Andrologische Diagnostik bei Fertilitätsstörungen Die Urologie pp 1565-1575 | Cite as Hans-Christian Schuppe (1) Email author (
[email protected]) Frank-Michael Koehn (2) Adrian Pilatz (1) Thorsten Diemer (1) M. Bergmann (3) Wolfgang Weidner (1) 1. Bereich Andrologie, Klinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Gießen, und Marburg - Standort Gießen, Gießen, Deutschland 2. Andrologicum, München, Deutschland 3. Institut für Veterinäranatomie, -Histologie, und –Embryologie, Justus-Liebig-Universität Gießen, Gießen, Deutschland Chapter First Online: 25 October 2016 1 Citations 86 Downloads Part of the Springer Reference Medizin book series (SRM)
Zusammenfassung Die Betreuung des ungewollt kinderlosen Paares erfordert eine enge interdisziplinäre Zusammenarbeit und korrekte Diagnosestellung bei Mann und Frau. In ca. der Hälfte der Fälle finden sich Fertilitätsstörungen auf Seiten des Mannes, für die verschiedenste anlagebedingte sowie erworbene Faktoren ursächlich sein können. Nach ihrer Lokalisation lassen sich Störungen der Hoden, der ableitenden Samenwege und der akzessorischen Drüsen, der Samendeposition, Störungen des übergeordneten Hypothalamus-Hypophysen-Systems sowie Androgenrezeptor- und Enzymdefekte unterscheiden. Für die Einschätzung der männlichen Fertilität ist die Untersuchung des Ejakulates von zentraler Bedeutung, die andrologische Diagnostik darf sich jedoch keinesfalls hierauf beschränken. Ausführliche Anamnese, körperliche Untersuchung und skrotale Sonographie sind unverzichtbare Bestandteile des Basisprogramms, Hormonanalysen und weitere Zusatzuntersuchungen, wie z.B. eine humangenetische Diagnostik, werden bei Bedarf ergänzt. Als invasive Untersuchungsmethode ist die Hodenbiopsie bis heute nicht durch andere Verfahren zu ersetzen, insbesondere bei der Differenzialdiagnostik der Azoospermie. This is a preview of subscription content, log in to check access
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About this chapter Cite this chapter as: Schuppe HC., Koehn FM., Pilatz A., Diemer T., Bergmann M., Weidner W. (2016) Andrologische Diagnostik bei Fertilitätsstörungen. In: Michel M., Thüroff J., Janetschek G., Wirth M. (eds) Die Urologie. Springer Reference Medizin. Springer, Berlin, Heidelberg DOI (Digital Object Identifier) https://doi.org/10.1007/978-3-642-39940-4_154 Publisher Name Springer, Berlin, Heidelberg Print ISBN 978-3-642-39939-8 Online ISBN 978-3-642-39940-4 eBook Packages Springer Reference DE (German Language) About this book Reprints and Permissions
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