Epididymal Cyst Lesions Are Not Associated With Impaired Semen Parameters Among Men Presenting for Fertility Evaluation.

Autor:	Greenberg DR; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Gago LC; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Kumar SKSR; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Panken EJ; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Ji EJ; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Tsai KP; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Asanad K; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Hayon S; Department of Urology, Medical University of South Carolina, Charleston, South Carolina., Brannigan RE; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois., Halpern JA; Department of Urology, Northwestern Memorial Hospital, Chicago, Illinois.; Posterity Health, Centennial, Colorado.
Jazyk:	angličtina
Zdroj:	The Journal of urology [J Urol] 2024 Dec; Vol. 212 (6), pp. 891-898. Date of Electronic Publication: 2024 Aug 26.
DOI:	10.1097/JU.0000000000004224
Abstrakt:	Purpose: Epididymal cyst lesions (ECLs) include both spermatoceles and epididymal cysts and are often incidentally found on physical exam or scrotal US (SUS). We aimed to determine the association of ECLs and semen parameters among men presenting for fertility evaluation. Materials and Methods: We reviewed men at our institution who had at least 1 semen analysis and SUS available for review between 2002 and 2022. SUS data included testicular measurements, presence or absence of subclinical varicocele, and size and laterality of ECL, if present. Demographic and clinical information including serum testosterone and follicle-stimulating hormone and semen parameters were compared between men with and without ECLs. Results: Among 861 men, 164 (19%) had unilateral right ECL (median 4 mm, interquartile range 3-8 mm), 189 (22%) had unilateral left ECL (median 4 mm, interquartile range 3-9 mm), and 113 (13%) had bilateral ECL. Patients with ECLs were significantly older than men without ECLs at the time of evaluation but had no statistically significant difference in semen volume, sperm concentration, sperm motility, sperm morphology, total motile sperm count, or serum hormonal values. Analysis of men with unilateral and bilateral ECLs showed that ECL size and laterality did not significantly correlate with any semen parameter evaluated. Conclusions: We found no association between ECLs and semen parameters. Patients should be counseled toward conservative management with observation for asymptomatic ECLs in the setting of fertility evaluation.
Databáze:	MEDLINE
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