Show Summary Details
Page of

Surgery for male factor infertility 

Surgery for male factor infertility
Chapter:
Surgery for male factor infertility
Author(s):

John Reynard

, Stephen Mark

, Kevin Turner

, Noel Armenakas

, Mark Feneley

, and Mark Sullivan

DOI:
10.1093/med/9780199299423.003.0010
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 October 2020

Aetiology and evaluation of male infertility 644

Surgical management of male factor infertility 646

A male factor alone is responsible for infertility in 20% of couples and is contributory in another 30%. Evaluation of both partners is an essential part of the assessment of any infertile couple. Take a full medical and surgical history. Focus on the fertility history of both partners, sexual history, paediatric and developmental history (testicular maldescent, inguino-scrotal surgery, onset of puberty), family history, exposure to gonadotoxins, drug history, infections (viral, mumps, epididymitis, STDs), previous urological surgery, trauma. Conduct a general physical examination focusing on secondary sexual characteristics. Examine the penis looking for hypospadias. Assess testicular and epididymal size, consistency, and symmetry. Feel for any abnormal swellings (testicular or paratesticular lumps, varicoceles) and confirm the presence of a vas on each side. Do a digital rectal examination, assess the prostate, and determine whether the seminal vesicles are palpable....

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.