ANDROLOGY ISSN:2047-2919 WELCOME OnbehalfoftheEuropeanAcademyofAndrology(EAA),welookforwardtoyourparticipationatthe8thEuropeanCon- gressofAndrology(ECA2014)thatwillbeheldinBarcelonafrom15thto17thOctober,2014.Wehopeitwillbeamemora- bleeventforallmembersoftheEAAandallprofessionalsengagedinthisfieldwhodecidedtojoinus. The excellent scientific programme provides a forum for specialists to encourage discussion about the latest develop- mentsinmalereproduction,onco-andrology,andro-genetics,maleandfemalesexualdysfunction,sexualtransmitteddis- easesandsomeaspectsofandrologicalsurgery.Theprogrammeincludesplenarylecturesandoffersamultidisciplinary platformforfurtheringourunderstandingofmen’ssexualandreproductivehealth.Weareconfidentthatthemeetingwill beofmajorscientificinterest. Asinthepreviousedition,ECA2014,togetherwiththeEuropeanSchoolofUrology(ESU)andtheEuropeanSocietyof AndrologicalUrology(ESAU),hasorganizedthreecoursesfocusingonthesurgicalaspectsofNOA,varicoceleandPeyronie disease.Inaddition,onOctober15thaPost-graduateCoursedealingwith‘StandardcareanddiagnosticproceduresinAn- drology’willtakeplace. WearewarmlywelcomingyoutoBarcelona! OsvaldoRajmil CsillaKrausz ChairoftheLOC ChairofthePOC (LocalOrganisingCommittee) (ProgrammeOrganisingCommittee) Andrology is the meeting point of many medical and veterinary specialties. It is also a homeforthosewhoworkinthefieldofstemcellsandreproductivebiology.Wefacemany challengesinmalereproductivehealth,suchasinfertility,lackofmalecontraceptives,male sexual problems, secondary effects of cancer treatment and many more. We need a wide frontofresearchersandclinicianswhotackletheandrologicalproblemsingoodcollabora- tion.EuropeanAcademyofAndrologywantstogiveaforumforthisaction,andEuropean Congress of Andrology in Barcelona will be the place to meet this year. Local organizers andtheprogrammeorganizingcommitteehavecreatedawonderfulopportunityforusto cometogethertopushandrologyforwardwithgreatscienceandgoodspirit.Onbehalfof theEuropeanAcademyofAndrologyIwanttowelcomeyoutojoinusinBarcelona. JormaToppari PresidentoftheEuropean AcademyofAndrology ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology Andrology,2014,2(Suppl.2),1–3 1 PROGRAMMEORGANISING COMMITTEE Chairperson StefanArver JacquesAuger AndreaIsidori CsillaKrausz Sweden France Italy Italy NielsJoergensen WolfgangWeidner RafelOliva Denmark Germany Spain LOCALORGANISINGCOMMITTEE OsvaldoRajmil Llu(cid:1)ısBassas PedroGuttie(cid:1)rez EduardRuiz-Castan~(cid:1)e Barcelona Barcelona SantaCruzdeTenerife Barcelona 2 Andrology,2014,2(Suppl.2),1–3 ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology EXECUTIVECOUNCILOFFICERS JormaToppari MarioMaggi HermannM.Behre President Secretary Treasurer EXECUTIVECOUNCILMEMBERS GertDohle EmmanueleJannini OsvaldoRajmil DimitriosG.Goulis EXOFFICIO FrederickCWWu EwaRajpert-DeMeyts PastPresident AndrologyEditor ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology Andrology,2014,2(Suppl.2),1–3 3 ABSTRACTS ISSN: 2047-2919 8thEUROPEANCONGRESSOFANDROLOGY PRE-CONGRESSEVENTS 15October2014 Post-GraduateCourse:StandardCareinAndrology