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Place of Scrotal Doppler Ultrasound in the Diagnosis of Male Infertility in Conakry, Guinea

Received: 28 August 2023    Accepted: 14 September 2023    Published: 27 September 2023
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Abstract

Introduction: The imaging assessment of the male genital tract in the diagnostic evaluation of infertile men is based on scrotal Doppler ultrasound. The objective of this study was to determine the place of scrotal ultrasound in the diagnosis of male infertility. Methodology: This was a descriptive retrospective study lasting 3 years, from January 1st, 2019 to December 31, 2021. It focused on patients referred to the medical imaging, exploration and diagnosis in Conakry for a scrotal ultrasound in the context of couple infertility. Results: 241 patients were seen for scrotal ultrasound for infertility. An ultrasound abnormality was found in 181 patients (75.1%). The average age of the patients was 41.5 years with extremes of 26 and 67 years. The localization of abnormalities identified on ultrasound was predominant in the spermatic cord with 127 cases (70.2%), followed by testicular, epididymal and scrotal affections. There was an association of abnormalities in 40.9% of cases (n=74). Varicocele was the main ultrasound anomaly of the spermatic cord, 66.8% (121 cases) followed by testicular hypotrophy and epididymal cysts. Conclusion: Scrotal ultrasound occupies an important place in the diagnostic process of male infertility.

Published in International Journal of Clinical Urology (Volume 7, Issue 2)
DOI 10.11648/j.ijcu.20230702.17
Page(s) 57-60
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Male Infertility, Doppler Ultrasound, Scrotum, Varicocele

