Background :About 15% of couple worldwide suffering from infertility. The testicular ultrasound with color Doppler and transrectal (TRUS) good diagnostic tool in evaluation of infertile males with hypo spermia and obstructive azoospermia
Aim of the work: to evaluate role of trans rectal ultrasonography and scrotal ultrasonography with color Doppler in infertility diagnosing in men with low semen volume.
Patients & methods:
This study included 120 infertile male patients with azoospermia or hypo spermia, the age of the patients in this study ranged from 17 years to 63 years. All patients were subjected to clinical examination, laboratory investigation and radiological examination including (TRUS, scrotal ultrasound associated with color duplex).
Results:
According to TRUS and scrotal ultrasonograpy with color Doppler findings, 7.5 % of the 120 patients evaluated were normal, where as 92.5 % of the patients had abnormal findings. 9.9% of patients had hypoplastic seminal vesicles, while 24.3% had dilated seminal vesicles, (21.6% of them associated with dilated and ejaculatory duct). Congenital bilateral absent vas 1.8%, while congenital unilateral missing vas affected 0.9 %. Prostatic midline cyst was found in 5.4%, and prostatic calcification was found in the same percentage. In 32.4% with left side varicocele , and 17.1% with bilateral varicocele, while 3.6% of cases are left testicular atrophy and 1.8% bilateral testicular atrophy
Conclusion: Transrectal and scrotal ultrasonography with color Doppler found to be effective diagnostic method in evaluation of infertility with low seminal volume