Transrectal ultrasonography in male infertility

Conclusion: Transrectal ultrasonography enables an accurate diagnosis in certain cases of male infertility, and can be used as a guide for cyst aspiration in these patients.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Objective: To evaluate the role of transrectal ultrasonography in the diagnosis and treatment of male infertility.

📊

Key Findings & Data:Materials and methods: Seventyfive infertile men with azoospermia or oligozoospermia and low ejaculate volume were examined with transrectal ultrasonography during a 5-year period. .

💡

Conclusion & Impact:Conclusion: Transrectal ultrasonography enables an accurate diagnosis in certain cases of male infertility, and can be used as a guide for cyst aspiration in these patients.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: To evaluate the role of transrectal ultrasonography in the diagnosis and treatment of male infertility. Materials and methods: Seventyfive infertile men with azoospermia or oligozoospermia and low ejaculate volume were examined with transrectal ultrasonography during a 5-year period. . Results: Of the 75 men, 20 (26.6%) had no anatomic ejaculatory ducts abnormalities. Of the remaining patients; 9 (12%) had congenital bilateral absence of vas deferens, one had congenital unilateral absence of vas deferens, 10 (13.3%) had calcification of seminal vesicles, ejaculatory ducts or prostate, 14 (18.6%) had ejaculatory duct calculi, 27 (36%) had obstructing cysts of the vas deferens, seminal vesicles, ejaculatory ducts or prostate. Fifteen patients with cysts (55.5%) were treated with transrectal ultrasonography guided aspiration. Conclusion: Transrectal ultrasonography enables an accurate diagnosis in certain cases of male infertility, and can be used as a guide for cyst aspiration in these patients.

Özet

Amaç: Erkek infertilitesinde transrektal ultrasonografinin tanı ve tedavideki rolünün değerlendirilmesi. Gereç ve yöntem: Beş yıllık sürede, düşük ejakülat hacimli, azoospermik veya oligozoospermik 75 infertil erkeğe transrektal ultrasonografi incelemesi yapıldı. Bulgular: Yetmişbeş erkekten 20'sinde (%26.6) ejakülatör kallara ait anatomik bozukluk saptanmadı. Kalan olguların, 9'unda (%12) konjenital bilateral vaz deferens yokluğu, birinde konjenital tek taraflı vaz deferens yokluğu, 10'unda (%13.3) seminal veziküllerde, ejakülatör kanallarda veya prostatta kalsifikasyon, 14'ünde (%18.6) ejakülatör kanallarda taş, 27'sinde (%36) vaz deferenslerde, seminal veziküllerde, ejakülatör kanallarda veya prostatta obstrüktif kistler saptandı. Kisti olan 27 olgunun 15'inde (%55.5) kistler transrektal ultrasonografi eşliğinde aspire edilerek tedavi edildi. Sonuç: Transrektal ultrasonografi seçilmiş erkek infertilitesi olgularında doğru tanı konmasını sağlar ve bu olgularda kist aspirasyonunda rehber olarak da kullanılabilir.

🔖

Cite This Article

YAĞCI, C., FİTOZ, S., GÖĞÜŞ, O., KÜPELİ, S., AYDOS, K., ATASOY, Ç. (2022). Transrectal ultrasonography in male infertility. Ankara Üniversitesi Tıp Fakültesi Mecmuası, Cilt: 55 - Sayı: 2, 129–135. https://ajindex.com/articles/444123

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (15)

Kuligowska E, Baker CE, Oates RD. Male infertility: role of transrectal US in diagnosis and management. Radiology 1992; 185:353-360
Goldwasser BZ, Weinerth JL, Carson CC. Ejaculatory duct obstruction: the case for aggressive diagnosis and treatment. J Urol 1985; 134:964-966
Patterson L, Jarow JP. Transrectal ultrasonography in the evaluation of the infertile man: a report of 3 cases. J Urol 1990; 144:1469-1474
Dominguez C, Boronat F, Cunat E, et al. Agenesis of seminal vesicles in infertile males: ultrasonic diagnosis. Eur Urol 1991; 20:129-132
Abbitt PL, Watson L, Howards S. Abnormalities of the seminal tract causing infertility: diagnosis with endorectal sonography. AJR 1991; 157:337-339
Belker AM, Steinbock CS. Transrectal prostate ultrasonography as a diagnostic and therapeutic aid for ejaculatory duct obstruction. J Urol 1990; 144:356-358
Kuligowska E, Fenlon HM. Transrectal US in male infertility: spectrum of findings and role in patient care. Radiology 1998; 207:173-181
Meacham RB, Hellerstein DK, Lipshultz LI. Evaluation and treatment of ejaculatory duct obstruction in infertile male. Fertil Steril 1993; 59:393-397
Littrup PJ, Lee F, McLeary RD, Wu D, Lee A, Kumaska GH. Transrectal US of the seminal vesicles and ejaculatory ducts: clinical correlation. Radiology 1988; 168:625-628
Fuse H, Okumara A, Satomi S, Kazama T, Katayama T. Evaluation of seminal vesicle characteristics by ultrasonography before and after ejaculation. Urol Int 1992; 49:110-113
Clements R, Griffiths GJ, Peeling WB, Conn IG. Transrectal ultrasound of the ejaculatory apparatus. Clin Radiol 1991; 44:240-244. 12.Asch MR, Toi A. Seminal vesicles: imaging and intervention using transrectal ultrasound. J Ultrasound Med 1991; 10:1923
Meacham RB, Townsend RR, Drose JA. Ejaculatory duct obstruction: diagnosis and treatment with transrectal sonography. AJR 1995; 165: 1463-1466
Sanders RC. Infertility diagnosis by ultrasound. Urol Radiol 1991; 13:41-47
Hellerstein DK, Meacham RB, Lipshultz LI. Transrectal ultrasound and partial ejaculatory duct obstruction in male infertility. Urology 1992; 39:449-452
Shabsigh R, Lerner S, Fishman IJ, Kodman D. The role of transrectal ultrasonography in the diagnosis and management of prostatic and seminal vesicle cysts. J Urol 1989; 141:1206-1209.