Question

In: Nursing

MALE OF 26 YEARS OF AGE, 4 YEARS OF MARRIED, WITHOUT CHILDREN, PRESENTED TO THE CONSULTATION...

MALE OF 26 YEARS OF AGE, 4 YEARS OF MARRIED, WITHOUT CHILDREN, PRESENTED TO THE CONSULTATION FOR ASSESSMENT AND CHECK SINCE THEY HAVE NOT BEEN ABLE TO HAVE CHILDREN, THE WIFE WAS ALREADY UNDER GYNECOLOGY ASSESSMENT FINDING HER WITHOUT ALTERATIONS AND PHYSIOLOGICALLY PERFECT FOR PROCREATION, WHICH IS WHY THE PATIENT IS PRESENTED AT THE UROLOGY MEDICAL CONSULTATION TO BE ABLE TO HAVE THE DIAGNOSIS AND TREATMENT. AS ANTECEDENT REFERRED TO FREQUENT AFFECTION OF PALPABLE CYSTIC MASSES IN THE EPIPIDYM OF ONE OR BOTH TESTICLES, AFTER SEVERAL STUDIES THE INFERTILITY DIANDOSTIC IS DONE BY OBSTRUTIVE AZOOSPERMIA. 

THIS TYPE OF DIAGNOSIS IS ASSOCIATED WITH:

A) PRIMARY CILIARY DYSKINESIA (KARTAGENER SYNDROME)

B) PRIMARY CILIARY DYSKINESIA (YOUNG'S SYNDROME)

C) PRIMARY CILIARY DYSKINESIA (CYSTIC FIBROSIS)

4.- A AND B ARE CORRECT

5. NONE IS CORRECT

Solutions

Expert Solution

Answer- C is the correct answer.

Cystic fibrosis (CF) is the commonest autosomal recessive illness in Caucasians. In 97–98% of men with CF, bilateral inherent absence of the vas deferens (CBAVD) blocks the transport of spermatozoa ensuing in azoospermia.

Although male patients with CF and  Primary Ciliary dyskinesia (PCD) are unfertile unfertilized, the underlying cause and therefore the treatment choices are completely different. Men with CF have congenital absence of the canal, whereas male physiological state in PCD is mostly caused by nonmotile spermatozoon because of the homologous ultrastructure of spermatozoon flagella and metabolic process cilia. power-assisted fertility, therefore, needs completely different approaches. In CF, spermatozoon must be aspirated from the channel. Intracytoplasmic spermatozoon injection is then usually used as a result of the spermatozoon retrieval procedure doesn't come through ample spermatozoon for typical insemination.


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