Factors Affecting Outcomes of Salvage Micro Testicular Sperm Extraction Following a Failed Testicular Sperm Extraction
Journal Title: The Medical Bulletin of Haseki - Year 2020, Vol 58, Issue 3
Abstract
Aim: To investigate the likelihood of sperm retrieval in repeated micro-testicular sperm extraction (micro-TESE) in non-obstructive azoospermia (NOA) patients. Methods: Data of 310 patients, who underwent a micro-TESE procedure at a center experienced in in vitro fertilization between January 2015 and July 2019, was evaluated retrospectively. Seventy-three patients who had a previous failed sperm retrieval procedure (33 micro-TESE, and 40 TESE) were included in the study. The patients were divided into two groups (group 1: successful, group 2: failure) according to sperm retrieval in salvage micro-TESE. The groups were compared in terms of demographic characteristics and hormonal and histological features. Results: The mean age of the patients was 36.71±8.1 (25-45) years and duration of infertility was 59.45±21.4 (22-247) months. The sperm retrieval rate in patients who underwent salvage micro-TESE was 36.99% (27/73). Sperm retrieval rates were 8/43, 8/16 and 11/14 for patients diagnosed with Sertoli Cell-only syndrome (SCOS), maturation arrest and hypospermatogenesis. The rate of patients with SCOS was significantly higher in the failure group (p<0.01). Conclusion: Salvage micro-TESE provides an important opportunity in patients with NOA with a history of unsuccessful micro-TESE. Sertoli cell-only syndrome seems to have a negative effect on the success of the procedure.
Authors and Affiliations
Alkan Çubuk, Muhsin Balaban, Orkunt Özkaptan
Keywords
Related Articles
- EP ID EP685292
- DOI 10.4274/haseki.galenos.2020.5642
- Views 156
- Downloads 0
Association Between Cardiothoracic Ratio and Mortality in Neonates with Pneumothorax
Aim: The aim of this study was to determine the effect of a reduction in the cardiothoracic ratio (CTR) on mortality in newborns with pneumothorax. Methods: Newborns with pneumothorax, who were admitted to our neonatal...
Rare Cause of Genital Bleeding: Urethral Prolapse
Urethral prolapse (UP) is a condition characterized by circumferential prolapse of the urethral mucosa through the external meatus generally seen in girls. Bleeding, dysuria and an asymptomatic prolapsed mass are the mai...
The Role of Magnetic Resonance Imaging for Evaluation of Pancreatic Lipomatosis After Bariatric Surgery
Aim: To investigate the role of non-contrast magnetic resonance imaging (MRI) and findings of quantitative MRI in the evaluation of pancreatic lipomatosis in patients undergoing bariatric surgery. Methods: Pre-operative...
Scalp Neurofibroma Presenting with Hematoma After Trauma
Neurofibromatosis (NF) type 1 is a hereditary, autosomal dominant neurocutaneous syndrome often accompanied by diffuse neurofibromas in the body, increased skin pigmentation (cafe-au-Iait spots) and central nervous syste...
Evaluation of Quality of Life and Anxiety Disorder in Children and Adolescents with Primary Headache
Aim: To investigate the effect of coexistence of primary headache with depression, anxiety, and anxiety disorder on patients’ quality of life and the variability of this effect according to the types of primary headache...