Skip to main content

Ultrasound Imaging in Andrology

  • Chapter
  • First Online:
Andrology

Abstract

Male genital tract ultrasound (MGT-US) represents an essential diagnostic tool in andrology. Scrotal US has shown a relevant impact on reproductive and general male health, assessing features related to reproductive health, scrotal pain, masses, and trauma. Transrectal US has assumed growing relevance in infertility and chronic pelvic pain assessment. Penile US is widely used to investigate erectile dysfunction, structural penile abnormalities, and priapism. Finally, US can assess male breast abnormalities such as gynecomastia, lipomastia, and lesions.

Until very recent years, MGT-US lacked standardization. Recently, thanks to international societies including the European Academy of Andrology, several standards in US have been achieved. We report here normal MGT-US anatomy and analyze MGT-US abnormalities in relation to male reproductive and general health. In addition, we report here the standards in andrological US as derived from recent guidelines and evidence-based studies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Abdulwahed SR, Mohamed EE, Taha EA, Saleh MA, Abdelsalam YM, ElGanainy EO (2013) Sensitivity and specificity of ultrasonography in predicting etiology of azoospermia. Urology 81:967–971

    PubMed  Google Scholar 

  • AIUM (2015) Practice guideline for the performance of scrotal ultrasound examinations. J Ultrasound Med 34:1–5. https://doi.org/10.7863/ultra.34.8.15.13.0006

  • Albers P, Albrecht W, Algaba F, Bokemeyer C, Cohn-Cedermark G, Fizazi K, Horwich A, Laguna MP (2013) Guidelines on testicular cancer. European Association of Urology Guidelines. EAU Guidelines Office, Arnhem

    Google Scholar 

  • Aversa A, Sarteschi LM (2007) The role of penile color-duplex ultrasound for the evaluation of erectile dysfunction. J Sex Med 4:1437–1447

    PubMed  Google Scholar 

  • Avery LL, Scheinfeld MH (2013) Imaging of penile and scrotal emergencies ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med 34(2):169–184

    Google Scholar 

  • Bamber J, Cosgrove D, Dietrich CF, Fromageau J, Bojunga J, Calliada F, Cantisani V, Correas JM, D’Onofrio M, Drakonaki EE, Fink M, Friedrich-Rust M, Gilja OH, Havre RF, Jenssen C, Klauser AS, Ohlinger R, Saftoiu A, Schaefer F, Sporea I, Piscaglia F (2013) EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med 34(2):169–84.

    Google Scholar 

  • Behre HM, Nashan D, Nieschlag E (1989) Objective measurement of testicular volume by ultrasonography: evaluation of the technique and comparison with orchidometer estimates. Int J Androl 12:395–403

    CAS  PubMed  Google Scholar 

  • Behre HM, Kliesch S, Schädel F, Nieschlag E (1995) Clinical relevance of scrotal and transrectal ultrasonography in andrological patients. Int J Androl 18:27–31

    PubMed  Google Scholar 

  • Bertolotto M, Trombetta C (2012) Scrotal pathology. Springer-Verlag, Berlin Heidelberg

    Google Scholar 

  • Bertolotto M, Pavlica P, Serafini G, Quaia E, Zappetti R (2009) Painful penile induration: imaging findings and management. Radiographics 29(2):477–493

    PubMed  Google Scholar 

  • Bertolotto M, Muça M, Currò F, Bucci S, Rocher L, Cova MA (2018) Multiparametric US for scrotal diseases. Abdom Radiol (NY) 43(4):899–917

    PubMed  Google Scholar 

  • Bertolotto M, Freeman S, Richenberg J, Belfield J, Dogra V, Huang DY, Lotti F, Markiet K, Nikolic O, Ramanathan S, Ramchandani P, Rocher L, Secil M, Sidhu PS, Skrobisz K, Studniarek M, Tsili A, Turgut AT, Pavlica P, Derchi LE, Members of the ESUR-SPIWG WG (2020) Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations. J Ultrasound 23(4):487–507