Chairpersons:C.Krausz(Italy)andO.Rajmil(Spain) 09:00–09:20 Semenparameters:whatisthenormalrange? N.Jorgensen(Denmark) 09:20–09:40 Semenanalysesaccordingto2010WHOguidelines:meritsandlimits J.Auger(France) 09:40–09:50 Discussion 09:50–10:10 Imagingofthemalereproductivetract:towardsstandardization F.Lotti(Italy) 10:10–10:30 Novelimagingmodalitiesfortesticulartumors A.Isidori(Italy) 10:30–10:40 Discussion 10:40–11:00 Coffeebreak 11:00–11:20 Genetictesting:thenewEAA/EMQNGuidelinesforAZFdeletions C.Krausz(Italy) 11:20–11:40 Genetictesting:karyotypeanomaliesandspermFISHanalysis R.OlivaandM.Codina(Spain) 11:40–12:20 Pre-ARTstandarddiagnosticworkupof: -TheAzoospermicman L.Bassas(Spain) -TheOligozoospermicman J.L.Ballesca(Spain) 12:20–12:30 Discussion 12:30–12:50 Testosteronemeasurement:whatisthenormalrange? F.Wu(UK) 12:50–13:10 Standarddiagnosticworkupinerectileandejaculatorydysfunction S.Arver(Sweden) 13:10–13:20 Discussion 13:20–13:30 ClosingRemarks AMSSymposium Chair:E.Ruiz-Castan~(cid:2)e (Spain) 09:00–09:10 Welcomingremarks E.Ruiz-Castan~(cid:2)e(Spain) 09:10–09:30 Lastgenerationonpenileprostheses J.I.Mart(cid:2)ınez(Spain) 09:30–09:50 Strategiestoavoidcomplications J.Sarquella(Spain) 09:50–10:20 Penileimplanttechniques.Tipsandtricks C.Bettocchi(Italy) 10:20–10:30 Coffeebreak 10:30–11:10 Othercontingencies.Options E.LLedo(cid:2) (Spain) 11:10–11:40 SurgicaloptionsinLaPeyronieDisease O.Shaeer(Egypt) 11:40–12:30 Paneldiscussionandclosingremarks 4 Andrology,2014,2(Suppl.2),4–9 ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology ECACONGRESS ECAMAINPROGRAMME 15October2014 15:15–16:15 WELCOMECEREMONY 16:15–17:00 PlenaryI: Chairperson:J.Toppari(Finland) Testicularcancer:fateorbadluck. E.Rajpert-DeMeyts(Denmark) PARALLELSESSIONS ECAI:Sexualdevelopmentandgenderidentity Chairpersons:G.Forti(Italy)andG.Haidl(Germany) 17:00–17:30 Sexdifferentiationandthebrain:relationtogenderidentity,sexualorientation D.Swaab(TheNetherlands) 17:30–18:00 Hormonaltreatmentingenderdysphoria. G.T’Sjoen(Belgium) 18:00–18:30 Longtermoutcomeofgenderdysphoria C.Dhejne(Sweden) ECAselectedoralI:Goldenpresentations Chairpersons:A.Meinhardt(Germany)andO.Rajmil(Spain) 17:00–17:20 MutationsinanX-Linkedgeneareacommoncauseofmeioticarrestand azoospermia. A.N.Yatsenko(USA) 17:20–17:40 Differentialeffectsofperinatal,prepubertalorconceptiontoadulthoodexposures toalowdosemixtureofgenisteinandvinclozolinonthegenitaltractand testiculargeneexpressionintheexposedgenerationandtheunexposedprogeny. F.Eustache(France) 17:40–18:00 Evaluationofintratesticularperfusionbycolor-codedduplexsonography(CCDS)in TESE-patientswithazoospermia:aprospectivestudy. B.Altinkilic(Germany) 18:00–18:20 Associationbetweenendogenoustestosterone(T)levels,sexualdysfunctionand PDE-5inhibitor(PDE5i)useintheregistryofhypogonadisminmen(RHYME). G.Rastrelli(Italy) BayerSymposium CardiovascularRisk:aConcernfortheAndrologist? Chairperson:M.Maggi(Italy) 17:00–17:30 Effectsoflong-termtestosteronetreatmentinobesemenwithandwithouttype2 diabetes. F.Saad(Germany) 17:30–18:00 Testosteroneandcardiovascularrisk–whatistheevidence? M.Maggi,(Italy) 18:00–18:30 