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Is transrectal ultrasonography a reliable diagnostic approach in ejaculatory duct sub-obstruction?
Hum Reprod. 1997 Oct; 12(10):2186-91.HR

Abstract

We studied the diagnostic predictive power of transrectal ultrasonography (TRUS) coupled with semen volume in cases of distal seminal tract sub-obstruction. As a gold standard for diagnosis we used seminal tract washout (STW). Non-azoospermic subjects (n = 112) were submitted to transrectal ultrasonography because of suspected excretory infertility or other andrological pathologies, before performing STW. STW indicated ejaculatory duct sub-obstruction in 36.6% of the patients. Seminal vesicle enlargement (anterior-posterior diameter > or = 15 mm) and seminal vesicle roundish anechoic areas (stasis) were the ultrasonographic anomalies more often associated with ejaculatory duct sub-obstruction. Stepwise logistic regression (SLR) analysis revealed that the ultrasonographic evidence of stasis was highly diagnostic only in the presence of a low semen volume (< or = 1.5 ml) and that ejaculatory duct sub-obstructions may be present but with no evidence of ultrasonographic anomalies. Therefore, TRUS is a useful approach for the treatment of suspected ejaculatory duct sub-obstruction, but is not a reliable diagnostic tool and, before performing transurethral surgery, STW should be mandatory.

Authors+Show Affiliations

Department of Obstetrics/Gynaecology, University of Milan, San Paolo Hospital, Italy.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9402280

Citation

Colpi, G M., et al. "Is Transrectal Ultrasonography a Reliable Diagnostic Approach in Ejaculatory Duct Sub-obstruction?" Human Reproduction (Oxford, England), vol. 12, no. 10, 1997, pp. 2186-91.
Colpi GM, Negri L, Nappi RE, et al. Is transrectal ultrasonography a reliable diagnostic approach in ejaculatory duct sub-obstruction? Hum Reprod. 1997;12(10):2186-91.
Colpi, G. M., Negri, L., Nappi, R. E., & Chinea, B. (1997). Is transrectal ultrasonography a reliable diagnostic approach in ejaculatory duct sub-obstruction? Human Reproduction (Oxford, England), 12(10), 2186-91.
Colpi GM, et al. Is Transrectal Ultrasonography a Reliable Diagnostic Approach in Ejaculatory Duct Sub-obstruction. Hum Reprod. 1997;12(10):2186-91. PubMed PMID: 9402280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is transrectal ultrasonography a reliable diagnostic approach in ejaculatory duct sub-obstruction? AU - Colpi,G M, AU - Negri,L, AU - Nappi,R E, AU - Chinea,B, PY - 1997/12/24/pubmed PY - 1997/12/24/medline PY - 1997/12/24/entrez SP - 2186 EP - 91 JF - Human reproduction (Oxford, England) JO - Hum Reprod VL - 12 IS - 10 N2 - We studied the diagnostic predictive power of transrectal ultrasonography (TRUS) coupled with semen volume in cases of distal seminal tract sub-obstruction. As a gold standard for diagnosis we used seminal tract washout (STW). Non-azoospermic subjects (n = 112) were submitted to transrectal ultrasonography because of suspected excretory infertility or other andrological pathologies, before performing STW. STW indicated ejaculatory duct sub-obstruction in 36.6% of the patients. Seminal vesicle enlargement (anterior-posterior diameter > or = 15 mm) and seminal vesicle roundish anechoic areas (stasis) were the ultrasonographic anomalies more often associated with ejaculatory duct sub-obstruction. Stepwise logistic regression (SLR) analysis revealed that the ultrasonographic evidence of stasis was highly diagnostic only in the presence of a low semen volume (< or = 1.5 ml) and that ejaculatory duct sub-obstructions may be present but with no evidence of ultrasonographic anomalies. Therefore, TRUS is a useful approach for the treatment of suspected ejaculatory duct sub-obstruction, but is not a reliable diagnostic tool and, before performing transurethral surgery, STW should be mandatory. SN - 0268-1161 UR - https://www.unboundmedicine.com/medline/citation/9402280/Is_transrectal_ultrasonography_a_reliable_diagnostic_approach_in_ejaculatory_duct_sub_obstruction L2 - https://academic.oup.com/humrep/article-lookup/doi/10.1093/humrep/12.10.2186 DB - PRIME DP - Unbound Medicine ER -