References
[1] Katz DJ, Teloken P, Shoshany O. (2017). Male infertility - The other side of the equation. Aust Fam Physician, 46: 641-646.
[2] Bah OR, Diallo AB, Diallo A, Guirassy S, Bah I, Diallo MB. (2007). Male infertility: frequency and etiological aspects in the Urology-Andrology department of the University Hospital of Conakry. Andrology, 17: 241-5.
[3] Brunerau L. (2015). Imaging of male infertility. EMC Urologie, 10 (2): 1-15 [34-510-A-10]. https://doi.org/10.1016/S1241-8218(06)43071-7.
[4] Huyghe E, Boitrelle F, Methorst C, Mieusset R, Ray PF, Akakpo W, and al. (2021). Recommendations of the AFU and the SALF concerning the evaluation of the infertile man. Progrès en Urologie, 3: 131-144. https://doi.org/10.1016/j.purol.2020.09.011
[5] Mittal PK, Little B, Harri PA, Miller FH, Alexander LF, Kalb B, Camacho JC, Master V, Hartman M, Moreno CC. (2017). Role of imaging in the evaluation of male infertility. Radiographics, 37: 837-854. https://doi.org/10.1148/rg.2017160125
[6] Rocher L, Balasa C, Hindawi G, Bresson B, Maxwell F. (2020). Ultrasound in male infertility screening. Journal d'imagerie diagnostique et interventionnelle, 3: 12–17. https://doi.org/10.1016/j.jidi.2019.11.004
[7] Schlossera J, Nakib I, Carré-Pigeon F, Staermana F. (2007) Male infertility: definition and pathophysiology. Annales d‘urologie, 41: 127–133. https://doi.org/10.1016/j.anuro.2007.02.004
[8] Fall B, Diao YS, Sarr. P., Fall A., Ndoye MB. (2010). Impact of varicocelectomy in patients with non-obstructive azoospermia or severe oligozoospermia. Andrology, 20: 257-61.
[9] Kirakoya B, Zango B, Pare A, Kabore F, Yameogo C, Nikiema A. (2015). Epidemiological and clinical profile of male hypofertility in consultation at the Urology-Andrology of Yalgadogo Ouedraogo Teaching Hospital (Burkina Faso). Advances in Sexual Medicine, 5: 1-6. http://dx.doi.org/10.4236/asm.2015.51001
[10] Alsaikhan B, Alrabeeah K, Delouya G, Zini A. (2016). Epidemiology of varicocele. Asian Journal of Andrology, 18: 179–181. https://doi.org/10.4103/1008-682X.172640
[11] Freeman S, Bertolotto M, Richenberg J, Belfield J, Dogra V, Huang DY, and al. (2020). Ultrasound evaluation of varicoceles: guidelines and recommendations of the European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group. European Radiology, 30: 11-25. https://doi.org/10.1007/s00330-019-06280-y.
[12] Gat Y, Bachar GN, Zukerman Z, Belenky A, Gornish M. (2004). Varicocele: a bilateral disease. Journal of Urology, 172: 790-1. https://doi.org/10.1016/j.fertnstert.2003.08.010.
[13] Diallo AB, Bah I, Barry M, Diallo TMO, Bah MD, Kanté D, and al. (2015). Adult varicocele: anatomo-clinical aspects and therapeutic results in the urology-andrology department of the University Hospital of Conakry, Guinea. African Journal of Urology, 21: 137-41. https://doi.org/10.1016/j.afju.2015.02.002
[14] Gueye SM, Fall P, Ndoye A, Ba M, Daffé A, Afoutou J, and al. (1999). Influence of surgical treatment of varicocele on sperm quality. Andrology, 9: 376-9.
[15] Lotti F, Maggi M. (2015). Ultrasound of the male genital tract in relation to male reproductive health. Human Reproduction Update, 21: 56-83. https://doi.org/10.1093/humupd/dmu042
[16] Goullet E, Rigot J, Blois N. (2000). Interest of systematic scrotal ultrasound in the management of infertile men: prospective study of 609 cases in Lille. Progrès en Urologie, 10: 78-82.
[17] Hobarth K, Susani M, Szabo N, Kratzik C. (1992). Incidence of testicular microlithiasis. Urology, 40: 464-7. https://doi.org/10.1016/0090-4295(92)90467-b
[18] Kessaris D, Mellinger B. (1994). Incidence and implication of testicular microlithiasis detected by scrotal duplex sonography in a select groupof infertile men. J Urol, 152: 1560-1. https://doi.org/10.1016/s0022-5347(17)32472-2.
[19] Granier JL. (2009). Contribution of ultrasound in the assessment of male infertility. Andrology, 19: 159-67.
[20] Pezzella A, Barbonetti A, Micillo A, D’Andrea S, Necozione S, Gandini L, and al. (2013). Ultrasonographic determination of caput epididymis diameter is strongly predictive of obstruction in the genital tract in azoospermic men with normal serum FSH. Andrology, 1: 133–8.
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    Diallo Thierno Mamadou Oury, Diallo Thierno Oumar, Bah Mamadou Diawo, Bah Kadiatou, Diallo Alimou, et al. (2023). Place of Scrotal Doppler Ultrasound in the Diagnosis of Male Infertility in Conakry, Guinea. International Journal of Clinical Urology, 7(2), 57-60. https://doi.org/10.11648/j.ijcu.20230702.17

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    ACS Style

    Diallo Thierno Mamadou Oury; Diallo Thierno Oumar; Bah Mamadou Diawo; Bah Kadiatou; Diallo Alimou, et al. Place of Scrotal Doppler Ultrasound in the Diagnosis of Male Infertility in Conakry, Guinea. Int. J. Clin. Urol. 2023, 7(2), 57-60. doi: 10.11648/j.ijcu.20230702.17

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    AMA Style

    Diallo Thierno Mamadou Oury, Diallo Thierno Oumar, Bah Mamadou Diawo, Bah Kadiatou, Diallo Alimou, et al. Place of Scrotal Doppler Ultrasound in the Diagnosis of Male Infertility in Conakry, Guinea. Int J Clin Urol. 2023;7(2):57-60. doi: 10.11648/j.ijcu.20230702.17

