Академика Опарина, 4

119991 Москва, ул. Большая Пироговская, 2, стр. 4

4 Akademika Oparina St., Moscow 117198

Bld. 4, 2 Bol’shaya Pirogovskaya St., Moscow 119435

https://orcid.org/0000-0003-1854-368XНаумовН. П.NaumovN. P.

119435 Москва, ул. Малая Пироговская, 1а

142611 Орехово-Зуево, ул. Барышникова, 13

1а Malaya Pirigivskaya St., Moscow 119435

13 Baryshnikova St., Orekhovo-Zuevo, Moscow Region 142600

АльравашдехА.Al’ravashdekhA.

119991 Москва, ул. Большая Пироговская, 2, стр. 4

Bld. 4, 2 Bol’shaya Pirogovskaya St., Moscow 119435

https://orcid.org/0000-0003-1163-5602ПоповаА. Ю.PopovaA. Y.

117198 Москва, ул. Академика Опарина, 4

4 Akademika Oparina St., Moscow 117198

https://orcid.org/0000-0002-3379-5853СафиуллинР. И.SafiullinR. I.

117198 Москва, ул. Академика Опарина, 4

4 Akademika Oparina St., Moscow 117198

ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В.И. Кулакова» Минздрава РоссииРоссияV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of RussiaRussian FederationФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В.И. Кулакова» Минздрава России; ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)РоссияV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian FederationПрофессиональная ассоциация андрологов России; ГБУЗ МО «Орехово-Зуевская центральная городская больница»РоссияProfessional Association of Andrologists of Russia; Orekhovo-Zuevo Central City HospitalRussian FederationФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian Federation2022170320222311320Copyright © Шатылко Т.В., Гамидов С.И., Наумов Н.П., Альравашдех А., Попова А.Ю., Сафиуллин Р.И., 20222022Шатылко Т.В., Гамидов С.И., Наумов Н.П., Альравашдех А., Попова А.Ю., Сафиуллин Р.И.Shatylko T.V., Gamidov S.I., Naumov N.P., Al’ravashdekh A., Popova A.Y., Safiullin R.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://agx.elpub.ru/jour/article/view/540

Дифференциальная диагностика обструктивной и необструктивной азооспермии является важной практической задачей в клиническом аспекте ведения пациентов с бесплодием. Шансы на получение сперматозоидов при обструктивной азооспермии достаточно высоки, что позволяет изначально настроить пару на благоприятный исход применения вспомогательных репродуктивных технологий без донорских сперматозоидов. Некоторые формы обструкции семенных путей могут быть корригированы с помощью микрохирургических вмешательств или эндоскопической резекции зоны семявыбрасывающего протока. Таким образом, одна из задач инструментальных методов визуализации, применяемых в репродуктивной андрологии, – выявление именно таких случаев. В данном обзоре литературы мы представляем подробный анализ того, как выявить или заподозрить обструктивную форму азооспермии при помощи визуальных методов исследования.

Differential diagnosis between obstructive and non-obstructive azoospermia is an important task in clinical management of infertile patients. Chances of extracting sperm in obstructive azoospermia are high enough to inform the couple about favorable outcome of assisted reproductive technologies without resorting to donor sperm. Some forms of seminal tract obstruction can be corrected by microsurgical interventions or endoscopic resection of the ejaculatory ducts. Therefore, one of the objectives standing before imaging methods in reproductive andrology is the detection of these cases. In this literature review we present a detailed analysis of how to suspect and diagnose this form of azoospermia using imaging.

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The authors declare that there are no conflicts of interest present.