Is routine scrotal ultrasound advantageous in infertile men?
J Urol
; 162(5): 1618-20, 1999 Nov.
Article
em En
| MEDLINE
| ID: mdl-10524881
ABSTRACT
PURPOSE:
We determine the value of routine scrotal ultrasonography in the evaluation of male infertility. MATERIALS ANDMETHODS:
Scrotal color Doppler ultrasonography reports of 1,372 infertile men were reviewed to assess the prevalence of scrotal abnormalities and compared to clinical findings.RESULTS:
The prevalence of scrotal abnormalities was 38%. Testicular tumor was found in 0.5%, varicocele in 29.7%, testicular cyst in 0.7%, testicular microlithiasis in 0.9%, epididymal cyst in 7.6% and hydrocele in 3.2% of the cases. Overall, 67% of sonography findings were not evident on palpation, and only 1 of 7 testicular tumors was suspected. Of the varicoceles 60% were not found on physical examination. The rate of testicular tumors (1/200) was higher than that reported for the general European population (1/20,000).CONCLUSIONS:
Routine scrotal ultrasound provides valuable information in the diagnostic evaluation of infertile men and substantially more pathological conditions are detected compared to clinical palpation. The high prevalence of testicular malignancies underlines the clinical relevance of routine scrotal ultrasonography in infertile men.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escroto
/
Doenças Testiculares
/
Infertilidade Masculina
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article