Testicular sperm retrieval at the time of bilateral radical orchiectomy
A new indication for testicular tissue cryopreservation is discussed here. We evaluate the feasibility of testicular sperm extraction during bilateral orchiectomy for testicular cancer. A 26-year-old man with a history of right orchidopexy presented with primary infertility. Tests revealed left vari...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2009-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2009;volume=1;issue=1;spage=22;epage=24;aulast=Nassir |
| _version_ | 1819102799411019776 |
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| author | Nassir Anmar Grantmyre John |
| author_facet | Nassir Anmar Grantmyre John |
| author_sort | Nassir Anmar |
| collection | DOAJ |
| description | A new indication for testicular tissue cryopreservation is discussed here. We evaluate the feasibility of testicular sperm extraction during bilateral orchiectomy for testicular cancer. A 26-year-old man with a history of right orchidopexy presented with primary infertility. Tests revealed left varicocele and oligospermia. He underwent varicocelectomy but was lost to follow-up. Nine months later, he presented with right-sided solid testicular swelling. Ultrasound examination confirmed the finding of possible neoplasm and revealed contralateral intratesticular lesion. Since the patient turned azoospermic, no semen sample could be cryopreserved. Permanent histopathological sections revealed bilateral classical seminomas. On processing the fresh healthy looking specimen, normal-looking viable sperm were obtained. Future attempts at <i> in-vitro</i> fertilization with intracytoplasmic sperm injection should be possible. This method has been described in metachronous testicular cancer, but to our knowledge, we are the first to use it in synchronous bilateral testicular tumors. |
| first_indexed | 2024-12-22T01:40:18Z |
| format | Article |
| id | doaj.art-453b1cf709704211bf189cfcb5bf5e02 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-22T01:40:18Z |
| publishDate | 2009-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-453b1cf709704211bf189cfcb5bf5e022022-12-21T18:43:16ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342009-01-01112224Testicular sperm retrieval at the time of bilateral radical orchiectomyNassir AnmarGrantmyre JohnA new indication for testicular tissue cryopreservation is discussed here. We evaluate the feasibility of testicular sperm extraction during bilateral orchiectomy for testicular cancer. A 26-year-old man with a history of right orchidopexy presented with primary infertility. Tests revealed left varicocele and oligospermia. He underwent varicocelectomy but was lost to follow-up. Nine months later, he presented with right-sided solid testicular swelling. Ultrasound examination confirmed the finding of possible neoplasm and revealed contralateral intratesticular lesion. Since the patient turned azoospermic, no semen sample could be cryopreserved. Permanent histopathological sections revealed bilateral classical seminomas. On processing the fresh healthy looking specimen, normal-looking viable sperm were obtained. Future attempts at <i> in-vitro</i> fertilization with intracytoplasmic sperm injection should be possible. This method has been described in metachronous testicular cancer, but to our knowledge, we are the first to use it in synchronous bilateral testicular tumors.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2009;volume=1;issue=1;spage=22;epage=24;aulast=NassirAzoospermiabilateral seminomamale infertilityorchidopexysynchronous testicular cancerTESE |
| spellingShingle | Nassir Anmar Grantmyre John Testicular sperm retrieval at the time of bilateral radical orchiectomy Urology Annals Azoospermia bilateral seminoma male infertility orchidopexy synchronous testicular cancer TESE |
| title | Testicular sperm retrieval at the time of bilateral radical orchiectomy |
| title_full | Testicular sperm retrieval at the time of bilateral radical orchiectomy |
| title_fullStr | Testicular sperm retrieval at the time of bilateral radical orchiectomy |
| title_full_unstemmed | Testicular sperm retrieval at the time of bilateral radical orchiectomy |
| title_short | Testicular sperm retrieval at the time of bilateral radical orchiectomy |
| title_sort | testicular sperm retrieval at the time of bilateral radical orchiectomy |
| topic | Azoospermia bilateral seminoma male infertility orchidopexy synchronous testicular cancer TESE |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2009;volume=1;issue=1;spage=22;epage=24;aulast=Nassir |
| work_keys_str_mv | AT nassiranmar testicularspermretrievalatthetimeofbilateralradicalorchiectomy AT grantmyrejohn testicularspermretrievalatthetimeofbilateralradicalorchiectomy |