Male Infertility

  • L. Boyer
  • A. Ravel
  • J. F. Viallet
Part of the Medical Radiology book series (MEDRAD)

Abstract

Infertility is a complex and often multifactorial problem requiring coordinated management by a multi-disciplinary team including one or more radiologists. In up to 50% of cases, the problem is partially or totally due to the male partner (Ross 1983; Pontonnier and Bujan. 1993). Semen analysis and the postcoital Huhner test are the initial techniques for assessment of an infertile couple (Belaisch 1987; Nys et al. 1992). If these examinations are abnormal, the cause should be sought in the male partner.

Keywords

Catheter Lithias Tuberculosis Neuropathy Luminal 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abbitt PL, Watson L, Howards S (1991) Abnormalities of the seminal tract causing infertility: diagnosis with endorectal sonography. AJR 157:337–339PubMedGoogle Scholar
  2. Belaisch J (1987) Exploration d’un homme présumé stérile ou hypofertile. In: Arvis G (ed) Andrologie. Maloine, Paris, pp 227Google Scholar
  3. Boyer L, Salicru B, Pujol J, Rouanet JP, Lamarque JL, Viallet JF (1990) Imagerie en andrologie. EMC Paris Gynécologie 760 A10:1—10Google Scholar
  4. Boyer L, Hermabessière J, Boyer-Medeville C, Boissier A, Viallet JF (1994) Place de l’échographie transrectale dans le bilan d’infertilité masculine. A propos de 91 explorations. J Radiol 75:321–326PubMedGoogle Scholar
  5. Carter SS, Shinohara K, Lipshultz LI (1989) Transrectal ultrasonography in disorders of the seminal vesicles and ejaculatory ducts. Urol Clin North Am 16:773–790PubMedGoogle Scholar
  6. Carvalho HA, Paiva JLB, Santos VHV, Andrade M, Galvao-Teles A (1986) Ultrasonic recognition of a cystic seminal vesicle with ipsilateral renal agenesis. J Urol 135:1267–1268PubMedGoogle Scholar
  7. Colpi GM, Casella F, Zanollo A et al (1987) Functional voiding disturbances of the ampullo-vesicular seminal tract a cause of male infertility. Acta Eur Fertil 18:165–179PubMedGoogle Scholar
  8. Cornud F, Belin X, Fromont G (eds) (1993) Imagerie de la prostate. Flammarion, Paris, pp 69–82Google Scholar
  9. Cornud F, Belin X, Delafontaine D et al (1994a) Imagerie de l’infertilité masculine d’origine excrétoire. Rev Imag Med 10:S114Google Scholar
  10. Cornud F, Belin X, Helenon O, Melki P, Moreau JF (1994b) Echo doppler couleur de l’appareil génital masculin. Rev Imag Med 6:S9Google Scholar
  11. Cornud, Belin X, Delafontaine D, Amar J, Helenon O, Moreau JF (1996) Imagerie des azoospermies d’origine excrétoire. Feuillets Radiol 36:374–386Google Scholar
  12. Demas BE, Hricak H, McClure RD (1991) Varicoceles. Radiologie diagnosis and treatment. Radiol Clin North Am 29:619–627PubMedGoogle Scholar
  13. Dewire DM, Thomas AJ, Falk RM, Geisinger MA, Lammert GK (1994) Clinical outcome and cost comparison of percutaneous embolization and surgical ligation of varicocele. J Androl 15 [Suppl]: P 38S–42SPubMedGoogle Scholar
  14. Dhabuwala CB, Parulkar BG (1994) Doppler flow analysis and conventional ultrasonography for evaluation of the infertile male. In: Jaffe R, Pierson RA, Abramowics JS (eds) Imaging in infertility and reproductive endocrinology. Lippincott, Philadelphia, pp 207–216Google Scholar
  15. Ferguson JM, Gillespie IN, Chalmers N, Elton RA, Hargreave TB (1995) Percutaneous varicocele embolization in the treatment of infertility. Br J Radiol 68:700–703PubMedCrossRefGoogle Scholar
  16. Fobbe F, Hamm B, Sorensen R, Felsenberg D (1987) Percutaneous transluminal treatment of varicoceles: where to occlude the internal spermatic vein. AJR 149:983–987PubMedGoogle Scholar
  17. Hamm B, Fobbe F, Sorensen R, Felsenberg D (1986) Varicoceles: Combined sonography and thermography in diagnosis and post-therapeutic evaluation. Radiology 160:419–424PubMedGoogle Scholar
  18. Kim ED, Lipshultz LI (1996) Role of ultrasound in the assessment of male infertility. J Clin Ultrasound 24:437–453PubMedCrossRefGoogle Scholar
  19. Kuligowska E (1994) Transrectal ultrasonography in diagnosis and management of male infertility. In: Jaffe R, Pierson RA, Abramowicz JS (eds) Imaging in infertility and reproductive endocrinology. Lippincot, Philadelphia, pp 217–229Google Scholar
