Role of Trans Rectal Ultrasonography for Evaluation of Male Infertility With Low Semen Volume | ||||
Minia Journal of Medical Research | ||||
Volume 30, Issue 1, March 2019, Page 201-204 PDF (76.3 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.223009 | ||||
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Authors | ||||
Saad R. Abd El-Wahid1; Essam-Elden M. Mohamed2; Yaser A. Ahmad3; Mohamed M. Elsayed3 | ||||
1Department of Radiodiagnosis Faculty of Medicine, Al-Azhar University, Assuit | ||||
2Department of Dermatology, Andrology and STIs Faculty of Medicine, Al-Azhar University (Assiut) | ||||
3Department of Radiodiagnosis Faculty of Medicine, Al-Azhar University, Assuit. | ||||
Abstract | ||||
Background: Infertility affects an estimated 15% of couples globally, amounting to 48.5 million couples. Males are found to be solely responsible for 20-30% of infertility cases and contribute to 50% of cases overall, the aim is to evaluate the role of trans rectal ultrasonography for evaluation of male infertility with low semen volume. Methods: This study was carried out on one hundred and twenty patients attended the outpatient clinic of the diagnostic radiology department at Al-Azhar University Hospital (Assiut) All patients were subjected to the following: Full history taking and thorough clinical examination, Physical examination including genital and digital rectal examination (DRE). Routine laboratory Semen analysis serum follicle stimulating hormone (FSH), testosterone, leutinizing hormone (LH) and prolactin hormone (PRL). Radiological investigations including: Transrectal ultrasound (TRUS). Scrotal ultrasound. Results: According to TRUS finding, about 7.5% of patients were normal and 92.5% of patients had abnormal findings. With reference to abnormal TRUS findings, 9.9% of patients had hypoplastic seminal vesicle, 24.3% had dilated seminal vesicle and ejaculatory duct. 5.4% of patients had prostatic midline cyst and the same percentage of patients had prostatic calcification. Varicocele was left sided in 36% of patients and bilateral in 18.9% of patients. Conclusion: In transrectal and scrotal ultrasonography are important non invasive diagnostic tools that minimizes the need for more invasive studies in the evaluation of azoospermia or severe oligospermia with low volume ejaculate and can give more information for patients with abnormal testicular biopsy findings. | ||||
Keywords | ||||
Infertility; azoospermia; ultrasonography; Varicocele | ||||
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