Sonographic Evaluation of Male Testicular Volume amongst Patients with Fertility Challenges
A Cross-Sectional Retrospective Study
DOI:
https://doi.org/10.59667/sjoranm.v21i1.18Keywords:
Infertility, Asthenozoospermia, Azoospermia, Oligospermia, Varicocele, Enugu, NigeriaAbstract
Background: This study evaluated the association between sonographic testicular volume and semen parameters in men presenting with fertility challenges.
Methods: A retrospective cross-sectional analysis included 50 records of men aged 18–55 years attending the University of Nigeria Teaching Hospital between January 2017 and December 2022. Records included scrotal ultrasound and semen analysis. Descriptive statistics and Pearson correlations were used, with a significance threshold of 0.05.
Results: The reported mean age was 37.42 ± 8.63 years. Reported mean testicular volumes were 11.03 cm³ on the right and 10.65 cm³ on the left. Left testicular volume was positively correlated with sluggish sperm motility (r = 0.301, p = 0.034) and sperm count (r = 0.317, p = 0.025). The reported correlations with active and dead sperm motility were not statistically significant, and none of the reported right-sided correlations reached statistical significance.
Conclusion: In this retrospective sample of men with fertility challenges, left testicular volume showed modest positive associations with sperm count and sluggish sperm motility. These associations do not establish causation or the diagnostic accuracy of testicular volume for infertility.
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Data Availability Statement
All data generated or analyzed during this study are available from the corresponding author upon reasonable request. The datasets supporting the conclusions of this article have been securely archived and can be accessed for further assessment, subject to ethical and legal considerations. This work has been published in the Swiss Journal of Radiology and Nuclear Medicine.
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Copyright (c) 2025 Augusta Amarachi Ezenwaka, Onyebuchi Okechukwu Ezema, Chizoba Ihedioha, Uchechukwu Innocent Nwadike
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