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Apport de l’échographie dans le bilan d’une infécondité masculine

Using ultrasound techniques in male infertility

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Résumé

Présentation d’une assez longue expérience des examens échographiques conduits pour les bilans d’infécondité, sécrétoire par l’exploration du scrotum, excrétoire par l’exploration prostatique endorectale. Confrontations aux diverses pathologies retrouvées et détermination de la place de cette imagerie.

Abstract

Recent technical progress in ultrasound, particularly with respect to high-frequency linear probes and transrectal probes, now enables a very detailed morphological approach to the scrotal, prostate and surrounding structures, such as the seminal vesicles, the vas deferens and the ejaculatory ducts. For almost 20 years, in close collaboration with Male Sterility Center of Toulouse, we have carried out such examinations as part of infertility testing procedures, and we set out below the results of our experience. After a short anatomical reminder, we shall begin with an echographical study of the scrotum, followed by the prostate and its adjoining structures, pursuant to a transrectal examination. In the course of these two examinations, we shall consider the various pathologies that we have encountered, which have tended to be secretory with respect to the scrotum, and excretory in the prostate area, in order to determine the usefulness and importance of echographical examinations in male infertility.

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Correspondence to J. -L. Granier.

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Granier, J.-. Apport de l’échographie dans le bilan d’une infécondité masculine. Basic Clin. Androl. 19, 159–167 (2009) doi:10.1007/s12610-009-0023-1

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Mots clés

  • Échographie
  • Testicules
  • Épididymes
  • Canaux déférents
  • Prostate
  • Vésicules séminales
  • Canaux éjaculateurs

Keywords

  • Scrotal and prostate ultrasound
  • Seminal vesicles
  • Vas deferens
  • Ejaculatory ducts
  • Infertility