Tiomesterone
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Testicular Microlithiasis is a medical condition characterized by the presence of small, non-shadowing echogenic foci within the parenchyma of the testis without acoustic shadowing. These foci are typically less than 3 mm in size.
Epidemiology[edit | edit source]
Testicular microlithiasis is seen in approximately 2.4-5.6% of men who undergo scrotal ultrasound for various reasons. The condition is often bilateral and is associated with certain genetic syndromes, such as Peutz-Jeghers syndrome and Down syndrome.
Clinical Presentation[edit | edit source]
Most patients with testicular microlithiasis are asymptomatic and the condition is often discovered incidentally during scrotal ultrasound for other reasons. Some patients may present with testicular pain or discomfort.
Diagnosis[edit | edit source]
The diagnosis of testicular microlithiasis is made by ultrasound examination of the scrotum. The characteristic ultrasound finding is multiple, tiny, non-shadowing echogenic foci scattered throughout the testicular parenchyma.
Management[edit | edit source]
The management of testicular microlithiasis is controversial. Some experts recommend regular follow-up with scrotal ultrasound, while others believe that routine follow-up is not necessary unless the patient has other risk factors for testicular cancer.
Prognosis[edit | edit source]
The prognosis of testicular microlithiasis is generally good. However, there is some evidence to suggest that the condition may be associated with an increased risk of testicular cancer.
See Also[edit | edit source]
References[edit | edit source]
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Contributors: Prab R. Tumpati, MD