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

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