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Journal of Diagnostic Medical Sonography
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The Diagnostic Value of Ultrasound in Differentiating Obstructive from Nonobstructive Azoospermia Based on the Presence of Testicular Microlithiasis

Hussein S. Qublan

Department of Obstetrics and Gynecology, King Hussein Medical Center, Amman, Jordan; P.O.Box 97, Irbid-Aidun, Jordan. hqublan{at}hotmail.com

Ahmad S. Al-Ghoweri

Department of Obstetrics and Gynecology, King Hussein Medical Center, Amman, Jordan

Khalaf M. Al-Jader

Department of Urology, King Hussein Medical Center, Amman, Jordan

Michel E. Kakish

Department of Radiology, King Hussein Medical Center, Amman, Jordan

Nabih S. Al-Kaisi

Department of Histopathology, King Hussein Medical Center, Amman, Jordan

Sami A. Abu-Khait

Department of Obstetrics and Gynecology, King Hussein Medical Center, Amman, Jordan

Awad Shehadeh

Department of Obstetrics and Gynecology, King Hussein Medical Center, Amman, Jordan

A total of 32 azoospermic men aged 24 to 54 years were studied perspectively at King Hussein Medical Center.Patient history, semen analyses, hormonal status, and testicular volume were analyzed.High-resolution ultrasound scan machine with a 7.0-MHz transducer was performed on all patients to detect testicular microlithiasis.Testicular biopsy was per formed on all patients.Based on the clinical findings outlined in this article, it is concluded that testicular ultrasound examination is a simple, rapid, and non-invasive diagnostic tool in evaluating the testicular body.Based on testicular volume, hormonal status, presence, and degree of testicular microlithiasis, ultrasound scanning has a significant role in differentiating OA from NOA.

Key Words: ultrasound • azoospermia • testicular biops

Journal of Diagnostic Medical Sonography, Vol. 18, No. 5, 300-304 (2002)
DOI: 10.1177/875647902236839
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