Effect of varicocele repair on sperm retrieval rate and testicular histopathological patterns in men with nonobstructive azoospermia / 亚洲男科学杂志(英文版)

Varicocele adversely affects semen parameters. However, the effect of varicocele repair on the sperm retrieval rate and testicular histopathological patterns in men with nonobstructive azoospermia has not been widely reported. We retrospectively assessed the sperm retrieval rates and testicular histopathological patterns in men with nonobstructive azoospermia who were referred to the Urology Clinic in Dr. Cipto Mangunkusumo Hospital (Jakarta, Indonesia) and Bunda General Hospital (Jakarta, Indonesia) between January 2009 and December 2019. We compared patients who had undergone a surgical sperm retrieval procedure for assisted reproductive technology no earlier than three months after varicocele repair and those who had not undergone varicocele repair. The study included 104 patients (age range: 26-54 years), 42 of whom had undergone varicocele repair before the sperm retrieval procedure and 62 who had not. Motile spermatozoa were found in 29 (69.1%) and 17 (27.4%) patients who had undergone varicocele repair before the sperm retrieval procedure and those who had not undergone the repair, respectively (relative risk: 2.51; 95% confidence interval: 1.60-3.96; P < 0.001). A predicted probabilities graph showed consistently higher sperm retrieval rates for patients with varicocele repair, regardless of their follicle-stimulating hormone levels. Patients who underwent varicocele repair showed higher testicular histopathological patterns (P = 0.001). In conclusion, men with nonobstructive azoospermia and clinical varicocele who underwent varicocele repair before the sperm retrieval procedure had higher sperm retrieval rates compared to those who did not undergo varicocele repair.

Testicular histology does not affect the clinical outcomes of ICSI in men with non-obstructive azoospermia / 中华男科学杂志

Objective@#To investigate whether testicular histology influences the clinical outcomes of intracytoplasmic sperm injection (ICSI) in men with non-obstructive azoospermia (NOA).@*METHODS@#We retrospectively analyzed the clinical data about 73 cases of NOA undergoing ICSI, including 105 ICSI cycles and 79 embryo transfer cycles. The infertility of the patients was attributed to male factors only or both male and female tube factors and the females' age was ≤38 years. Based on testicular histology, we divided the ICSI cycles into three groups: hypospermatogenesis (HS, n = 72), maturation arrest (MA, n = 21) and Sertoli cells only (SCO, n = 12). We recorded and analyzed the age of both the males and females, infertility duration, base follicle-stimulating hormone (FSH) level, dose and days of gonadotropin (Gn) administration, estradiol (E2) and progesterone (P) levels on the day of human chorionic gonadotropin (hCG) administration, endometrial thickness, number of metaphase II (MII) oocytes, and rates of fertilization, transferrable embryos, high-quality embryos, clinical pregnancy, and abortion.@*RESULTS@#The rates of fertilization, failed fertilization, transferrable embryos, and high-quality embryos, and the average number of transferred embryos were 67.03% (553/825), 9.52% (10/105), 85.66% (472/551), 35.03% (193/551), and 2.10, respectively, resulting in 44 pregnancies (55.70%) and 42 live births (53.16%), with no birth defects. No statistically significant differences were observed among the HS, MA and SCO groups in the mean age of the men and women, infertility duration, base FSH level, Gn dose, Gn days, E2 and P levels on the hCG day, endometrial thickness, or number of MII oocytes, nor in the rates of fertilization (68.51% vs 64.39% vs 61.45%), transferrable embryos (85.05% vs 90.48% vs 83.05%), or high-quality embryos (33.09% vs 41.67% vs 38.98%). The rates of clinical pregnancy and embryo implantation were higher in the HS (60.00% and 37.61%) and SCO (62.50% and 50.00%) than in the MA group (37.50% and 21.21%), but with no statistically significant differences (P >0.05).@*CONCLUSIONS@#Once testicular sperm is retrieved, desirable clinical outcomes can be achieved in ICSI for NOA patients, which is not affected by testicular histopathology.

