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Urology (Expert Forum)
Further question to Tracey
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Further question to Tracey
by Michael__0__0, Jul 02, 1998 12:00AM
I read your post to Bob.
If you did become sterile from a blow to the testicles, would
you know by an obvious amount of bleeding or swelling? Or would
it be possible to think all is well when, in fact, permanent damage had occurred.
How often do you see cases where a blow to the testicles has caused permanent damage?
=================
Dear Michael
I would like to interject about the questions and comments between you and Tracy.
Put quite simply, testicular tubules have a protective barrier which keeps it safe from the exposure to the bloodstream. It is called the blood testes barrier and protects the testicle and its haploid ( half the number of chromosomes) sperm from being exposed to the immunologic system of the body. The haploid sperm is seen by the body (diploid) as foreign, and if exposed to each other, the body can mount an immune response against ones own sperm. This is why moderate trauma can result in the production of antisperm antibodies thus resulting in infertility. This is not an absolute scenario. All men who have testicular trauma are not subfertile or necessarily form antisperm antibodies. The semen analysis may be normal, but the sperm do not perform properly. Antisperm antibodies are common. Many men have antisperm antibodies, especially if they have had a vasectomy ( The blood stream is exposed to the sperm.). This does not cause any other recognized problems to date.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: antisperm antibodies, testicular trauma
If you did become sterile from a blow to the testicles, would
you know by an obvious amount of bleeding or swelling? Or would
it be possible to think all is well when, in fact, permanent damage had occurred.
How often do you see cases where a blow to the testicles has caused permanent damage?
=================
Dear Michael
I would like to interject about the questions and comments between you and Tracy.
Put quite simply, testicular tubules have a protective barrier which keeps it safe from the exposure to the bloodstream. It is called the blood testes barrier and protects the testicle and its haploid ( half the number of chromosomes) sperm from being exposed to the immunologic system of the body. The haploid sperm is seen by the body (diploid) as foreign, and if exposed to each other, the body can mount an immune response against ones own sperm. This is why moderate trauma can result in the production of antisperm antibodies thus resulting in infertility. This is not an absolute scenario. All men who have testicular trauma are not subfertile or necessarily form antisperm antibodies. The semen analysis may be normal, but the sperm do not perform properly. Antisperm antibodies are common. Many men have antisperm antibodies, especially if they have had a vasectomy ( The blood stream is exposed to the sperm.). This does not cause any other recognized problems to date.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: antisperm antibodies, testicular trauma
