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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

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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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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). https://doi.org/10.1007/s12610-009-0048-5

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