Description

Moon et al performed scrotal ultrasonography on men with azoospermia. They identified changes in the epididymis in men with obstructive azoospermia; these findings were not seen in men with nonobstructive azoospermia. The authors are from Sungkyunkwan University and Seoul National University in Seoul, Korea.


 

The presence of one or more lesions in the epididymis was associated with obstructive azoospermia.

 

Findings seen in the head:

(1) tubular ectasia

(2) absence of head

(3) inflammatory mass-like lesion

 

Findings seen in the body:

(1) absence of the body

(2) tapering

(3) inflammatory mass-like lesion

 

Findings seen in the tail:

(1) absence of tail

(2) inflammatory mass-like lesion

 

Performance:

• The sensitivity was 82% and the specificity was 100%.

• The accuracy for identify obstructive azoospermia was 88%.

 

In addition, some of the patients with obstructive azoospermia had congenital bilateral absence of the vas deferentia (CBAVD).

 


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