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• W2099155697 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Nov 1999IS ROUTINE SCROTAL ULTRASOUND ADVANTAGEOUS IN INFERTILE MEN? FRANK H. PIERIK, GERT R. DOHLE, JOHANNES M. van MUISWINKEL, JAN T.M. VREEBURG, and ROBERTUS F.A. WEBER FRANK H. PIERIKFRANK H. PIERIK More articles by this author , GERT R. DOHLEGERT R. DOHLE More articles by this author , JOHANNES M. van MUISWINKELJOHANNES M. van MUISWINKEL More articles by this author , JAN T.M. VREEBURGJAN T.M. VREEBURG More articles by this author , and ROBERTUS F.A. WEBERROBERTUS F.A. WEBER More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)68180-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determine the value of routine scrotal ultrasonography in the evaluation of male infertility. Materials and Methods: 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. References 1 : Varicocele—a clinical enigma. Brit. J. Urol.1993; 72: 401. Google Scholar 2 : Sonography of the testis and epididymis. Andrologia1994; 26: 193. Google Scholar 3 : The value of palpation, varicoscreen contact thermography and colour Doppler ultrasound in the diagnosis of varicocele. Hum. Reprod.1996; 11: 1232. Google Scholar 4 : Gonadal function in men with testicular cancer. Sem. Oncol.1998; 25: 224. Google Scholar 5 : . Edited by . Cambridge: Cambridge University Press1993. Google Scholar 6 : . Cambridge: Cambridge University Press1992. Google Scholar 7 : Subclinical varicocele: the effectiveness of varicocelectomy. J. Urol.1991; 145: 789. Link, Google Scholar 8 : Correlation of testicular color Doppler ultrasonography, physical examination and venography in the detection of left varicoceles in men with infertility. J. 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Google Scholar 16 : Clues to the aetiology of testicular germ cell tumours from descriptive epidemiology. Eur. Urol.1993; 23: 8. Google Scholar 17 : Testicular microlithiasis as a predictor of intratubular germ cell neoplasia. Urology1996; 48: 797. Google Scholar 18 : Organ preserving surgery in testicular epidermoid cysts. J. Urol.1995; 153: 1147. Link, Google Scholar 19 : Fertil. Steril.1985; 43: 575. Google Scholar From the Departments of Andrology, Urology, Radiology, Medical Informatics, and Endocrinology and Reproduction, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byGoede J, Weijerman M, Broers C, de Winter J, van der Voort-Doedens L and Hack W (2012) Testicular Volume and Testicular Microlithiasis in Boys With Down SyndromeJournal of Urology, VOL. 187, NO. 3, (1012-1017), Online publication date: 1-Mar-2012.Toren P, Roberts M, Lecker I, Grober E, Jarvi K and Lo K (2010) Small Incidentally Discovered Testicular Masses in Infertile Men—Is Active Surveillance the New Standard of Care?Journal of Urology, VOL. 183, NO. 4, (1373-1377), Online publication date: 1-Apr-2010.Eifler J, King P and Schlegel P (2008) Incidental Testicular Lesions Found During Infertility Evaluation are Usually Benign and May be Managed ConservativelyJournal of Urology, VOL. 180, NO. 1, (261-265), Online publication date: 1-Jul-2008.CARMIGNANI L, MORABITO A, GADDA F, BOZZINI G, ROCCO F and COLPI G (2018) PROGNOSTIC PARAMETERS IN ADULT IMPALPABLE ULTRASONOGRAPHIC LESIONS OF THE TESTICLEJournal of Urology, VOL. 174, NO. 3, (1035-1038), Online publication date: 1-Sep-2005.CARMIGNANI L, GADDA F, MANCINI M, GAZZANO G, NERVA F, ROCCO F and COLPI G (2018) DETECTION OF TESTICULAR ULTRASONOGRAPHIC LESIONS IN SEVERE MALE INFERTILITYJournal of Urology, VOL. 172, NO. 3, (1045-1047), Online publication date: 1-Sep-2004.BRAZAO C, PIERIK F, OOSTERHUIS J, DOHLE G, LOOIJENGA L and WEBER R (2018) Bilateral Testicular Microlithiasis Predicts the Presence of the Precursor of Testicular Germ Cell Tumors in Subfertile MenJournal of Urology, VOL. 171, NO. 1, (158-160), Online publication date: 1-Jan-2004.CARMIGNANI L, GADDA F, GAZZANO G, NERVA F, MANCINI M, FERRUTI M, BULFAMANTE G, BOSARI S, COGGI G, ROCCO F and COLPI G (2018) High Incidence of Benign Testicular Neoplasms Diagnosed by UltrasoundJournal of Urology, VOL. 170, NO. 5, (1783-1786), Online publication date: 1-Nov-2003. Volume 162Issue 5November 1999Page: 1618-1620 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.Keywordsvaricoceleultrasonography, Doppler, colorinfertility, maletesticular neoplasmsMetrics Author Information FRANK H. PIERIK More articles by this author GERT R. DOHLE More articles by this author JOHANNES M. van MUISWINKEL More articles by this author JAN T.M. VREEBURG More articles by this author ROBERTUS F.A. WEBER More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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