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[Defects in canalization of seminal pathways]
M Sarteschi1, R Paoli, G F Menchini-Fabris
1Scuola di Specializzazione in Andrologia, Università di Pisa.
Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|June 1, 1992
Summary
Ultrasonography effectively diagnoses seminal pathway abnormalities, identifying developmental malformations and obstruction levels. This imaging technique guides further diagnostics and can prevent invasive procedures like testis biopsy.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Seminal pathway obstructions can lead to male infertility.
- Accurate diagnosis of these abnormalities is crucial for effective treatment planning.
Purpose of the Study:
- To evaluate the diagnostic value of ultrasonography (US) in assessing seminal pathway alterations.
- To determine the utility of US in grading these abnormalities and guiding further management.
Main Methods:
- A study involving 4100 patients utilizing scrotal and transrectal ultrasonography.
- Inclusion of advanced techniques like water bag probes, biplanar probes, and US-guided aspiration/injection in select cases.
Main Results:
- Developmental malformations of seminal vesicles were identified in 1.53% of cases, with bilateral involvement in 33%.
- Associated urinary tract malformations were noted in 17.46% of patients with seminal vesicle abnormalities.
- Ultrasonography accurately determined obstruction type and level, and associated anomalies, reducing the need for testis biopsy or vasoseminal vesiculogram.
Conclusions:
- Ultrasonography is a valuable tool for diagnosing and grading seminal pathway malformations.
- US imaging can guide advanced diagnostic procedures and therapeutic interventions, optimizing patient care and minimizing invasive testing.