  20. Kuligowska E, Baker C, Oates RD (1992) Male infertility: role of transrectal US in diagnosis and management. Radiology 185:653–674Google Scholar
  21. Lardennois B, Lomina D, El Khansa A, Brandt B (1986) Le test de la vidange dynamique des vésicules séminales (VIDYVES). Contrôle du spermogramme en échographie interventionnelle dans l’exploration des stérilités masculines. J Urol 92:239–242Google Scholar
  22. Lenz M, Hof N, Kersting-Sommerhof B, Baultz W (1996) Anatomic variants of the spermatic vein: importance for percutaneous sclerotherapy of idiopathic varicocele. Radiology 198:425–431PubMedGoogle Scholar
  23. Marsman JWP (1985) Clinical versus subclinical varicocele: venographic findings and improvement of fertility after embolization. Radiology 155:635–638PubMedGoogle Scholar
  24. Marsman JWP (1995) The aberrantly fed varicoceles: frequency, venographic appearance and results of transcatheter embolization. AJR 164:649–657PubMedGoogle Scholar
  25. Meacham RB, Townsend R, Drose J A (1995) Ejaculatery obstruction: diagnosis and treatment with transrectal sonography. AJR 165:1463–1466PubMedGoogle Scholar
  26. Nieschlag E, Behre HM, Schlingheider A, Nashan D, Pohl J, Fischedick (1993) Surgical ligation vs angiographic embolization of the vena spermatica: a prospective randomized study for the treatment of varicocele related infertility. Andrologia 25:233–237PubMedCrossRefGoogle Scholar
  27. Nys P, Merceron RE, Cordray JP, Guillard X (1992) Les stérilités masculines. Concours Med 114:573–579Google Scholar
  28. Pascal Suisse P, Félix F, Laurac J (1986) Echographie des bourses. Vigot, ParisGoogle Scholar
  29. Patel MR, Dulabon D, Roth R (1987) Case profile: absent seminal vesicle diagnosed by transrectal ultrasound. Urology 39:332CrossRefGoogle Scholar
  30. Pontonnier F, Bujan L (1993) Comment reconnaître et classer une infécondité masculine. Rev Prat (Paris) 43:941–948Google Scholar
  31. Pryor JP, Hendry WF (1990) Ejaculatory duct obstruction in subfertiles males: analysis of 87 patients. Fertil Steril 56:725–730Google Scholar
  32. Rifkin MD (1988) Ultrasound of the prostate. Raven, New YorkGoogle Scholar
  33. Ross LS (1983) Diagnosis and treatment of infertile men: a clinical perspective. J Urol 130:847–854PubMedGoogle Scholar
  34. Sanders RC (1991) Infertility diagnosis by ultrasound. Urol Radiol 13:41–47PubMedCrossRefGoogle Scholar
  35. Shabsigh R, Lerner S, Fishman IJ, Kadmon D (1989) The role of transrectal ultra-sonography in diagnosis and management of prostatic and seminal vesicle cysts. J Urol 14:1206–1209Google Scholar
  36. Sigmund G, Bahren W, Gall H, Lenz M, Thon W (1987a) Idiopathic varicoceles: feasibility of percutaneous sclerotherapy. Radiology 164:161–168PubMedGoogle Scholar
  37. Sigmund G, Gall H, Bahren W (1987b) Stop-type and shunt-type varicoceles: venographic findings. Radiology 163:105–110PubMedGoogle Scholar
  38. Sigmund G, Gall H, Bahren W, Wetterauer U (1989) Hemodynamics of varicoceles: venous shunting in grade II and III varicoceles. Ann Radiol 32:24–28PubMedGoogle Scholar
  39. Smith JP, Hunter DW, Cragg AH et al (1988) Spermatic vein embolization with hot contrast material: fertility results. Radiology 168:137–139PubMedGoogle Scholar
  40. Stasi G, Barozzi L, Basunti G et al (1989) L’ecografia operativa delle vescicole seminali nella patologia andrologica. Radiol Med 78:358–362PubMedGoogle Scholar
  41. Trombetta C, Salisci E, Deriu M et al (1993) Echo flowmetric control 6 years after percutaneous treatment of varicocele. Arch Ital Urol Androl 65:367–377Google Scholar
  42. Winkelbauer FN, Amman ME, Karnel F, Lammer J (1994) Doppler sonography of varicocele: long-term follow-up after venography and transcatheter sclerotherapy. J Ultrasound Med 13:953–958PubMedGoogle Scholar
  43. Zuckerman AM, Mitchell SE, Venbru AC et al (1994) Percutaneous varicocele occlusion: long term follow-up. J Vase Interv Radiol 5:315–319CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • L. Boyer
    • 1
  • A. Ravel
    • 1
  • J. F. Viallet
    • 1
  1. 1.Service de Radiologie et d’Imagerie MédicaleHôpital G. MontpiedClermont-FerrandFrance

Personalised recommendations