ErectileDysfunctionasacardiovascularriskmarkerandpredictorofpoorqualityof life. E.Garc(cid:2)ıa–Cruz(Spain) 18:30–19:30 POSTERGUIDEDTOUR: Chairpersons:L.Bassas(Spain),C.Boitani(Italy),G.Corona(Italy),J.Erenpreiss(Latvia), M.Gonzalez-Fernandez(Spain),Zs.Kopa(Hungary),H.C.Schuppe(Germany),O.Shaeer(Egypt) andJ.Slowikowska-Hilzer(Poland) 19:30–21:00 WELCOMERECEPTION 16October2014 09:00–9:45 PlenaryII: Chairperson:E.Baldi(Italy) ASAExchangeLecture:FromtheEpydidimistotheEgg. P.Cuasnicu(Argentina) (continued) ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology Andrology,2014,2(Suppl.2),4–9 5 ECACONGRESS 09:45–10:15 Coffeebreak PARALLELSESSIONS ECA2.MaleSexuality Chairpersons:H.Behre(Germany)andG.Papp(Hungary) 10:15–10:45 PDE5iortestosterone:whichisthefirstinandrologicalclinicalpractice. E.Jannini(Italy) 10:45–11:15 Anewviewonlifelongprematureejaculation:erectiopraecox,ejaculatiopraecox anddetumescentiapraecox M.D.Waldinger(TheNetherlands) 11:15–11:45 Hypersexuality. K.Go€rtsO€berg(Sweden) ECASelectedOralII:Spermatology Chairpersons:D.Goulis(Greece)andS.Francavilla(Italy) 10:15–10:30 Characterizationandkineticofthehumanspermatogonialcompartment. EVicini(Italy) 10:30–10:45 InvestigationontheoriginofspermDNAfragmentation:roleofapoptosis, immaturityandoxidativestress. E.Baldi(Italy) 10:45–11:00 Routineuseofflowcytometryforcountinghumanspermatozoaandroundcells: lessonsfroma5-yearexperiencerepresentingmorethan20.000analyses. J.Auger(France) 11:00–11:15 Influencesofage,daysofabstinence,andBMIonresultsofsemenanalysisfrom Swedishmenofsub-fertilecouples. J.N.Flanagan(Sweden) 11:15–11:30 Glycationadductsinspermandactivinregulationofinflammationinducedby diabetes. C.Maresch(Germany) EAA/ESAU/ESUCourse:SpermRetrievalinnon-obstructiveAzoospermia. Chairperson:E.Ruiz-Castan~(cid:2)e(Spain) 10:15–10:45 Clinicaldiagnosticsandprognosticfactorsforspermretrieval. Zs.Kopa(Hungary) 10:45–11:15 SurgicaltreatmentofKlinefelterpatients. H.Tournaye(Belgium) 11:15–11:45 Surgicaltreatment(M-TESE). W.Weidner(Germany) 11:45–12:45 POSTERGUIDEDTOUR Chairpersons:Chairs:L.Bassas(Spain),C.Boitani(Italy),G.Colpi(Italy),J.Ramalho-Santos (Portugal),A.Giwercman(Sweden),O.Shaeer(Egypt)andJ.Erenpreiss(Latvia) 12:45–14:00 LUNCH MenariniSymposium Understandingprematureejaculation.Anewapproachtotheanatomy, neurophysiologyandtreatment Chairperson:A.Ferna(cid:2)ndez-Lozano(Spain) 12:45–13:05 Theroleofanatomyonprematureejaculation. F.Giuliano(France) 13:05–13:25 Adifferentlookattheneurophysiology. M.Waldinger(TheNetherlands) 13:25–13:45 What’snewonprematureejaculationtreatment? A.Ferna(cid:2)ndezLozano(Spain) 13:45–14:00 Discussion PARALLELSESSIONS ECA3.Prostate:newsandviews Chairpersons:J.Palou(Spain)andM.Maggi(Italy) 14:00–14:30 Associationsbetweenprostatepathologiesandsexualdysfunction F.Wagenlehner(Germany) 14:30–15:00 BenignProstatichyperplasia:anewmetabolicsyndrome-relateddisease. L.Vignozzi(Italy) (continued) 6 Andrology,2014,2(Suppl.2),4–9 ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology ECACONGRESS 15:00–15:50 Facetofaceonprostatecancerscreening:PSAversusnovelbiomarkers. M.Roobol(TheNetherlands)andM.Lazzeri(Italy) ECA4.BoneTestiscrosstalk