1 / 13

TRANS RECTAL ULTRASOUND IN THE EVALUATION OF MALE INFERTILITY

TRANS RECTAL ULTRASOUND IN THE EVALUATION OF MALE INFERTILITY. DR. Joseph SHMUELI RABIN MEDICAL CENTER. TRUS-MALE INFERTILITY. AZOOSPERMIA - FRUCTOSE POSITIVE Idiopathic Cryptorchidism Chromosomal abnormalities Systemic disease Orchitis Neurological disease. TRUS-MALE INFERTILITY.

dolan
Download Presentation

TRANS RECTAL ULTRASOUND IN THE EVALUATION OF MALE INFERTILITY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TRANS RECTAL ULTRASOUND IN THE EVALUATION OF MALE INFERTILITY DR. Joseph SHMUELIRABIN MEDICAL CENTER

  2. TRUS-MALE INFERTILITY AZOOSPERMIA - FRUCTOSE POSITIVE • Idiopathic • Cryptorchidism • Chromosomal abnormalities • Systemic disease • Orchitis • Neurological disease

  3. TRUS-MALE INFERTILITY AZOOSPERMIA - FRUCTOSE NEGATIVE • Congenital - urogenital sinus - midline retrovesical CAVD • Acquired - infection - gonorrhea , prostatitis epididymitis • Trauma - prolonged catheterization

  4. TRUS-MALE INFERTILITY GENITAL TRACT OBSTRUCTION • 7% of infertile patients • Any level of ductal system • From efferent ductules to ejaculatory duct

  5. TRUS-MALE INFERTILITY • Therapy depends on the level of obstruction. (best results, no infection) • Fructose Negative- probably secondary to agenesis or obstruction of ejaculatory ducts and vas rather than absence of seminal vesicles.

  6. TRUS-MALE INFERTILITY TRANSRECTAL ULTRASOUND (TRUS) • HIGH frequency • High resolution rectal probe • Non invasive • Risk free procedure • Not expensive • Clear picture of the male ductal system

  7. TRUS-MALE INFERTILITY SHEBA STUDY • 42 patients - mean age of 29±5.6 years (range 25-40). • The mean testicular volume was 24.5±2.5 cc (range from 22 – 30 cc). • Abnormal physical examination- 29 (69%) • 17-bilateral • 12-unilateral

  8. TRUS-MALE INFERTILITY • 17 patients bilateral involvement of the vas deferens • bilateral absence or hypopalsia of the seminal vesicles with bilateral agenesis of the vas deferens with non-visualization of both ejaculatory ducts.

  9. NO SV NO VAS

  10. TRUS-MALE INFERTILITY 12 pts.– unilateral abnormality on physical examination • 7 patients -absence of the seminal vesicle • 5 patients and hypoplastic SV.

  11. TRUS-MALE INFERTILITY 5 - contra lateral SV cyst. 3 - calcification of SV

  12. TRUS-MALE INFERTILITY NORMAL PHYSICAL EXAMINATION 13 patients • 4 patients - midline cyst in the periurethral location. • 4 - bilateral cyst of SV,

  13. 3 - cystic dilation of the ED with calcification • 2 - bilateral cystic dilation of SV and ED

More Related