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Imagerie et fertilité, quelles conséquences pour l’andrologue ? Imagerie du scrotum vue par le radiologue

Imaging and fertility, what consequences for the andrologist? View scrotal imaging by the radiologist

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Résumé

L’échographie scrotale fournit à l’andrologue des informations iconographiques, susceptibles de changer fondamentalement la prise en charge du patient hypofertile. La recherche de signes d’obstruction canalaire, la détection de pathologies testiculaires infracliniques et l’évaluation de la perfusion testiculaire sont les véritables challenges pour le radiologue. L’échographie du contenu scrotal doit être proposée à tout patient qui consulte pour infertilité, au même titre que le bilan biologique et spermiologique, car elle oriente le diagnostic clinique, permet la détection de pathologie occulte et influence la stratégie thérapeutique.

Abstract

Scrotal ultrasound provides andrologist iconographic informations likely to fundamentally change the management of subfertile patients. Looking for tubular obstructive signs, the detection of infraclinic testicular pathologies and the testicular perfusion evaluation are the real challenges for the radiologist. Ultrasonography of the scrotal contents should be offered to all patients who consulted for infertility, as well as biological and spermiological assessment, because it directs clinical diagnosis, allows the detection of occult disease and influence therapeutic strategy.

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Correspondence to T. Puttemans.

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Puttemans, T. Imagerie et fertilité, quelles conséquences pour l’andrologue ? Imagerie du scrotum vue par le radiologue. Basic Clin. Androl. 19, 191–196 (2009) doi:10.1007/s12610-009-0048-5

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Mots clés

  • Infertilité
  • Échographie scrotale
  • Radiologue

Keywords

  • Infertility
  • Scrotal ultrasonography
  • Radiologist