Chairperson:N.Joergensen(Denmark) 14:00–14:30 VitaminDandmalereproduction. M.BlombergJensen(Denmark) 14:30–15:00 Testisversusbone. A.Ferlin(Italy) ECASelectedOralIII:ReproductiveHealth Chairpersons:M.Punab(Estonia)andG.Balercia(Italy) 15:00–15:15 SpermDNAdamagesafterchemotherapyorradiotherapyfortesticularcancer. N.Rives(France) 15:15–15:30 Prenatalphthalateexposureandreproductiveindicesinadolescentmales. J.Axelsson(Sweden) 15:30–15:45 Doesreproductivetractinflammationmediatereproductivedysfunctioninmales withthemetabolicsyndrome? K.Leisegang(SouthAfrica) ESU/ESAU/EAACourse:Peyronie’sDisease Chairperson:E.Meuleman(theNetherlands) 14:00–14:30 Pathophysiologyanddiagnosticmanagement. F.Fusco(Italy) 14:30–15:00 Drugtreatmentandothernon-operativetherapy. D.Ralph(UK) 15:00–15:30 Surgicaltreatment. E.Meuleman(TheNetherlands) 15:50–16:00 “Andrology”AwardCeremony Chaipersons:E.RajpertDeMeyts(Denmark)andD.Carrell(USA) “HormonesuppressionwithGnRHantagonistpromotesspermatogenicrecovery fromtransplantedspermatogonialstemcellsinirradiatedcynomolgusmonkeys” M.L.Meistrich(USA) 16:00–16:35 PlenaryIII Chairperson:C.Krausz(Italy) Thebrightsideofthemalegamete:thetelomerelength A.Aviv(USA) 16:35–16:55 Coffeebreak PARALLELSESSIONS ECA5.ImaginginAndrology Chairperson:A.Isidori(Italy) 16:55–17:30 Imagingofthemalegenitaltract:2014update. F.Lotti(Italy) 17:30–18:10 Pictorialreviewofcutaneousgenitallesions. A.Vives(Spain) ECA6.FrombasictoClinicalAndrology Chairpersons:R.Oliva(Spain)andG.Mieusset(France) 16:55–17:25 Profilinghumansperm:fromfunctionalstudiestoomicsanalyses,andbackagain. J.Ramalho-Santos(Portugal) 17:25–17:55 Intra-testicularcellulardynamicsandregulationofLeydigcellfunction. P.O’Shaughnessy(UK) 17:55–18:10 SelectedOralpresentation:Serumdelta4pathwaysteroidsprofilingbyisotopic diluition-liquidchromatography-massspectrometry(ID-LC-MS/MS)afterhuman chorionicgonadotropin(HCG)stimulationinmenwithklinefelter’ssyndrome(KS) andineugonadiccontrols(ec). S.Belli(Italy) ECASelectedOralIV:Infertility Chairs:K.Kula(Poland)andJ.Hera(cid:3)cek(CzechRepublic) 16:55–17:10 InhibinBasamarkerofsuccessaftervaricocelectomyinsevereoligozoospermia. A.Khelaia(Georgia) (continued) ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology Andrology,2014,2(Suppl.2),4–9 7 ECACONGRESS 17:10–17:25 Motilespermcount,DNAfragmentationandmitochondrialmembranepotential arenotusefulinpredictingintrauterineinseminationformixedindications:a prospectivestudy. B.Zorn(Slovenia) 17:25–17:40 Subcapsularorchiectomyasanalternativemethodforidentificationandisolation oftesticularspermfrommenwithKlinefelter’ssyndrome. J.Fedder(Denmark) 17:40–17:55 Geneexpressionanalysisofhumanspermneedsdifferentialnormalizers. M.Barragan(Spain) 17:55–18:10 Evaluationoftesticularbiopsiesfrominfertilemen:correlationsbetween histopathology,protaminemRNAexpression,andspermretrieval H-CSchuppe(Germany) 18:10–19:30 EAAGENERALASSEMBLY 20:30–23:00 CONFERENCEDINNER 17October2014 PARALLELSESSIONS ECA7.AndrogensandHypogonadism Chairs:S.Arver(Sweden)andF.Wu(UK) 8:45–9:15 