Distribution of intraprostatic hyperchoice lesions in infertile men.
OBJECTIVE
To determine whether intraprostatic hyperechogenic lesions seen on transrectal ultrasonography are related to infertility.


METHODS
The transrectal ultrasonographic studies of 58 infertile men and 12 fertile controls who all had intraprostatic hyperechoic lesions were reviewed to determine the anatomic distribution of hyperechoic lesions within the prostate and their relationship to the ejaculatory ducts.


RESULTS
Hyperechoic lesions were located in the region of the verumontanum in 62% of the fertile control subjects and only 22% of infertile patients (P < 0.05). In contrast, hyperechoic lesions were present in the region of the ejaculatory ducts in 75% of the infertile men and only 39% of the fertile controls (P < 0.05).


CONCLUSIONS
Hyperechogenic lesions located within the verumontanum appear to be a normal finding in fertile men, whereas lesions located in the region of the ejaculatory ducts are more likely to be associated with infertility.
Poore
R E
RE
Department of Urology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Jarow
J P
JP
D000328:Adult; D016022:Case-Control Studies; D006801:Humans; D007248:Infertility, Male / Q000000981:diagnostic imaging*; D008297:Male; D011467:Prostate / Q000000981:diagnostic imaging*; D014463:Ultrasonography