    PubMed  PubMed Central  Google Scholar 

  • Caretta N, De Rocco PM, Minicuci N, Palego P, Valente U, Garolla A, Ferlin A, Foresta C (2019) Penile doppler ultrasound predicts cardiovascular events in men with erectile dysfunction. Andrology 7(1):82–87

    CAS  PubMed  Google Scholar 

  • Chau A, Jafarian N, Rosa M (2016) Male breast: clinical and imaging evaluations of benign and malignant entities with histologic correlation. Am J Med 129(8):776–791

    PubMed  Google Scholar 

  • Condorelli R, Calogero AE, La Vignera S (2013) Relationship between Testicular Volume and Conventional or Nonconventional Sperm Parameters. Int J Endocrinol 145792. https://doi.org/10.1155/2013/145792. Epub 2013 Sep 5. PMID: 24089610; PMCID: PMC3780703

  • Cornud F, Belin X, Amar E, Delafontaine D, Hélénon O, Moreau JF (1999) Varicocele: strategies in diagnosis and treatment. Eur Radiol 9:536–545

    CAS  PubMed  Google Scholar 

  • Corona G, Fagioli G, Mannucci E, Romeo A, Rossi M, Lotti F, Sforza A, Morittu S, Chiarini V, Casella G, Di Pasquale G, Bandini E, Forti G, Maggi M (2008) Penile doppler ultrasound in patients with erectile dysfunction (ED): role of peak systolic velocity measured in the flaccid state in predicting arteriogenic ED and silent coronary artery disease. J Sex Med 5(11):2623–2634

    PubMed  Google Scholar 

  • Corona G, Monami M, Boddi V, Cameron-Smith M, Lotti F, de Vita G, Melani C, Balzi D, Sforza A, Forti G, Mannucci E, Maggi M (2010) Male sexuality and cardiovascular risk. A cohort study in patients with erectile dysfunction. J Sex Med 7(5):1918–1927

    PubMed  Google Scholar 

  • Dhabuwala CB, Kumar AB, Kerkar PD, Bhutawala A, Pierce J (1989) Patterns of Doppler recordings and its relationship to varicocele in infertile men. Int J Androl 12:430–438

    CAS  PubMed  Google Scholar 

  • Dialani V, Baum J, Mehta TS (2010) Sonographic features of gynecomastia. J Ultrasound Med 29(4):539–547

    PubMed  Google Scholar 

  • Du J, Li FH, Guo YF, Yang LM, Zheng JF, Chen B, Zhu JS, Liu Q (2010) Differential diagnosis of azoospermia and etiologic classification of obstructive azoospermia: role of scrotal and transrectal US. Radiology 256:493–503

    PubMed  Google Scholar 

  • Dubin L, Amelar RD (1970) Varicocele size and results of varicocelectomy in selected subfertile men with varicocele. Fertil Steril 21:606–609

    CAS  PubMed  Google Scholar 

  • Engeler D, Baranowski AP, Berghmans B, Borovicka J, Cottrell AM, Dinis-Oliveira P, Elneil S, Hughes J, Messelink EJ, de Williams ACC, Parsons B, Goonewardene S, Abreu-Mendes P, Zumstein VV (2021) Chronic pelvic pain. European Association of Urology Guidelines https://uroweborg/guideline/chronic-pelvic-pain/#4 Accessed April 2021

  • Freeman S, Bertolotto M, Richenberg J, Belfield J, Dogra V, Huang DY, Lotti F, Markiet K, Nikolic O, Ramanathan S, Ramchandani P, Rocher L, Secil M, Sidhu PS, Skrobisz K, Studniarek M, Tsili A, Tuncay Turgut A, Pavlica P, Derchi LE, members of the ESUR-SPIWG WG (2020) Ultrasound evaluation of varicoceles: guidelines and recommendations of the European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for detection, classification, and grading. Eur Radiol 30(1):11–25

