Evaluation of testicles by sonoelastography in men recovering after Covid-19 disease

F Dogan1, O Dere1

  • 1Faculty of Medicine, Department of Radiology, Sanliurfa, Turkey.

Abstract

Insights

Men recovering from COVID-19 show increased testicular stiffness. Two-Dimensional Shear Wave Elastography (2D-SWE) can identify this potential parenchymal damage, aiding in assessing male reproductive health post-infection.

Area of Science:

  • Reproductive Medicine
  • Medical Imaging
  • Infectious Diseases

Background:

  • COVID-19 infection can target testicular cells expressing angiotensin-converting enzyme 2.
  • Potential for testicular damage exists in males recovering from COVID-19.
  • Assessing testicular health post-COVID-19 is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of Two-Dimensional Shear Wave Elastography (2D-SWE) in identifying testicular parenchymal damage.
  • To compare testicular stiffness in males recovered from COVID-19 with healthy controls.
  • To determine if 2D-SWE can predict testicular damage after COVID-19 infection.

Main Methods:

  • A prospective study involving 35 male patients recovered from COVID-19 (Group 1) and 31 healthy controls (Group 2).
  • All participants underwent ultrasound with 2D-SWE, with 9 measurements taken per testis.
  • Statistical analysis compared age, testicular volume, and SWE values between groups.

Main Results:

  • Mean SWE values were significantly higher in both the right and left testes of the COVID-19 recovered group compared to the control group (p < 0.001 for both).
  • This indicates increased testicular stiffness in males after COVID-19 recovery.
  • The findings were statistically significant.

Conclusions:

  • Testicular stiffness increases in males who have recovered from COVID-19 infection.
  • Cellular-level changes are the likely cause of testicular damage.
  • 2D-SWE is a promising technique for predicting and evaluating potential testicular parenchymal damage in post-COVID-19 male patients.

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