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[Transrectal echography in the infertile male. Statistical study].

C Domínguez, F Boronat, B Moreno

Archivos Espanoles De Urologia

|April 1, 1989

Summary

Transrectal ultrasound revealed significant differences in prostate and seminal vesicle dimensions in infertile men. Specific echo patterns correlated with azoospermia, leukospermia, and inflammatory conditions, aiding in male infertility diagnosis.

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Area of Science:

Urology
Radiology
Andrology

Context:

Male infertility affects a significant portion of the population, necessitating advanced diagnostic tools.
Transrectal ultrasonography (TRUS) is a valuable imaging modality for evaluating male reproductive health.
Understanding the correlation between ultrasound findings and specific infertility parameters is crucial for accurate diagnosis.

Purpose:

To investigate the relationship between transrectal ultrasound patterns and various categories of male infertility.
To identify specific ultrasound parameters that are statistically significant in differentiating infertile patient groups.

Summary:

This study analyzed transrectal echo patterns in 140 infertile men, including prostate dimensions, periprostatic venous plexus, and seminal vesicle diameters.

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Patients were categorized based on WHO semen analysis criteria and microbiological findings (Meares and Stamey techniques) into azoospermia, oligospermia, asthenozoospermia, oligoasthenozoospermia, and inflammatory groups.

Statistically significant findings included the transverse prostate diameter in azoospermia, anteroposterior prostate diameter in leukospermia, and periprostatic plexus in oligoasthenozoospermia and inflammatory groups.

Impact:

The findings highlight the utility of specific transrectal ultrasound parameters in the etiological diagnosis of male infertility.
This research can contribute to refining diagnostic protocols and improving the management of infertile males.
Identifying distinct ultrasound signatures for different infertility types may lead to more targeted therapeutic strategies.