AbuseofAndrogens. E.Nieschlag(Germany) 9:15–9:45 Thevulnerableuremicman-roleofhypogonadism. P.Stenvinkel(Sweden) 9:45–10:00 SelectedOralpresentation:Novelproteomicbiomarkersofandrogendeficiencyfrom seminalplasmaprofilingusinghigh-resolutionmassspectrometry. G.Grande(Italy) 10:00–10:15 SelectedOralpresentation:Testosteronesupplementationandsexualfunction:ameta- analysisstudy. G.Corona(Italy) ECA8.SessionoftheINYRMF Chairs:C.Chianese(Italy)andJ.Castillo(Spain) 8:45–9:15 Pharmacogeneticsinmaleinfertility:whataboutpersonalisedFSH-treatmentin 2014? F.Tuettelmann(Germany) 9:15–9:30 SelectedOralpresentation:High-resolutionprofilingofnoveltranscriptionalevents duringhumanspermatogenesis. F.Chalmel(France) 9:30–9:45 SelectedOralpresentation:Whyaresomehumanspermimmotile?Adifferential proteomicsapproach. 9:45–10:00 C.Paiva(Spain) SelectedOralpresentation:ExpressionoffunctionalhistamineH4receptorsinmurine andhumanLeydigtumorcells. C.Mondillo(Argentina) 10:00–10:15 SelectedOralpresentation:Differentialactivationofinflammatorypathwaysin testicularmacrophagesprovidesarationalefortheirsubduedinflammatory capacity. S.Bhushan(Germany) ESU/ESAU/EAACourse:Varicocele Chairperson:W.Weidner(Germany) 8:45–9:15 Roleininfertilityandclinicaldiagnosis. N.Sofikitis(Greece) 9:15–9:45 Surgicaltherapy. G.Dohle(TheNetherlands) (continued) 8 Andrology,2014,2(Suppl.2),4–9 ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology ECACONGRESS 9:45–10:15 Sclerozationandembolization. C.Bettocchi(Italy) PARALLELSESSIONS ECA9.InfertilityI:DrugsandReproductiveHealth Chair:J.Auger(France)andM.Simoni(Italy) 10:15–10:40 Theheadacheofanalgesicsduringpregnancyandthefetalreproductivesystem: howandwhy. B.J(cid:2)egou(France) 10:40–11:05 Commondrugintakeandhumanspermatogenesis A.Giwercman(Sweden) 11:05–11:30 Lateconsequencesofchildhoodandadolescencecancertreatment G.Dohle(TheNetherlands) ECA10.InfertilityII:GeneticsandEpigenetics Chairpersons:A.Calogero(Italy)andY.Giwercman(Sweden) 10:15–10:40 Thespermepigenome. D.Carrell(USA) 10:40–11:05 Spermnuclearproteomeanditsepigeneticpotential. J.Castillo(Spain) 11:05–11:20 SelectedOralpresentation:Xchromosome-linkedCNVsinmaleinfertility:discoveryof overallduplicationloadandrecurrent,patient-specificgainswithpotential clinicalrelevance. C.Chianese(Italy) 11:20–11:35 SelectedOralpresentation:ImpairmentofDAZ-AZFcgeneexpressioninpostmeiotic humanmalegermcellsofmenwithseverehypospermatogenesis. P.H.Vogt(Germany) ECASelectedOralV:SexualDysfunction Chair:P.Guti(cid:2)errez(Spain)andK.Shaeer(Egypt) 10:15–10:30 Developmentofsecondaryhypogonadisminagingmen:riskfactorsandclinical picture:longitudinalresultsfromtheEuropeanMaleAgingStudy(EMAS). G.Rastrelli(Italy/UK) 10:30–10:45 Mechanismofestrogen-orantiandrogen-inducedpenilemaldevelopment. H.Goyal(USA) 10:45–11:00 Tadalafilamelioratesmetabolicsyndrome-inducedalterationsinvisceraladipose tissueandliver:anexperimentalstudyintherabbit. L.Vignozzi(Italy) 11:00–11:15 Sub-albugineanadipocyteaccumulationisassociatedwitherectiledysfunction: firstclinicalevidenceandpathophysiologicalimplications. J.I.Vinay(Chile) 11:15–11:30 