REPRODUCTIVE HEALTH IN PATIENTS WITH TESTICULAR MICROLITHIASIS

In recent years, in the Kyrgyz Republic, as in many CIS countries, the number of patients diagnosed with testicular microlithiasis or testicular microlithiasis has increased. Testicular microlithiasis is a rather rare disease characterized by the deposition of calcium in the seminiferous tubules. According to modern concepts, testicular microlithiasis is calcium deposits surrounded by layers of collagen fibers in the lumen of the seminiferous tubules or on the basement membrane of the spermatogenic epithelium. As a rule, testicular microlithiasis has an asymptomatic course and is diagnosed most often during a random examination both in persons with urological pathology, in healthy children and adults and is detected by chance during an ultrasound examination. Modern ultrasound technologies make it possible to more accurately diagnose diseases of the scrotum, to identify conditions that were essentially unexplored before the use of high-frequency sensors. With the use of the latter possible visualization of testicular microlithiasis. Testicular microlithiasis is often an echographic finding when examining patients with andrological pathology or healthy children and adults, since it does not have specific symptoms that are unique to it. Our practical study included 95 patients with confirmed testicular microlithiasis (Bishkek, Kyrgyzstan). Of the background urological diseases in patients with testicular microlithiasis, varicocele was detected in 42.1% of cases; in 36.8% - cysts of the epididymis; in 12.6% - dropsy of the testicular membranes; in 8.4% - testicular hypoplasia. In the study, 95 applied men did not reveal a single case of a tumor of the testicular tissue, however, given the literature data, it is necessary to remember about oncological alertness. The morphological picture of stromal sclerosis and thickening of the walls of small arterioles indicates a violation of microcirculation in the testicular tissue, and the formation of microlith nuclei due to desquamation of the spermatogenic epithelium is the cause of the development of reproductive disorders in patients with testicular microlithiasis.