Shlomi Barak

Commentary The recently published APHRODITE criteria represent a major conceptual advance in the management of male infertility. For the first time, a structured and pragmatic classification system has been introduced to categorize infertile men based on routinely available clinical, semen, and hormonal parameters.

Obstructive azoospermia (OA) is a potentially treatable cause of male infertility. Point-of-care ultrasonography (POCUS) has emerged as a valuable adjunct in the evaluation of male infertility, enabling rapid identification of sonographic findings suggestive of reproductive tract obstruction. We describe the use of scrotal POCUS in the evaluation of OA in a man with a history of infantile bilateral Cohen cross-trigonal ureteral reimplantation for severe vesicoureteral reflux.