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Accordingly, US evaluation represents a diagnostic element that helps to confirm this diagnostic hypothesis.25 Furthermore, the persistence of HPV in the seminal fluid of patients with MAGI, in particular for infections with oncogenic genotypes, also correlates with the persistence of US signs of inflammation.26 In this contest, ultrasound (US) characterization of patients with MAGI is routinely performed by evaluating prostate, seminal vesicles, and epididymis. The evaluation of serum levels of TT is often required during an initial andrological consultation for various clinical problems (sexual or reproductive pathology) and therefore we wanted to examine retrospectively the frequency of ultrasound criteria suggestive of MAGI according to the different serum concentrations of TT. 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