Successful onco-testicular sperm extraction from a testicular cancer patient with a single testis and azoospermia.
10.5653/cerm.2018.45.1.44
- Author:
Shinnosuke KURODA
1
;
Takuya KONDO
;
Kohei MORI
;
Kengo YASUDA
;
Takuo ASAI
;
Hiroyuki SANJO
;
Hiroyuki YAKANAKA
;
Teppei TAKESHIMA
;
Takashi KAWAHARA
;
Yoshitake KATO
;
Yasuhide MIYOSHI
;
Hiroji UEMURA
;
Akira IWASAKI
;
Yasushi YUMURA
Author Information
1. Department of Urology, Reproduction Center, Yokohama City University Medical Center, Yokohama, Japan. shinnosuke_1014@yahoo.co.jp
- Publication Type:Case Report
- Keywords:
Male infertility;
Testicular neoplasms;
Testicular sperm retrieval
- MeSH:
Adult;
Azoospermia*;
Fertility;
Fertility Preservation;
Humans;
Infertility, Male;
Male;
Methods;
Microscopy;
Orchiectomy;
Scrotum;
Semen Analysis;
Seminiferous Tubules;
Sperm Injections, Intracytoplasmic;
Sperm Retrieval;
Spermatozoa*;
Testicular Neoplasms*;
Testis*;
Ultrasonography
- From:Clinical and Experimental Reproductive Medicine
2018;45(1):44-47
- CountryRepublic of Korea
- Language:English
-
Abstract:
Onco-testicular sperm extraction is used to preserve fertility in patients with bilateral testicular tumors and azoospermia. We report the case of a testicular tumor in the solitary testis of a patient who had previously undergone successful contralateral orchiectomy and whose sperm was preserved by onco-testicular sperm extraction. A 35-year-old patient presented with swelling of his right scrotum that had lasted for 1 month. His medical history included a contralateral orchiectomy during childhood. Ultrasonography revealed a mosaic echoic area in his scrotum, suggesting a testicular tumor. The lesion was palpated within the normal testicular tissue along its edge and semen analysis showed azoospermia. Radical inguinal orchiectomy and onco-testicular sperm extraction were performed simultaneously. Motile spermatozoa were extracted from normal seminiferous tubules under microscopy and were frozen. Eventual intracytoplasmic sperm injection using the frozen spermatozoa is planned. Onco-testicular sperm extraction is an important fertility preservation method in patients with bilateral testicular tumors or a history of a previous contralateral orchiectomy.
