EPIDIDIMOGRAFIYA

From Big Medical Encyclopedia

EPIDIDIMOGRAFYYa (annate. epididymis an epididymis + Greek grapho to write, represent) — a method of X-ray inspection of canalicular system of an epididymis by administration of radiopaque substance in a deferent duct.

It is offered in 1951 Mr. Boro (J. Waugh-reau).

Need for carrying out E. arises seldom. It can be shown for specification of the diagnosis at suspicion on existence of a cyst of an epididymis, tubercular and nonspecific orchiepididymites, abscess, a tumor of a small egg and its appendage (see the Epididymite, the Small egg). The main indication — establishment of the occlusal aspermatism which is one of the reasons of sterility (see Infertility, at men). AA. it is contraindicated at acute orchiepididymites and intolerance of iodide drugs.

Equipment E. consists in the following. Under local anesthesia do a section of skin by length apprx. 5 — 10 mm in an upper part of a scrotum, allocate and punktirut a deferent duct, in to-ry retrogradno (testipe-talno) enter from 0,3 to 0,8 ml of 75% of solution of radiopaque substance (Iodamidum, Urografinum, etc.). An ~ the tyreflyuksny structures located in the tail of an epididymis interfere with a reversed current of radiopaque substance, and it lingers on border of a channel of an epididymis and deferent duct. The X-ray analysis is made in a direct projection in position of the patient lying on spin. Upon termination of the procedure the section of skin is sewn up.

AA. it is safe, does not exert adverse impact on a spermatogenesis and composition of sperm.

Bibliography: M about l of N and r E * The general spermatology, the lane with it., Budapest, 1969; In about of e an u J. e. a. L ’^pididymographie, Presse n^d., t. 59, p. 1406, 1951; E m-m e t t L. L. Emmett’s clinical urography, An atlas and textbook of roentgenologic diagnosis, v. 1, Philadelphia a. o.,

1977. V. M. Perelman.

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