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  • @article{10.11648/j.ijcu.20230702.17,
      author = {Diallo Thierno Mamadou Oury and Diallo Thierno Oumar and Bah Mamadou Diawo and Bah Kadiatou and Diallo Alimou and Bah Mamadou Bissiriou and Kanté Daouda and Gnammi Lahoumbo Ricardo and Diallo Alpha Oumar and Diallo Abdoulaye Bobo and Bah Oumar Raphiou},
      title = {Place of Scrotal Doppler Ultrasound in the Diagnosis of Male Infertility in Conakry, Guinea},
      journal = {International Journal of Clinical Urology},
      volume = {7},
      number = {2},
      pages = {57-60},
      doi = {10.11648/j.ijcu.20230702.17},
      url = {https://doi.org/10.11648/j.ijcu.20230702.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20230702.17},
      abstract = {Introduction: The imaging assessment of the male genital tract in the diagnostic evaluation of infertile men is based on scrotal Doppler ultrasound. The objective of this study was to determine the place of scrotal ultrasound in the diagnosis of male infertility. Methodology: This was a descriptive retrospective study lasting 3 years, from January 1st, 2019 to December 31, 2021. It focused on patients referred to the medical imaging, exploration and diagnosis in Conakry for a scrotal ultrasound in the context of couple infertility. Results: 241 patients were seen for scrotal ultrasound for infertility. An ultrasound abnormality was found in 181 patients (75.1%). The average age of the patients was 41.5 years with extremes of 26 and 67 years. The localization of abnormalities identified on ultrasound was predominant in the spermatic cord with 127 cases (70.2%), followed by testicular, epididymal and scrotal affections. There was an association of abnormalities in 40.9% of cases (n=74). Varicocele was the main ultrasound anomaly of the spermatic cord, 66.8% (121 cases) followed by testicular hypotrophy and epididymal cysts. Conclusion: Scrotal ultrasound occupies an important place in the diagnostic process of male infertility.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Place of Scrotal Doppler Ultrasound in the Diagnosis of Male Infertility in Conakry, Guinea
    AU  - Diallo Thierno Mamadou Oury
    AU  - Diallo Thierno Oumar
    AU  - Bah Mamadou Diawo
    AU  - Bah Kadiatou
    AU  - Diallo Alimou
    AU  - Bah Mamadou Bissiriou
    AU  - Kanté Daouda
    AU  - Gnammi Lahoumbo Ricardo
    AU  - Diallo Alpha Oumar
    AU  - Diallo Abdoulaye Bobo
    AU  - Bah Oumar Raphiou
    Y1  - 2023/09/27
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcu.20230702.17
    DO  - 10.11648/j.ijcu.20230702.17
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 57
    EP  - 60
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20230702.17
    AB  - Introduction: The imaging assessment of the male genital tract in the diagnostic evaluation of infertile men is based on scrotal Doppler ultrasound. The objective of this study was to determine the place of scrotal ultrasound in the diagnosis of male infertility. Methodology: This was a descriptive retrospective study lasting 3 years, from January 1st, 2019 to December 31, 2021. It focused on patients referred to the medical imaging, exploration and diagnosis in Conakry for a scrotal ultrasound in the context of couple infertility. Results: 241 patients were seen for scrotal ultrasound for infertility. An ultrasound abnormality was found in 181 patients (75.1%). The average age of the patients was 41.5 years with extremes of 26 and 67 years. The localization of abnormalities identified on ultrasound was predominant in the spermatic cord with 127 cases (70.2%), followed by testicular, epididymal and scrotal affections. There was an association of abnormalities in 40.9% of cases (n=74). Varicocele was the main ultrasound anomaly of the spermatic cord, 66.8% (121 cases) followed by testicular hypotrophy and epididymal cysts. Conclusion: Scrotal ultrasound occupies an important place in the diagnostic process of male infertility.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Exploration and Diagnostic Medical Imaging Practice in Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

  • Urology-Andrology Department, Ignace Deen National Hospital in Conakry, Faculty of Health Sciences and Techniques of Conakry, Conakry, Guinea

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