Effect of prolonged oral administration of aqueous ficus sycomorus stem-bark extract on testicular size of growing albino rat / Efecto de la administración oral prolongada de extracto acuoso de la corteza de ficus sycomorus en el tamaño testicular de rata albina en crecimiento

Decoction of Ficus sycomorus stem bark is used to treat infertility involving low sperm counts, but the reproductive risk associated with its use is uncertain. The aqueous stem-bark extract was orally administered at 200-600 mg/kg for 30 days to post-pubertal growing albino rats. Within the period, the live body weights, scrotal diameters and testicular size parameters were estimated. The mean live body weight, scrotal diameter of the control and treated rats significantly (p<0.05) increased as the animals grew, but the treatment did not significantly (p>0.05) affect the parameters. There were no significant (p>0.05) variations in mean testicular size parameters in treated and control rats, and no dose-dependent nor time-dependent effects occurred. Sections of the testes of the treated animals showed active spermatogenesis in the seminiferous tubules with no apparent histological lesions. It is concluded that the use of the crude extract of the Ficus sycomorus within our dose range portends minimal male reproductive risk and underscores the need to study its pro-spermatic effect.

La decocción de la corteza del tallo de Ficus sycomorus se usa para tratar la infertilidad relacionada al bajo conteo de espermatozoides, pero es incierto el riesgo reproductivo asociado con su uso. El extracto acuoso de la corteza se administró, en ratas albinas, por vía oral, en una dosis de 200-600 mg/kg, durante 30 días post-crecimiento puberal. Durante el período, fueron controlados los siguientes parámetros: peso corporal in vivo, diámetro escrotal y tamaño testicular. El promedio de peso corporal in vivo y diámetro escrotal de las ratas control y tratadas, tuvieron un incremento significativo (p<0,05) en los animales, pero el tratamiento no afectó significativamente (p> 0,05) esos parámetros. No hubo variaciones significativas (p> 0,05) en la media de los parámetros tamaño testicular en las ratas tratadas y control, ni tampoco se produjeron efectos dependientes de la dosis, ni en función del tiempo. Las secciones de los testículos de los animales tratados mostraron una espermatogénesis activa a nivel de los túbulos seminíferos, sin lesiones histológicas aparentes. Se concluye, que el uso del extracto crudo de Ficus sycomorus, dentro de una dosis de 200-600 mg/kg, presenta mínimo riesgo en la reproducción masculina, sin embargo, se hace necesario estudiar su efecto pro-espermático.

Histopathological and Histometrical Assessment of Boron Exposure Effects on Mouse Spermatogenesis / Evaluación Histopatológica e Histométrica del Efecto en la Espermatogénesis por Exposición a Boro

Boron is a chemical element widely used in many industrial activities. Exposure to it affects many organs in mammals, mainly reproductive male organs. This work evaluates boron effect in testis. For this purpose, 12mg Boron/L of drinking water, equivalent to Arica tap water, was given for 42 days to 85 days old CFl male mice (experimental group). Another group (control group) drunk tap water of Santiago (0.6mg Boron/L) was used. Testicular histopathology and morphometric analysis was done. These studies showed that Borum induces alterations such as epithelial vacuolization, blockage of the tubular lumen and atrophy. Morphometrical data showed that Borom induces also enlargement of tubular diameter, epithelial height and tubular lumen. Therefore, it is concluded that Boron acts as testicular toxicant and that further studies are needed to establish its mechanism of action upon spermatogenesis.

El Boro es un elemento químico ampliamente usado en variadas actividades industriales. La exposición a éste afecta a varios órganos en mamíferos, principalmente órganos reproductivos. Este trabajo evaluó los efectos del Boro en testículo. Para este propósito, 12mg Boro/Ide agua potable, equivalente al agua bebestible de Arica, se administró por 42 días a ratones machos CF1 de 85 días de edad (grupo experimental). Otro grupo (grupo control) bebió agua de Santiago (0.6mg Boro/L). Se realizaron estudios histopatológicos y morfométricos del testículo. Estos estudios mostraron que el Boro induce alteraciones como vacuolización epitelial, taponamiento y atrofia del lumen testicular. Los estudios morfométricos mostraron que el Boro también induce aumento del diámetro tubular, altura del epitelio y del lumen tubular. En consecuencia, se concluye que el Boro actúa como un tóxico testicular y que futuros estudios son necesarios para establecer su mecanismo de acción sobre la espermatogénesis.