“The Role of Ultrasound in The Evaluation of Male Infertility”
DOI:
https://doi.org/10.48047/Keywords:
Male infertility, scrotal ultrasonography, transrectal ultrasonography, obstructive infertility, nonobstructive infertility, diagnostic imaging.Abstract
Background: Infertility affects 8-12% of couples of reproductive age worldwide, with a significant prevalence
in India, where primary infertility ranges from 3.9% to 16.8%. Male factors contribute to 40-50% of infertility
cases. Proper diagnostic workup for male infertility is crucial to avoid unnecessary invasive procedures for the
female partner. Traditional evaluation methods, including clinical assessment, semen analysis, and scrotal
ultrasonography, have limitations in accurately identifying and classifying the underlying causes of male
infertility.
Methods: A prospective observational study was conducted from December 2022 to February 2024 at the
Department of Radiodiagnosis, M.G.M. Medical College and M.Y. Hospital, Indore, India. A total of 100 male
patients with infertility were recruited. The study involved a thorough ultrasonographic evaluation of the
scrotum, including the testes, epididymis, and spermatic cord. Additionally, transrectal ultrasonography (TRUS)
was performed to assess the bilateral seminal vesicles, prostate, ejaculatory ducts, and vas deferens to identify
any obstructive etiologies.