    PubMed  Google Scholar 

  • Gravas S, Cornu JN, Gacci M, Gratzke C, Herrmann TRW, Mamoulakis C, Rieken M, Speakman MJ, Tikkinen KAO, Guidelines Associates: M. Karavitakis, I. Kyriazis, S. Malde, V. Sakalis, R. Umbach (2021) Management of non-neurogenic male LUTS. European Association of Urology Guidelines https://uroweborg/guideline/treatment-of-non-neurogenic-male-luts/#4 Accessed April 2021

  • Guideline developed in collaboration with the American College of Radiology; Society for Pediatric Radiology; Society of Radiologists in Ultrasound (2015) AIUM practice guideline for the performance of scrotal ultrasound examinations. J Ultrasound Med 34:1–5. https://doi.org/10.7863/ultra.34.8.15.13.0006

    Article  Google Scholar 

  • Hirsh AV, Cameron KM, Tyler JP, Simpson J, Pryor JP (1980) The Doppler assessment of varicoceles and internal spermatic vein reflux in infertile men. Br J Urol 52:50–56

    CAS  PubMed  Google Scholar 

  • Hoekstra T, Witt MA (1995) The correlation of internal spermatic vein palpability with ultrasonographic diameter and reversal of venous flow. J Urol 153:82–84

    CAS  PubMed  Google Scholar 

  • Huang DY, Pesapane F, Rafailidis V, Deganello A, Sellars ME, Sidhu PS (2020) The role of multiparametric ultrasound in the diagnosis of paediatric scrotal pathology. Br J Radiol 93(1110):20200063

    PubMed  Google Scholar 

  • Iosa G, Lazzarini D (2013) Hemodynamic classification of varicoceles in men: our experience. J Ultrasound 16:57–63

    CAS  PubMed  PubMed Central  Google Scholar 

  • Isidori AM, Lenzi A (2008) Scrotal CDU: morphological and functional atlas. Forum Service Editore s.r.l, Genova

    Google Scholar 

  • Jung DC, Park SY, Lee JY (2018) Penile doppler ultrasonography revisited. Ultrasonography 37(1):16–24

    PubMed  Google Scholar 

  • Kanakis GA, Nordkap L, Bang AK, Calogero AE, Bártfai G, Corona G, Forti G, Toppari J, Goulis DG, Jørgensen N (2019) EAA clinical practice guidelines-gynecomastia evaluation and management. Andrology 7(6):778–793

    CAS  PubMed  Google Scholar 

  • Kim SH, Kim YS (2019) Ultrasonographic and mammographic findings of male breast disease. J Ultrasound Med 38(1):243–252

    PubMed  Google Scholar 

  • Kim B, Kawashima A, Ryu JA, Takahashi N, Hartman RP, King BF Jr (2009) Imaging of the seminal vesicle and vas deferens. Radiographics 29:1105–1121

    PubMed  Google Scholar 

  • Laguna MP, Albers P, Algaba F, Bokemeyer C, Boormans JL, Fischer S, Fizazi K, Gremmels H, Leão R, Nicol D, Nicolai N, Oldenburg J, Tandstad T (2021) Testicular cancer. European Association of Urology Guidelines https://uroweb.org/guideline/testicular-cancer/. Accessed March 2021

  • Lenz S, Giwercman A, Elsborg A, Cohr KH, Jelnes JE, Carlsen E, Skakkebaek NE (1993) Ultrasonic testicular texture and size in 444 men from the general population: correlation to semen quality. Eur Urol 24:231–238

    CAS  PubMed  Google Scholar 

  • Leslie SW, Sajjad H, Villanueva CA (2021) Cryptorchidism. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL); PMID: 29261861

    Google Scholar 

  • Liguori G, Trombetta C, Garaffa G, Bucci S, Gattuccio I, Salame` L, Belgrano E (2004) Color Doppler ultrasound investigation of varicocele. World J Urol 22:378–381

