TRUS in Evaluation of Male Infertility

Siewhong Ho
Siewhong HoUrologist Surgeon um S H Ho Urology and Laparoscopy Centre
Role of Transrectal Ultrasound (TRUS) in Male Infertility Dr. Ho Siew Hong Consultant Urologist S H Ho Urology and Laparoscopy Centre Gleneagles Hospital
What is TRUS ? ,[object Object],[object Object],[object Object]
TRUS
TRUS Sagital Transverse 135 Degrees
Role of TRUS in male infertility ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of ejaculatory duct ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for TRUS in  infertile males ,[object Object],[object Object],[object Object],[object Object]
Clinical suspicion of diagnosis of ejaculatory duct obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of ejaculatory duct obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis of ejaculatory duct obstruction ,[object Object],[object Object],[object Object],[object Object]
TRUS diagnosis of ejaculatory duct obstruction ,[object Object],[object Object],[object Object],[object Object]
Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transverse plane ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prostate Bladder
 
 
 
Ejaculatory duct
Prostatic cyst,  infartion
Sagittal Plane ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Urethra
Ejaculatory duct
D ilated ejaculatory ducts (>2.3 mm)
D ilated seminal vesicles (>1.5 cm   width)
Aspiration from  seminal vesicles or cysts ,[object Object],[object Object],[object Object],[object Object]
TRUS aspiration of  utricular  cyst
TRUS – ejaculatory duct obstruction
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Thank you
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TRUS in Evaluation of Male Infertility