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KMID : 0358320130540080558
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Korean Journal of Urology
2013 Volume.54 No. 8 p.558 ~ p.560
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Corticosteroid Therapy Improves the Outcome of Semen Analysis in an Oligozoospermic Patient With Epididymal Sarcoidosis
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Canguven Onder
Balaban Muhsin
Selimoglu Ahmet
Albayrak Selami
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Abstract
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Sarcoidosis is a multisystem, inflammatory disorder characterized by the presence of noncaseating epithelioid granulomas. Sarcoidosis can involve the genitourinary system by affecting the kidney and genitals. Most characteristic genital lesions proceed to granuloma and can comprise the epididymis, testis, and vas deferens. Few case reports have been published on this rare entity. We report a case in which a man presented with bilateral epididymal sarcoidosis and severe oligospermia. Corticosteroid treatment, which was applied in gradually decreasing doses for 6 months, dissolved the testicular granuloma. Consequently, semen analysis demonstrated a significant increase in the sperm count to within normal limits.
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KEYWORD
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Infertility, Testicular diseases, Sperm count, Spermatogenesis
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