Penileenlargementandaugmentation:411cases. M.Rossello(cid:2)Gaya(cid:2)(Spain) 11:40–12:15 BRUNCH 12:15–13:00 Plenary4. Chair:S.Schlatt(Germany) Spermatogonialstemcellpreservationandtransplantationanno2014:whatevery clinicianshouldknow. H.Tournaye(Belgium) 13:00–13:15 ClosingRemarks ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology Andrology,2014,2(Suppl.2),4–9 9 ABSTRACTS ISSN: 2047-2919 INVITEDSPEAKERABSTRACTS promotedanongoingmulticentrestudyaimedatinvesti- gatingtheCDUSfeaturesoftheentireMGTinhealthy,fer- tile men, in order to obtain ‘normative’ parameters for INVITEDTALKS:POST-GRADUATE both scrotal and transrectal CDUS. The project has been COURSE discussed in Florence on October 20th, 2012 (practical investigator meeting) and in Berlin on November 29th, IOP1 2012,duringtheEuropeanCongressofAndrology(proto- col discussion). So far, approval from Ethical Committee has been submitted in several Centers and already Imagingofthemalereproductivetract:towards obtainedinsomeofthem.Thecharacteristicsofthestudy standardization are available at http://www.andrologyacademy.net/stud- F.LOTTI1,S.ARVER2,G.BALERCIA3,A.BARBONETTI4, ies.php. The aim of the study is: primary, to evaluate the H.M.BEHRE5,A.E.CALOGERO6,S.FRANCAVILLA4, CDUS features of the scrotal and prostate-vesicular A.GIOIA3,A.M.ISIDORI7,N.JØRGENSEN8,S.KLIESCH9, regions in healthy fertile men; secondary: to correlate K.KULA10,S.LAVIGNERA6,A.LENZI7,M.MARCOU5, CDUS findings with clinical, seminal and biochemical U.PAASCH11,A.PILATZ12,O.POOLAMETS13, parametersevaluatedduringthesameCDUSsession.The M.PUNAB13,C.QUINTIAN14,O.RAJMIL14, study is designed as a prospective, cohort, multicentric, W.WEIDNER12ANDM.MAGGI1 international,observationalstudy.14EAACenterspartici- 1SexualMedicineandAndrologyUnit,Departmentof pateinthestudy(Ancona,Italy;Barcelona,Spain;Catania, ExperimentalandClinicalBiomedicalSciences,University Italy;Copenhagen,Denmark;Florence,Italy;Giessen,Ger- ofFlorence,Florence,Italy;2CenterforAndrologyand many;Halle-Saale,Germany;L’Aquila,Italy;Leipzig,Ger- SexualMedicine,KarolinskaUniversityHospital/Huddinge, many; Lodz, Poland; Muenster, Germany; Rome, Italy; Stockholm,Sweden;3DivisionofEndocrinology, Stockholm, Sweden; Tartu, Estonia). The Florence EAA DepartmentofClinicalandMolecularSciences,Polytechnic Centeriscoordinatingthestudy.Thestudywillenroll200 UniversityofMarche,Ancona,Italy;4AndrologyUnit, adulthealthy,fertilesubjects.Themaininclusionscriteria DepartmentofLife,HealthandEnvironmentSciences, concern males aged ≥18 years, without serious organic UniversityofL’Aquila,L’Aquila,Italy;5Centerfor disease, partners of a pregnant woman in the second or ReproductiveMedicineandAndrologyoftheUniversity, thirdtrimestersofpregnancyormenwhofatheredachild Halle,Germany;6SectionofEndocrinology,Andrologyand during the last year, following natural conception. All InternalMedicine,DepartmentofMedicalandPediatric patients enrolled will undergo, during the same day, the Sciences,UniversityofCatania,Catania,Italy; followingprocedures:(i)Bloodsamplesforthedetermina- 7DepartmentofExperimentalMedicine,Sapienza tionofLH,FSH,PRL,totaltestosterone,SHBG,TSH,FT3, UniversityofRome,Rome,Italy;8DepartmentofGrowth FT4,PSA,glycaemia,insulinlevels,totalcholesterol,HDL, andReproduction,Rigshospitalet,Copenhagen,Denmark; triglycerides, 17 bestradiol. Biochemical analyses will be 9CenterofReproductiveMedicineandAndrology-Clinical performedinacentrallabattheendofthestudy.