PROBING THE DEPTHS OF INFERTILITY: TRUS AND SCROTAL ULTRASOUND REVEALS

Abstract

Background:

Male infertility is a widespread issue that many couples are dealing with. Medical practitioners have begun to use modern diagnostic methods such as transrectal ultrasonography (TRUS) and scrotal ultrasound (US) to better understand the reasons and potential remedies for this disease. With the aid of these imaging tools, the male reproductive system can be thoroughly examined to assess structural abnormalities and other acquired illnesses that may be contributing factors to infertility.

Aim/objective:

To identify the underlying causes of male infertility through the use of transrectal ultrasound (TRUS) and scrotal ultrasound, with a focus on emphasizing their diagnostic role."

Results:

In our study encompassing 127 male participants aged between 22 and 70 years (mean age 38.11), 121 individuals presented with primary infertility, while 6 exhibited secondary infertility. Transrectal Ultrasound (TRUS) findings indicated a range of abnormalities, 20 unilateral seminal vesicle agenesis, 5 unilateral atrophic seminal vesicle, 5 bilateral seminal vesicle agenesis, 1 bilateral atrophic seminal vesicles, 4 seminal vesicle calculi, 2 vas deferens calculi, 2 testicular microlithiasis, 14 ejaculatory duct calculi, 1 ejaculatory duct stricture, 1 Epidydymal head cyst, 16 prostatic cysts, 6 prostatitis and 57 normal studies. Among the 121 patients, 51 underwent scrotal ultrasound which revealed 13 normal, 24 varicoceles, 2 hydroceles, 1 spermatocele, 9 epidydymal cysts, 5 epidydymitis, 4 atrophic testis, 1 epidydymo-orchitis and 1 Undescended testis.

Conclusion:

Ultrasounds of the scrotum and transrectum are crucial for identifying anomalies in male infertility that can be corrected. The likelihood of becoming a parent is increased by these imaging modalities, which also improve clinical assessments and guide treatment plans.

Keywords:

TRUS, transrectal ultrasound, male infertility, scrotal ultrasound.