    PubMed  Google Scholar 

  • Lotti F, Maggi M (2015) Ultrasound of the male genital tract in relation to male reproductive health. Hum Reprod Update 21(1):56–83. https://doi.org/10.1093/humupd/dmu042. Epub 2014 Jul 19. PMID: 25038770

  • Lotti F, Maggi M (2018) Sexual dysfunction and male infertility. Nat Rev Urol 15:287–307

    PubMed  Google Scholar 

  • Lotti F, Corona G, Colpi GM, Filimberti E, Innocenti SD, Mancini M, Baldi E, Noci I, Forti G, Maggi M (2012) Seminal vesicles ultrasound features in a cohort of infertility patients. Hum Reprod 27(4):974–982

    CAS  PubMed  Google Scholar 

  • Lotti F, Corona G, Maseroli E, Rossi M, Silverii A, Degl'innocenti S, Rastrelli G, Forti G, Maggi M (2013) Clinical implications of measuring prolactin levels in males of infertile couples. Andrology 1(5):764–771

    CAS  PubMed  Google Scholar 

  • Lotti F, Corona G, Vignozzi L, Rossi M, Maseroli E, Cipriani S, Gacci M, Forti G, Maggi M (2014a) Metabolic syndrome and prostate abnormalities in male subjects of infertile couples. Asian J Androl 16(2):295–304

    PubMed  PubMed Central  Google Scholar 

  • Lotti F, Corona G, Mondaini N, Maseroli E, Rossi M, Filimberti E, Noci I, Forti G, Maggi M (2014b) Seminal, clinical and colour-doppler ultrasound correlations of prostatitis-like symptoms in males of infertile couples. Andrology 2(1):30–41

    CAS  PubMed  Google Scholar 

  • Lotti F, Maseroli E, Fralassi N, Degl'Innocenti S, Boni L, Baldi E, Maggi M (2016) Is thyroid hormones evaluation of clinical value in the work-up of males of infertile couples? Hum Reprod 31(3):518–529

    CAS  PubMed  Google Scholar 

  • Lotti F, Corona G, Cocci A, Cipriani S, Baldi E, Degl'Innocenti S, Franco PN, Gacci M, Maggi M (2018) The prevalence of midline prostatic cysts and the relationship between cyst size and semen parameters among infertile and fertile men. Hum Reprod 33:2023–2034

    CAS  PubMed  Google Scholar 

  • Lotti F, Frizza F, Balercia G, Barbonetti A, Behre HM, Calogero AE, Cremers JF, Francavilla F, Isidori AM, Kliesch S, La Vignera S, Lenzi A, Marcou M, Pilatz A, Poolamets O, Punab M, Peraza Godoy MF, Rajmil O, Salvio G, Shaeer O, Weidner W, Maseroli E, Cipriani S, Baldi E, Degl'Innocenti S, Danza G, Caldini AL, Terreni A, Boni L, Krausz C, Maggi M (2020) The European Academy of Andrology (EAA) ultrasound study on healthy, fertile men: clinical, seminal and biochemical characteristics. Andrology 8(5):1005–1020

    CAS  PubMed  Google Scholar 

  • Lotti F, Bertolotto M, Maggi M (2021a, 2021) Historical trends for the standards in scrotal ultrasonography: what was, what is and what will be normal. Andrology. https://doi.org/10.1111/andr.13062. Epub ahead of print

  • Lotti F, Frizza F, Balercia G, Barbonetti A, Behre HM, Calogero AE, Cremers JF, Francavilla F, Isidori AM, Kliesch S, La Vignera S, Lenzi A, Marcou M, Pilatz A, Poolamets O, Punab M, Peraza Godoy MF, Rajmil O, Salvio G, Shaeer O, Weidner W, Maseroli E, Cipriani S, Baldi E, Degl'Innocenti S, Danza G, Caldini AL, Terreni A, Boni L, Krausz C, Maggi M (2021b) The European Academy of Andrology (EAA) ultrasound study on healthy, fertile men: scrotal ultrasound reference ranges and associations with clinical, seminal, and biochemical characteristics. Andrology 9(2):559–576