(ii)Per- Andrology,UniversityHospitalofMu€nster,Mu€nster, sonalandmedicalhistoryassessment.(iii)Physicalexami- Germany;10DepartmentofAndrology&Reproductive nation. (iv) Scrotal and transrectal CDUS evaluation Endocrinology,MedicalUniversityofŁo(cid:2)d(cid:2)z,Poland; before and after ejaculation. (v) Semen analysis, per- 11DepartmentofDermatology/AndrologyUnit,University formedaccordingtotheWorldHealthOrganization,2010. ofLeipzig,Leipzig,Germany;12DepartmentofUrology, New knowledge generated by our multicenter research PediatricUrologyandAndrology,JustusLiebigUniversity consortium will create a step change in defining the Giessen,Giessen,Germany;13AndrologyUnit,Tartu impact of MGT-CDUS on reproductive medicine. Stan- UniversityHospital,Tartu,Estonia;14AndrologyService, dardizationofMGT-CDUSparametersinahealthy,fertile Fundacio(cid:2)Puigvert,UniversitatAuto(cid:3)nomadeBarcelona, populationwillleadtotheimprovementofourdiagnostic InstitutodeInvestigacionesBiom(cid:2)edicasSantPau(IIB-Sant skillsinidentifyingetiologicalfactorsofmaleinfertility. Pau),Barcelona,Spain Even if medical care of the man suffering of involuntary childlessness is growing faster, in andrology, diagnostic IOP2 and therapeutic measures have not reached yet a critical masstoensureareasonableunderstandingoftheunderly- Genetictesting:thenewEAA/EMQNGuidelinesforAZF ing problem and the consequent, evidence-based, treat- deletions ment. Nowadays, scrotal and transrectal imaging of the C.KRAUSZ1,L.HOEFSLOOT2,M.SIMONI3AND malegenitaltract(MGT)havegreatlyhelpedindecipher- F.TU€TTELMANN4 inganatomy,physiologyandpathologyofmaleinfertility. 1SexualMedicineandAndrologyUnit,Departmentof However, sonographic imaging of MGT still suffers from ExperimentalandClinicalBiomedicalSciences,University lackofstandardizationandoftentendstoproducesubjec- ofFlorence,Florence,Italy;2DepartmentofClinical tiveandvaguediagnosis.Inaddition,scrotalandtransrec- Genetics,ErasmusMC,UniversityMedicalCenter talcolour-Dopplerultrasound(CDUS)inrelationtomale Rotterdam,theNetherlands;3DepartmentofBiomedicine, fertility has not resulted in clear cut-offs, discriminating MetabolismandNeuralSciences,UniversityofModena normal or pathological CDUS parameters. Finally, the andReggioEmilia,Modena,Italy;4InstituteofHuman association between CDUS findings and male infertility/ Genetics,UniversityofMu€nster,Mu€nster,Germany semen parameters has been poorly studied. This is the The molecular diagnosis of Y-chromosomal microdele- reason why the European Academy of Andrology (EAA) tionsisacommonroutinegenetictestwhichispartofthe 10 Andrology,2014,2(Suppl.2),10–28 ©2014TheAuthors.Andrology©2014AmericanSocietyofAndrologyandEuropeanAcademyofAndrology
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