Testicular histopathological diagnosis as a predictive factor for retrieving spermatozoa for ICSI in non-obstructive azoospermic patients
Int. braz. j. urol
;
31(4): 338-341, July-Aug. 2005. ilus, tab
Article
in English
| LILACS
| ID: lil-412892
ABSTRACT
OBJECTIVE:
Histological testicular pattern has a predictive role in the possibility of finding spermatozoa for ICSI in cases of non-obstructive azoospermia because some individuals could show residual spermatogenic sites in the testis. The aim of this study was to evaluate the sperm retrieval rate in each of the histopathological groups (hypospermatogenesis-Hypo, spermatogenic maturation arrest-MA, Sertoli cell only-SCO and testicular hyalinization) in patients assisted in our clinic. MATERIALS ANDMETHODS:
Retrospective study from March 1997 to October 2002. We analyzed 14 patients with mean age of 34.3 n 0.7, with non-obstructive azoospermia. All patients were submitted to previous diagnostic biopsy (Bx) elsewhere and came to our institution for treatment. After an average of 12 months (8 - 20), they were submitted to a new Bx procedure to retrieve sperm.RESULTS:
Previous diagnostic Bx showed the following histopathologicalresults:
5 patients with MA, 4 with Hypo and 5 SCO. In the following Bx (for sperm retrieval) spermatozoa was found in 33 percent of the procedures in patients with MA, 50 percent in patients with Hypo and 40 percent of the procedures in patients with SCO.CONCLUSION:
Previous diagnostic Bx can help in patient counseling concerning the result of sperm retrieval.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Oligospermia
/
Sertoli Cells
/
Testis
/
Sperm Injections, Intracytoplasmic
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2005
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Albert Einstein Jewish Hospital/BR
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