    CAS  PubMed  Google Scholar 

  • Martino P, Galosi AB, Bitelli M, Consonni P, Fiorini F, Granata A, Gunelli R, Liguori G, Palazzo S, Pavan N, Scattoni V, Virgili G, Imaging Working Group-Societa Italiana Urologia (SIU); Società Italiana Ecografia Urologica Andrologica Nefrologica (SIEUN) (2014) Practical recommendations for performing ultrasound scanning in the urological and andrological fields. Arch Ital Urol Androl 86(1):56–78

    PubMed  Google Scholar 

  • McCauley JF, Dean RC (2020) Diagnostic utility of penile ultrasound in Peyronie’s disease. World J Urol 38(2):263–268

    PubMed  Google Scholar 

  • Morey AF, Broghammer JA, Hollowell CMP, McKibben MJ, Souter L (2021) Urotrauma guideline 2020: AUA guideline. J Urol 205(1):30–35

    PubMed  Google Scholar 

  • Mottet N, van den Bergh RCN, Briers E, Van den Broeck T, Cumberbatch MG, De Santis M, Fanti S, Fossati N, Gandaglia G, Gillessen S, Grivas N, Grummet J, Henry AM, van der Kwast TH, Lam TB, Lardas M, Liew M, Mason MD, Moris L, Oprea-Lager DE, van der Poel HG, Rouvière O, Schoots IG, Tilki D, Wiegel T, Willemse PM, Cornford P (2021) Prostate cancer. European Association of Urology Guidelines https://uroweb.org/guideline/prostate-cancer/Accessed April 2021

  • Niell BL, Lourenco AP, Moy L, Baron P, Didwania AD, diFlorio-Alexander RM, Heller SL, Holbrook AI, Le-Petross HT, Lewin AA, Mehta TS, Slanetz PJ, Stuckey AR, Tuscano DS, Ulaner GA, Vincoff NS, Weinstein SP, Newell MS (2018) ACR appropriateness criteria® evaluation of the symptomatic male breast. J Am Coll Radiol 15(11S):S313–S320

    PubMed  Google Scholar 

  • Önder Ö, Azizova A, Durhan G, Elibol FD, Akpınar MG, Demirkazık F (2020) Imaging findings and classification of the common and uncommon male breast diseases. Insights Imaging 11(1):27

    PubMed  PubMed Central  Google Scholar 

  • Oyen RH (2002) Scrotal ultrasound. Eur Radiol 12:19–34

    PubMed  Google Scholar 

  • Patel DV, Halls J, Patel U (2012) Investigation of erectile dysfunction. Br J Radiol 85 Spec No 1(Spec Iss 1):S69–S78

    CAS  PubMed  Google Scholar 

  • Pauroso S, Di Leo N, Fulle I, Di Segni M, Alessi S, Maggini E (2011) Varicocele: Ultrasonographic assessment in daily clinical practice. J Ultrasound 14(4):199–204

    CAS  PubMed  PubMed Central  Google Scholar 

  • Pedersen MR, Osther PJS, Rafaelsen SR (2018) Ultrasound Evaluation of Testicular Volume in Patients with Testicular Microlithiasis. Ultrasound Int Open 4(3):E99–E103. https://doi.org/10.1055/a-0643-4524. Epub 2018 Sep 12. PMID: 30250943; PMCID: PMC6143373

  • Phillips J, Fein-Zachary VJ, Mehta TS, Littlehale N, Venkataraman S, Slanetz PJ (2014) Breast imaging in the transgender patient. AJR Am J Roentgenol 202(5):1149–1156

