Testicular microlithiasis imaging and follow-up: guidelines of the ESUR scrotal imaging subcommittee

Richenberg, Jonathan; Belfield, Jane; Ramchandani, Parvati; Rocher, Laurence; Freeman, Simon; Tsili, Athina C.; Cuthbert, Faye; Studniarek, Michał; Bertolotto, Michele; Turgut, Ahmet Tuncay; Dogra, Vikram S.; Derchi, Lorenzo E.

doi:10.1007/s00330-014-3437-x

Cited by 125 publications

(115 citation statements)

References 40 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…24.5). Although it can be associated with testicular cancer, the European Society of Urogenital Radiology recommends against follow-up of isolated microlithiasis in the absence of risk factors (i.e., personal or family history of germ cell tumor, testicular atrophy <12 mL, history of maldescent or orchiopexy) [3].…”

Section: Testicular Microlithiasismentioning

confidence: 99%

Imaging of Testicular and Scrotal Masses: The Essentials

Wibmer

Vargas

2018

IDKD Springer Series

View full text Add to dashboard Cite

Section: Testicular Microlithiasismentioning

confidence: 99%

Imaging of Testicular and Scrotal Masses: The Essentials

Wibmer

Vargas

2018

IDKD Springer Series

View full text Add to dashboard Cite

“…Hence, it was thought that testicular microlithiasis might be associated with testicular cancer at the end of the 1990s, but later studies did not confirm such concerns. The European Society of Urogenital Radiology only recommends followup ultrasonography when the following risk factors are present: previous germ cell tumor, history of undescended testis or orchidopexy, testicular atrophy (volume of \12 cc), and history of a germ cell tumor in a first-degree relative [14]. If testicular cancer is suspected from the ultrasonography findings, the clinician should consider further examinations such as measurement of tumor markers, MRI, and surgical orchidectomy.…”

Section: Diagnosis Of Noamentioning

confidence: 99%

Management of non‐obstructive azoospermia

Chiba

Enatsu

Fujisawa

2016

Reprod Medicine & Biology

View full text Add to dashboard Cite

Non-obstructive azoospermia (NOA) is defined as no sperm in the ejaculate due to failure of spermatogenesis and is the most severe form of male infertility. The etiology of NOA is either intrinsic testicular impairment or inadequate gonadotropin production. Chromosomal or genetic abnormalities should be evaluated because there is a relatively high incidence compared with the normal population. Although rare, NOA due to inadequate gonadotropin production is a condition in which fertility can be improved by medical treatment. In contrast, there is no treatment that can restore spermatogenesis in the majority of NOA patients. Consequently, testicular extraction of sperm under an operating microscope (micro-TESE) has been the firstline treatment for these patients. Other treatment options include varicocelectomy for NOA patients with a palpable varicocele and orchidopexy if undescended testes are diagnosed after adulthood, although management of these patients remains controversial. Advances in retrieving spermatozoa more efficiently by micro-TESE have been made during the past decade. In addition, recent advances in biotechnology have raised the possibility of using germ cells produced from stem cells in the future. This review presents current knowledge about the etiology, diagnosis, and treatment of NOA.

show abstract

“…On ultrasonography (US), these crystals are clearly seen as scattering or clustering, punctate, nonshadowing, echogenic foci (less than 3 mm) ( Fig. 1) [7,8]. Testicular microlithiasis is a common condition in the general population and the role of microlithiasis in cancer risk is controversial.…”

Section: Introductionmentioning

confidence: 98%

“…Testicular microlithiasis is a common condition in the general population and the role of microlithiasis in cancer risk is controversial. According to the guidelines of the European Society of Urogenital Radiology scrotal imaging subcommittee, testicular microlithiasis may appear in 2 different radiologic forms: 5 or more microliths in the entire testis, or 5 or more microliths in a local area of the testis [8]. The first form is commonly a simple and benign condition.…”

Section: Introductionmentioning

confidence: 99%