Semen analysis in “urology-naïve” patients: a chance of uroandrological screening in young male

Abstract Background Differently from female population, where gynaecological examinations begin during puberty, few men decide to be visited by urologist in youth. Given the participation to the Ecofood-Fertility trial, our department had the opportunity to screen young males supposedly healthy. Results From January 2019 to July 2020, we evaluated 81 patients with sperm analysis, blood analysis and uro-andrological examination. Inclusion criteria were age 18-40 and absence of previous urological disease (urology-naïve). The primary endpoint of the study is to record uro-andrological diseases occasionally discovered during examination in asymptomatic young men. Mean age was 25,7 years (range19-36); average testicular volume was 17,4ml (range12-22ml). 74,1% reported abnormal semen analysis: 43 cases of teratozoospermia, 12 astenozoospermia, 6 oligozoospermia and 2 azoospermia were discovered. 2/58 patients were diagnosed with hypogonadism. 2 cases with suspicious testicular mass resulted in testicular cancer. 14 suspected varicoceles and 6 patients with mild sexual dysfunctions were managed.Conclusion An uro-andrological evaluation of young asymptomatic males allowed for the prompt diagnosis of different urological conditions, including cancerous ones, in our series. Despite debatable, urological counselling with physical examination, semen-analysis and a laboratoristic-profile could be useful and cost effective in order to enhance males’ health.