Sonological evaluation of male infertility at tertiary care hospital
Umashankar KM, Jayeeta Mukerjee, BN Seal, SN Banerjee, Rizval Karim
Objectives: The aim of the study was to sonological evaluation of male infertility at pre-testicular, testicular and post-testicular levels. Material and methods: This study was conducted in the department of obstetrics and gynecology in collaboration with the department of radiodiagnosis. All the patients are evaluated with history, clinical examination, and appropriate basic investigations like semen analysis. Patients are classified into pre-testicular, testicular, post-testicular and idiopathic groups. Trans scrotal ultrasound (TSU) and doppler, trans rectal ultrasound (TRUS) were done. The observations are tabulated and analyzed. Results: The TRUS findings in the testicular group 2 numbers of patients had calcification of prostrate. In post testicular group 82.3% (n=14) had seminal vesicle enlargement, 47% (n=8) had ejaculatory duct enlargement. In the idiopathic group 60% (n=3) had seminal vesicle cyst, 20% (n=1) had enlarged prostate and 20% (n=1) had seminal vesicle calcification. The TSU findings in the testicular group 66.6% (n=14) had small testis, 33.33% (n=7) patients had calcification, 30.0% (n=8) had varicocele of testis. In post testicular group epididymal cyst seen in 50% (n=8), epididymal calcification in 31.2% (n=5). In idiopathic group epididymal cyst seen in 22.2% (n=2), epididymal calcification in 22.2% (n=2). Conclusion:Imaging modalities are adjuvant to conventional evaluation of male infertility whereas the imaging modalities evaluate the anatomical integrity and normalcy of male reproductive system.