J P Jarow1. 1. Department of Urology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27157-1094.
Abstract
OBJECTIVE: To determine normal transrectal ultrasonographic anatomy in young men and the frequency of abnormalities in the infertile population. DESIGN: Transrectal ultrasonography was performed upon 30 fertile volunteers and 150 consecutive men referred for male factor infertility. SETTING: A male fertility center. RESULTS: Transrectal ultrasonography was normal in 60% of controls and 53% of infertile group. The frequency of hyperechoic lesions within the prostate was similar in controls (40%) and infertile men (39%). Müllerian duct cysts were present in 11% of the infertile men and none of the volunteers. Rectal exam was normal in all of the men. CONCLUSIONS: Transrectal ultrasonography is more sensitive at detecting abnormalities of the seminal vesicles and prostate than rectal exam. Hyperechoic lesions within the prostate is frequently a normal finding. Müllerian duct cysts are more frequently observed in infertile men and may be a cause of ejaculatory duct obstruction.
OBJECTIVE: To determine normal transrectal ultrasonographic anatomy in young men and the frequency of abnormalities in the infertile population. DESIGN: Transrectal ultrasonography was performed upon 30 fertile volunteers and 150 consecutive men referred for male factor infertility. SETTING: A male fertility center. RESULTS: Transrectal ultrasonography was normal in 60% of controls and 53% of infertile group. The frequency of hyperechoic lesions within the prostate was similar in controls (40%) and infertile men (39%). Müllerian duct cysts were present in 11% of the infertile men and none of the volunteers. Rectal exam was normal in all of the men. CONCLUSIONS: Transrectal ultrasonography is more sensitive at detecting abnormalities of the seminal vesicles and prostate than rectal exam. Hyperechoic lesions within the prostate is frequently a normal finding. Müllerian duct cysts are more frequently observed in infertile men and may be a cause of ejaculatory duct obstruction.
Authors: Andrea Garolla; Damiano Pizzol; Andrea Roberto Carosso; Andrea Borini; Filippo Maria Ubaldi; Aldo Eugenio Calogero; Alberto Ferlin; Antonio Lanzone; Francesco Tomei; Bruno Engl; Laura Rienzi; Lucia De Santis; Giovanni Coticchio; Lee Smith; Rossella Cannarella; Attilio Anastasi; Massimo Menegazzo; Liborio Stuppia; Christian Corsini; Carlo Foresta Journal: Front Endocrinol (Lausanne) Date: 2021-01-19 Impact factor: 5.555