    PubMed  Google Scholar 

  • Pilatz A, Wagenlehner F, Bschleipfer T, Schuppe HC, Diemer T, Linn T, Weidner W, Altinkilic B (2013) Acute epididymitis in ultrasound: results of a prospective study with baseline and follow-up investigations in 134 patients. Eur J Radiol 82:e762–e768

    CAS  PubMed  Google Scholar 

  • Pozza C, Kanakis G, Carlomagno F, Lemma A, Pofi R, Tenuta M, Minnetti M, Tarsitano MG, Sesti F, Paoli D, Anzuini A, Lenzi A, Isidori AM, Gianfrilli D (2020) Testicular ultrasound score: a new proposal for a scoring system to predict testicular function. Andrology 8:1051–1063

    CAS  PubMed  PubMed Central  Google Scholar 

  • Ramanathan S, Bertolotto M, Freeman S, Belfield J, Derchi LE, Huang DY, Lotti F, Markiet K, Nikolic O, Ramchandani P, Richenberg J, Rocher L, Sidhu PS, Skrobisz K, Tsili A, De Visschere P, Campo I, Kozak O, Dogra V (2021) Imaging in scrotal trauma: a European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group (ESUR-SPIWG) position statement. Eur Radiol 31(7):4918–4928

    PubMed  Google Scholar 

  • Rastrelli G, Corona G, Lotti F, Aversa A, Bartolini M, Mancini M, Mannucci E, Maggi M (2014) Flaccid penile acceleration as a marker of cardiovascular risk in men without classical risk factors. J Sex Med 11(1):173–186

    PubMed  Google Scholar 

  • Richenberg J, Belfield J, Ramchandani P, Rocher L, Freeman S, Tsili AC, Cuthbert F, Studniarek M, Bertolotto M, Turgut AT, Dogra V, Derchi LE (2015) Testicular microlithiasis imaging and follow-up: guidelines of the ESUR scrotal imaging subcommittee. Eur Radiol 25(2):323–330

    PubMed  Google Scholar 

  • Rocher L, Ramchandani P, Belfield J, Bertolotto M, Derchi LE, Correas JM, Oyen R, Tsili AC, Turgut AT, Dogra V, Fizazi K, Freeman S, Richenberg J (2016) Incidentally detected non-palpable testicular tumours in adults at scrotal ultrasound: impact of radiological findings on management radiologic review and recommendations of the ESUR scrotal imaging subcommittee. Eur Radiol 26:2268–2278

    PubMed  Google Scholar 

  • Săftoiu A, Gilja OH, Sidhu PS, Dietrich CF, Cantisani V, Amy D, Bachmann-Nielsen M, Bob F, Bojunga J, Brock M, Calliada F, Clevert DA, Correas JM, D'Onofrio M, Ewertsen C, Farrokh A, Fodor D, Fusaroli P, Havre RF, Hocke M, Ignee A, Jenssen C, Klauser AS, Kollmann C, Radzina M, Ramnarine KV, Sconfienza LM, Solomon C, Sporea I, Ştefănescu H, Tanter M, Vilmann P (2019) The EFSUMB guidelines and recommendations for the clinical practice of elastography in non-hepatic applications: update 2018. Ultraschall Med 40(4):425–453

    Google Scholar 

  • Salonia A, Bettocchi C, Carvalho J, Corona G, Jones TH, Kadioglu A, Martinez-Salamanca I, Minhas S, Serefoğlu EC, Verze P (2021) Sexual and reproductive health. European Association of Urology Guidelines https://uroweb.org/guideline/sexual-and-reproductive-health/Accessed March 2021

  • Sanad AM, Younis SE, Oraby MA, Hegazy H, El-Sakka AI (2020) Relation between severity of coronary artery disease and aorto-ilio-pudendal artery disease in patients with ischemic heart disease-associated vascular erectile dysfunction. J Sex Med 17(6):1086–1093

