کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6178749 | 1253285 | 2014 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo study the outcomes of microdissection testicular sperm extraction (microTESE) among men with pure Sertoli cell-only histology on diagnostic testicular biopsy.DesignRetrospective cohort study.SettingTertiary referral center.Patient(s)Six hundred forty patients with pure Sertoli cell-only histology on testicular biopsy who underwent microTESE by a single surgeon.Intervention(s)MicroTESE.Main Outcome Measure(s)Sperm retrieval rates.Result(s)Overall, 44.5% of patients with Sertoli cell only had sperm retrieved with microTESE. No difference was noted in sperm retrieval rates based on testis volume (â¥15 mL vs. <15 mL, 35.3% vs. 46.1%, respectively). Patients with â¥15 mL testicular volume and FSH 10-15 mU/mL had the worst prognosis, with a sperm retrieval rate of 6.7%.Conclusion(s)Patients with previous testicular biopsy demonstrating Sertoli cell-only histology can be counseled that they have a reasonable likelihood of sperm retrieval with the contemporary delivery of microTESE. Given this finding, the utility of testicular biopsy before microTESE is further questioned.
Journal: Fertility and Sterility - Volume 102, Issue 5, November 2014, Pages 1282-1286