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PROSTATE CYSTS CAN CAUSE INFERTILITY
Turkey Medicals member and JCI hospital department Urology Specialist Prof. Dr. said, One of the biggest concerns of men is prostate diseases. The prostate is a male-owned gland and has a role in the formation of sperm. Prostate secretion is very rich in zinc, which increases the resistance of sperm to infections. In addition, the fluid retention of sperm in the female genital tract also occurs with secretions from the prostate.
If the fluidity that we call likefaction does not occur in the sperm analysis, the chances of pregnancy also seriously decrease. after the age of 50, some structural changes occur in the prostate and it begins to grow. Benign prostate growths create a blockage in the urinary canal, which also leads to a serious deterioration in the quality of life of men. At an older age, we face a higher risk of developing cancer.
Prostate enlargement or cancer is very rare in young men of reproductive age, when they are called prostate disease, disorders that prevent the prostate from becoming a child should come to mind. One of them is a condition of obstructive azoospermia due to blockages made by cysts in the prostate in the semen duct. We find prostate cysts in 5% of the general population and 10% of men investigated for infertility. These cysts are not dangerous formations such as cancer, but are vesicles filled with fluid inside.
Men with prostate cyst, a decrease in semen volume out, painful ejaculation, ache during urination, urinary tract infection, bloody semen came, and of course azoospermia and infertility are common complaints. Most often it may not give any symptoms and is noted for disorders in sperm assays. The fact that the sperm volume is below 1.5 milliliters in the assay, the pH value shifts to the acid direction, and the appearance of azoospermia should cause suspicion that there may be a blockage in the semen channel passing through the prostate. But the fact that there is a cyst does not always mean that it will cause infertility, it can also remain for life without any symptoms. The diagnosis of the cyst is confirmed by transrectal ultrasound, which is performed by entering it through the breech. Sometimes it can be observed that the failure of the testicles to descend into place is also accompanied by anomalies such as hypospadias, in which the urinary hole is opened from the back, or the congenital absence of a kidney.
Most cysts in the prostate are caused by congenital embryonic residues. Retention cysts can also develop when the prostate ducts are subsequently blocked for reasons such as inflammation or calcification. No matter how advanced it is, in order for the cyst to be the cause of infertility, it must have a blockage in the semen ducts. Because the last 2 cm of a channel about 40 cm long, which we call the vaz deferens and carries sperm from the testicles, passes through the prostate. This part, called the ejaculatory duct, then opens into the urinary canal, allowing sperm from the testicles to be expelled. At work, if a cyst located right in the middle of the prostate presses on these channels, the excretion of sperm into the urinary canal cannot occur, and as a result, azoospermia occurs. As it can be seen from this, cysts that settle right in the middle of the prostate and make full pressure on both ejaculatory ducts are the main ones. Transrectal ultrasound shows this condition very clearly. In some suspected cases, magnetic imaging, that is, MRI films, also helps.
If it becomes clear that the cause of azoopsymia is precisely due to the cyst, a treatment plan is made to drain the cyst. Cysts are drained either by entering through the urinary canal or through the rectum. In urinary tract interventions, a very thin tube with a lens at the end is passed through the opening of the urinary hole in the penis to the level of the prostate, and the holes through which the channels are opened are observed. If it turns out that it is appropriate, this part is cut off so that the cyst is emptied. If attempts are made through the rectum, the cyst is aspirated with a needle accompanied by ultrasound. Both techniques can have their own significant side effects. It is important that the specialist who will perform the operations has experience. Before the procedure, the patient undergoes a rigorous preparatory period. After that, it is necessary to keep it under control for a while and make sure that no complications develop. The most feared aspect here is the development of infection. But the risk of encountering this condition is also very reduced when appropriate measures are taken.
As a result, prostate cysts can be the cause of infertility. If the correct diagnosis is made by sperm analysis and imaging methods, it can be successfully treated. In cases that cannot be treated, IVF leads to a result with sperm that will be removed from the testicles.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
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