    PubMed  Google Scholar 

  • Sarkar S, Das S (2016) A review of imaging methods for prostate cancer detection. Biomed Eng Comput Biol 7(Suppl 1):1–15

    PubMed  PubMed Central  Google Scholar 

  • Sarteschi LM, Paoli R, Bianchini M, Menchini Fabris GF (1993) Lo studio del varicocele con eco-color Doppler. G Ital Ultrasonologia 4:43–49

    Google Scholar 

  • Shamloul R, Ghanem HM, Salem A, Elnashaar A, Elnaggar W, Darwish H, Mousa AA (2004) Correlation between penile duplex findings and stress electrocardiography in men with erectile dysfunction. Int J Impot Res 16(3):235–237

    CAS  PubMed  Google Scholar 

  • Sidhu PS, Cantisani V, Dietrich CF, Gilja OH, Saftoiu A, Bartels E, Bertolotto M, Calliada F, Clevert DA, Cosgrove D, Deganello A, D'Onofrio M, Drudi FM, Freeman S, Harvey C, Jenssen C, Jung EM, Klauser AS, Lassau N, Meloni MF, Leen E, Nicolau C, Nolsoe C, Piscaglia F, Prada F, Prosch H, Radzina M, Savelli L, Weskott HP, Wijkstra H (2018) The EFSUMB guidelines and recommendations for the clinical practice of contrast-enhanced ultrasound (CEUS) in non-hepatic applications: update 2017 (Long Version). Ultraschall Med 39(2):e2–e44

    PubMed  Google Scholar 

  • Sikka SC, Hellstrom WJ, Brock G, Morales AM (2013) Standardization of vascular assessment of erectile dysfunction: standard operating procedures for duplex ultrasound. J Sex Med 10(1):120–129

    PubMed  Google Scholar 

  • Silberman M, Stormont G, Hu EW (2021) Priapism. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island, FL; 2021 PMID: 29083574

    Google Scholar 

  • Singh R, Hamada AJ, Bukavina L, Agarwal A (2012) Physical deformities relevant to male infertility. Nat Rev Urol 9:156–174

    CAS  PubMed  Google Scholar 

  • Swerdloff RS, Ng CM (2019) Gynecomastia: etiology, diagnosis, and treatment. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, Dungan K, Grossman A, Hershman JM, Hofland J, Kalra S, Kaltsas G, Koch C, Kopp P, Korbonits M, Kovacs CS, Kuohung W, Laferrère B, McGee EA, McLachlan R, Morley JE, New M, Purnell J, Sahay R, Singer F, Stratakis CA, Trence DL, Wilson DP, editors. Endotext [Internet]. MDText.com, Inc., South Dartmouth (MA); 2000–. PMID: 25905330

  • Tasian GE, Copp HL (2011) Diagnostic performance of ultrasound in nonpalpable cryptorchidism: a systematic review and meta-analysis. Pediatrics 127(1):119–128

    PubMed  Google Scholar 

  • Vicari E, Arcidiacono G, Di Pino L, Signorelli S, Arancio A, Sorrentino F, Battiato C, D'Agata R, Calogero AE (2005) Incidence of extragenital vascular disease in patients with erectile dysfunction of arterial origin. Int J Impot Res 17(3):277–282

    CAS  PubMed  Google Scholar 

  • Westlander G, Ekerhovd E, Granberg S, Lycke N, Nilsson L, Werner C, Bergh C (2001) Serial ultrasonography, hormonal profile and antisperm antibody response after testicular sperm aspiration. Hum Reprod 16:2621–2627

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lotti, F., Zitzmann, M., Behre, H.M. (2023). Ultrasound Imaging in Andrology. In: Nieschlag, E., Behre, H.M., Kliesch, S., Nieschlag, S. (eds) Andrology. Springer, Cham. https://doi.org/10.1007/978-3-031-31574-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-31574-9_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-31573-2

  • Online ISBN: 978-3-031-31574-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics