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TheScientificWorldJOURNAL - Volume 7 2007, Pages 818-821

Case Study Department of Urology, University Hospital -Virgen Macarena-, Seville, Spain

Received 14 March 2007; Accepted 21 March 2007

Academic Editor: Vikram Dogra

Copyright © 2007 Ernesto Sánchez Sánchez and Carmen Tejedor Mardomingo.

Abstract

An atypical case of infertility associated with severe sperm abnormalities is presented. A 29-year-old man with 4 years of primary infertility had no history of significant illness, and no hereditary pathology or male infertility existed in his family. Physical examination of the patient showed no pathological findings. The analyses of four semen samples showed: sperm count, 67-83 10

-ml; 0% motility. The morphological analysis showed absence of flagellum, 14-16%; short-tail spermatozoa, 45-64%; coiled tails, 12-17%; and an abnormal proportion of spermatids and spermatocytes. Normal spermatozoa were found in 11-16%. Endocrine profile was found within the normal range. Testicular biopsy revealed impaired spermatogenesis. Scanning electron microscopy revealed sperm heads with intact nuclei and acrosomal regions. To our surprise, some of the stunted tails were uniflagellate. To our knowledge, this is a very uncommon case of sperm tail defect.





Autor: Ernesto Sánchez Sánchez and Carmen Tejedor Mardomingo

Fuente: https://www.hindawi.com/



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