The Role of Cross-sectional Imaging in Male Infertility: A Pictorial Review

Jhaveri, Kartik; Mazrani, Waseem; Chawla, Tanya; Filobbos, Rafiq; Toi, Ants; Jarvi, Keith

doi:10.1016/j.carj.2010.01.002

Cited by 15 publications

(10 citation statements)

References 14 publications

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“…The imaging and analysis of infertility in males has become more common in recent years. The practicing radiologist should be familiar with the evaluation of the infertile man and the common radiologic findings and disease processes associated with infertility [14][15][16] .…”

Section: Medical Imaging In Male Infertilitymentioning

confidence: 99%

Imaging in male-factor obstructive infertility

Donkol¹

2010

WJR

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The main purpose of imaging evaluation in male infertility is to identify and treat correctable causes of infertility, such as obstruction of the seminal tract. Various imaging modalities are available to evaluate men with obstructive infertility including scrotal ultrasonography, transrectal ultrasound (TRUS), vasography, magnetic resonance imaging, seminal vesicle aspiration, seminal tract washout, and seminal vesiculography. To date the most reliable and accurate diagnostic technique for obstructive infertility is unclear. In this review article, we report the role of these modalities in diagnosis of obstructive infertility. Scrotal sonography is the initial modality, and if patient results indicate non obstructive azoospermia as varicocele or testicular pathology they will be treated according to standard protocols for management of these pathologies. If the patient findings indicate proximal obstructive azoospermia, they can be managed by vasoepididymostomy. If the scrotal ultrasound is normal, TRUS is the second imaging modality. Accordingly, they are classified into patients with criteria of obstructive infertility without urogenital cysts where TRUS-guided aspiration and seminal vesiculography can be performed and transurethral resection of the ejaculatory ducts (TURED) will be the management of choice. In patients with urogenital cyst, TRUS-guided cyst aspiration and opacification are performed. If the cyst is communicating with the seminal tract, management will be transurethral incision of the cyst. If the cyst is not in communication, the obstruction may be relieved after cyst aspiration. If the obstruction is not relieved, TURED will be the management of choice. Sperm harvested during aspiration may be stored and used in assisted reproduction techniques. If the results of TRUS are inconclusive or doubtful, endorectal magnetic resonance imaging should be performed to serve as a "detailed map" for guiding corrective operative interventions.

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Section: Medical Imaging In Male Infertilitymentioning

confidence: 99%

Imaging in male-factor obstructive infertility

Donkol¹

2010

WJR

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“…[10] The SVs and the VD can also be affected by TB, and cross-sectional images show wall thickening, contraction, or intraluminal or wall calcifications. [11] With the improvement of resolution of ultrasonic diagnostic equipment, all parts of the seminal canal can be optimally displayed on US, [12] which makes ultrasonic diagnosis of VD disease a new choice. Inhomogeneity, hypoechoic or hyperechoic pattern, coarse epididymal calcifications, or epididymal hyperemia, which are considered typical CDUS features of chronic epididymitis.…”

Section: Discussionmentioning

confidence: 99%

Vas deferens sonographic appearances of tuberculosis lesions of 19 cases of male genital systemic tuberculosis

Jing¹,

Zhuang²,

Luo³

et al. 2019

Medicine

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To investigate the sonographic findings of the vas deferens in male genital tuberculosis.The ultrasonographic findings of the vas deferens of 19 cases of genital tuberculosis were retrospectively analyzed.According to the pathological and ultrasound findings, the ultrasonographic appearances of the vas deferens tuberculosis could be divided into 4 groups, 1 of normal sonograms, 3 of abnormal sonograms. The abnormal ultrasonographic appearances of the vas deferens tuberculosis were considered 3 categories as follows: diffusely thickening of vas deferens, nodular thickening of vas deferens, and space-occupying lesions adjacent to the vas deferens.The ultrasound manifestations of vas deferens in tuberculosis of the male genital system have certain characteristics. Combination of clinical manifestations, history of tuberculosis, experimental antituberculosis treatment, and ultrasound examination of vas deferens can suggest tuberculosis of vas deferens. Furthermore, it can provide objective basis for the comprehensive and noninvasive evaluation of the impact of genital tuberculosis on the reproductive ability for further treatments.

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“…Elle est supé rieure à l'é chographie endorectale pour appré cier l'anatomie des voies sé minales profondes (dé fé rents, ampoules dé fé rentielles, canaux é jaculateurs) en raison d'un meilleur contraste des tissus mous et d'une possibilité d'acquisition multiplanaire [2,3]. Une image IRM peut enfin servir à guider un geste thé rapeutique interventionnel.…”

Section: Irm : Place Et Indicationsunclassified