DOI: 10.36347/sjams.2018.v06i04.084

Pages: 1782-1795

The aims of our study is to evaluate the role of ultrasonography to identify any intra and extra testicular causes of male infertility and to correlate ultrasonographic findings with clinical and laboratory findings. This prospective study was carried out on 100 patients attending the outpatient department of Infertility clinic of Department of Surgery, detailed history and examination was done. The patients suspected to have scrotal pathology were subjected to colour Doppler sonography in the Department of Radiodiagnosis, AMU, and Aligarh. In our study clinically varicocoele was the most common anomaly found followed by atrophic testes, epididymal cyst and others. On colour Doppler sonography varicocoele was the most common sonographic abnormality that was present in 40 (35.08%) patients. Left sided varicocoele was more common than right sided varicocoele. Sonography had an overall sensitivity of 57% whereas clinical examination had an overall sensitivity of only 22% o. Testicular volume and mean sperm counts/ ejaculate have shown a proportionate relationship in our study. Ultrasound is a non-invasive method, easy to perform and is cost effective. It provides important information without any post- examination consequences. Due to the high incidence of abnormalities detected by color Doppler ultrasonography we advocate that it should be used as a routine investigation in all infertile male patients.