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Puliatti S, Toso S, Ticonosco M, Rabito S, Sighinolfi MC, Ferrari R, Rochira V, Santi D, Trenti T, Navarra M, Ferretti S, Montano L, Micali S. Semen Analysis in "Urology-Naïve" Patients: A Chance of Uroandrological Screening in Young Males. J Clin Med 2023; 12:jcm12113803. [PMID: 37298000 DOI: 10.3390/jcm12113803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 05/11/2023] [Accepted: 05/25/2023] [Indexed: 06/12/2023] Open
Abstract
(1) Background: While females start their gynecological examinations during puberty, only few men decide to be visited by urologists in their youth. Given the participation in the EcoFoodFertility research project, our department had the opportunity to screen young males that were supposedly healthy. (2) Results: from January 2019 to July 2020, we evaluated 157 patients with sperm, blood analysis, and uroandrological examinations. The inclusion criteria were age 18-40 and absence of previous urological disease (urology-naïve). The primary endpoint of the study was to record uroandrological diseases that are occasionally discovered during examination in asymptomatic young men. The average age was 26.9 years (range 18-40); average testicular volume was 15.7 mL (range 12-22 mL); and 45.2% reported abnormal semen analysis: 62 cases of teratozoospermia, 27 asthenozoospermia, 18 oligozoospermia, and 2 azoospermia were discovered respectively; 4/157 patients were diagnosed with hypogonadism; 2 cases with suspicious testicular mass resulted in testicular cancer; and 31 suspected varicoceles and 8 patients with mild sexual dysfunctions were managed. (3) Conclusions: an uroandrological evaluation of young asymptomatic males allowed for the prompt diagnosis of different urological conditions, including cancerous ones, in our series. Despite being debatable, combining urological counselling with physical examination, semen analysis, and a laboratory profile could be useful and cost-effective in order to ameliorate male health.
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Affiliation(s)
- Stefano Puliatti
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
| | - Stefano Toso
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
| | - Marco Ticonosco
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
| | - Salvatore Rabito
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
| | | | - Riccardo Ferrari
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
| | - Vincenzo Rochira
- Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, 41121 Modena, Italy
| | - Daniele Santi
- Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, 41121 Modena, Italy
| | - Tommaso Trenti
- Toxicology and Advanced Diagnostics, Ospedale S. Agostino-Estense, 41126 Modena, Italy
| | - Michele Navarra
- Department of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, 98166 Messina, Italy
| | - Stefania Ferretti
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
| | - Luigi Montano
- Andrology Unit and Service of Lifestyle Medicine in Uroandrology, Local Health Authority (ASL) Salerno, Coordination Unit of the Network for Environmental and Reproductive Health (EcoFoodFertility Project), Oliveto Citra Hospital, 84124 Salerno, Italy
- PhD Program in Evolutionary Biology and Ecology, University of Rome "Tor Vergata", 00133 Rome, Italy
| | - Salvatore Micali
- Department of Urology, University of Modena e Reggio Emilia, 41125 Modena, Italy
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