Striated Pattern of the Testicle On Ultrasound: An Appearance of Testicular Fibrosis

Cohn, Evan L.; Watson, Laurence R.; Older, Robert A.; Moran, Ruth E.

doi:10.1016/s0022-5347(01)65985-8

Cited by 12 publications

(10 citation statements)

References 3 publications

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“…In fact, in the ageing testis, atrophy of the tubular elements and proliferation of interstitial ones produce an exaggeration of the normally unapparent septal and interstitial architecture, resulting in a striated appearance (Loberant et al, 2010). While a similar appearance is often observed in the elderly and considered normal, in young subjects it is recognized in a variety of pathological conditions, including hypogonadism (Cohn et al, 1996;Loberant et al, 2010;Migaleddu et al, 2012). Present data suggest that a secondary hypogonadism is predominantly associated with MetS, and in particular to visceral adiposity.…”

Section: Discussionsupporting

confidence: 51%

“…Interestingly, increased waist was found as the main determinant for testis inhomogeneity, indicating a specific pathogenetic role for adiposity-related factors in testicular abnormalities. Testis inhomogeneity at ultrasonography is suggestive of atrophy and fibrosis (Cohn et al, 1996;Loberant et al, 2010) and may reflect changes in the functional activity of the testis (Lenz et al, 1993;Behre et al, 1995). In fact, in the ageing testis, atrophy of the tubular elements and proliferation of interstitial ones produce an exaggeration of the normally unapparent septal and interstitial architecture, resulting in a striated appearance (Loberant et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Testicular and epididymal CDU features were examined according to previous studies (Behre et al, 1995;Vicari, 1999 Lotti et al, 2011Lotti et al, , 2012Migaleddu et al, 2012). In particular, testis inhomogeneity (striated pattern) was defined as previously reported (Cohn et al, 1996;Isidori & Lenzi, 2008;Loberant et al, 2010;Migaleddu et al, 2012) [see Fig. 1(A), inset].…”

Section: Colour-doppler Ultrasonographymentioning

confidence: 99%

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Seminal, ultrasound and psychobiological parameters correlate with metabolic syndrome in male members of infertile couples

et al. 2013

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SUMMARYMetabolic syndrome (MetS) is a diagnostic category which identifies subjects at high risk for diabetes and cardiovascular diseases, erectile dysfunction (ED) and male hypogonadism. However, MetS impact on male infertility has been poorly studied. We systematically evaluated possible associations between MetS and clinical characteristics in men with couple infertility. Out of 367 consecutive subjects, 351 men without genetic abnormalities were studied. MetS was defined according to the International Diabetes Federation&American Heart Association/National Heart,Lung, and Blood Institute classification. All men underwent physical, hormonal, seminal and scrotal ultrasound evaluation. Erectile and ejaculatory functions were assessed by International Index of Erectile Function-15 erectile function domain (IIEF-15-EFD) and Premature Ejaculation Diagnostic Tool (PEDT), respectively, while psychological symptoms by Middlesex Hospital Questionnaire. Out of 351 patients, 27 (7.7%) fulfilled MetS criteria. Among ultrasound features, in an age-adjusted logistic model, only testis inhomogeneity was significantly associated with increasing MetS factors (HR = 1.36 [1.09-1.70]; p < 0.01). In an age-adjusted model, MetS was associated with a stepwise decline in total testosterone (TT) (B = À1.25 ± 0.33; p < 0.0001), without a concomitant rise in gonadotropins. At univariate analysis, progressive motility and normal morphology were negatively related to the number of MetS components (both p < 0.0001), but when age and TT were introduced in a multivariate model, only sperm morphology retained a significant association (B = À1.418 ± 0.42; p = 0.001). The risk of ED (IIEF-15-EFD score <26) increased as a function of the number of MetS factors, even after adjusting for age and TT (HR = 1.45[1.08-1.95]; p < 0.02). No association between PEDT score and MetS was observed. Finally, after adjusting for age and TT, somatization and depressive symptoms were associated with increasing MetS components (B = 0.66 ± 0.03, p < 0.05; B = 0.69 ± 0.03, p < 0.02; respectively). In conclusion, in men with couple infertility, MetS is associated with hypogonadism, poor sperm morphology, testis ultrasound inhomogeneity, ED, somatization and depression. Recognizing MetS could help patients to improve not only fertility but also sexual and overall health.

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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Colour-doppler Ultrasonographymentioning

confidence: 99%

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Seminal, ultrasound and psychobiological parameters correlate with metabolic syndrome in male members of infertile couples

et al. 2013

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“…3 In that case report, a 63-year-old patient underwent orchiectomy, and histologic examination FIGURE 4. Section from a 50-year-old diabetic man.…”

Section: Testicular Fibrosismentioning

confidence: 98%

“…7 Fibrosis is seen primarily in patients older than 50 years but may also occur in patients with Klinefelter syndrome or a history of alcoholism, testicular radiation, trauma, torsion, or infection. 3 Orchitis Acute inflammation of the testis (orchitis) usually causes an enlarged, heterogeneous, and hypoechoic testis, Gray-scale (A, B) and color Doppler image (C) of the testes in a 21-year-old man who presented with intermittent right testicular pain after 3 weeks, demonstrating a striated right testis with normal symmetric vascularity bilaterally. Because of the patient's intermittent symptoms, a diagnosis of intermittent testicular torsion was forwarded, and the striations were believed to be due to ischemia-related interstitial edema.…”

Section: Testicular Fibrosismentioning

confidence: 99%

Striated Appearance of the Testes

Loberant

Bhatt²,

McLennan³

et al. 2010

Ultrasound Quarterly

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Striated testis is an occasional ultrasound finding in symptomatic and asymptomatic individuals. In older men, the finding of striated testis usually corresponds to a diagnosis of interstitial fibrosis and requires no further action. However, in the appropriate clinical setting, the differential diagnosis of striated testis also includes infection, infarction, trauma, and neoplasm. In this pictorial review, we present the varied sonographic appearances of striated testis within these clinical contexts.

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Incidental Scrotal Findings at Imaging-2: Miscellaneous Benign Conditions

Turgut

Dogra

2011

Scrotal Pathology

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Striated Pattern of the Testicle On Ultrasound: An Appearance of Testicular Fibrosis

Cited by 12 publications

References 3 publications

Seminal, ultrasound and psychobiological parameters correlate with metabolic syndrome in male members of infertile couples

Seminal, ultrasound and psychobiological parameters correlate with metabolic syndrome in male members of infertile couples

Striated Appearance of the Testes

Incidental Scrotal Findings at Imaging-2: Miscellaneous Benign Conditions

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