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Current Urology Reports

, 19:58 | Cite as

Use of Ultrasound in Male Infertility: Appropriate Selection of Men for Scrotal Ultrasound

  • Joseph M. Armstrong
  • Sorena Keihani
  • James M. Hotaling
Men's Health (A Dabaja, Section Editor)
  • 74 Downloads
Part of the following topical collections:
  1. Topical Collection on Men’s Health

Abstract

Purpose of Review

Male factor infertility is a complex and multifaceted problem facing the modern urologist and is identified in 30–40% of infertile couples. This review focuses on the use of ultrasound, as an adjunct screening tool, in the initial evaluation of male infertility.

Recent Findings

Access to male reproductive urologist for assessment of male infertility is limited and about a quarter of infertile couples do not complete the male component in their infertility assessment. Ultrasound evaluation of the infertile male is low-cost and non-invasive and helps uncover underlying pathologies that may be missed during the initial assessment. The addition of ultrasound allows the physician to accurately assess testicular anatomy and dimensions, as well as vascular environments, which may help guide treatment decisions.

Summary

Scrotal ultrasound evaluation, in conjunction with a semen analysis and as an adjunct to physical exam, can be offered in the initial assessment of men who present for infertility consultation given its low cost, non-invasive nature, and ability to detect and discriminate between various etiologies of male infertility. Further, when directed by physical exam and semen analysis findings, it provides a valuable tool to select men for referral to a reproductive urologist, especially for infertile couples who are only screened by reproductive endocrinologists and female infertility specialists.

Keywords

Male infertility Ultrasound Men’s health Scrotal ultrasound 

Notes

Compliance with Ethical Standards

Conflict of Interest

Joseph M. Armstrong, Sorena Keihani, and James M. Hotaling each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Joseph M. Armstrong
    • 1
  • Sorena Keihani
    • 1
  • James M. Hotaling
    • 1
    • 2
  1. 1.Division of UrologyUniversity of UtahSalt Lake CityUSA
  2. 2.Center for Reconstructive Urology and Men’s HealthUniversity of UtahSalt Lake CityUSA

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