Fertility and Sterility
Volume 91, Issue 3 , Pages 925-928 , March 2009

Use of subinguinal incision for microsurgical testicular biopsy during varicocelectomy in men with nonobstructive azoospermia

  • Marcello Cocuzza, M.D.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil
    • Corresponding Author InformationReprint requests: Marcello Cocuzza, M.D., Department of Urology, University of São Paulo, Rua Adma Jafet, 50 151/152, São Paulo 01308-050, Brazil (FAX: 55-11-3256-9511).
    • ,
  • Rodrigo Pagani, M.D.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil
    • ,
  • Roberto Iglesias Lopes, M.D.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil
    • ,
  • Kelly S. Athayde, M.T., M.S.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil
    • Reproductive Research Center, Glickman Urological Institute and Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Antonio M. Lucon, M.D., Ph.D.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil
    • ,
  • Miguel Srougi, M.D., PhD.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil
    • ,
  • Jorge Hallak, M.D., Ph.D.

      Affiliations

    • Department of Urology, University of São Paulo, São Paulo, Brazil

Received 5 September 2007 ,Revised 13 December 2007 ,Accepted 19 December 2007.

References 

  1. Kadioglu A, Tefekli A, Cayan S, Kandirali E, Erdemir F, Tellaloglu S. Microsurgical inguinal varicocele repair in azoospermic men. Urology. 2001;57:328–333
  2. Matthews GJ, Matthews ED, Goldstein M. Induction of spermatogenesis and achievement of pregnancy after microsurgical varicocelectomy in men with azoospermia and severe oligoasthenospermia. Fertil Steril. 1998;70:71–75
  3. Pasqualotto FF, Sobreiro BP, Hallak J, Pasqualotto EB, Lucon AM. Induction of spermatogenesis in azoospermic men after varicocelectomy repair: an update. Fertil Steril. 2006;85:635–639
  4. Aboulghar MA, Mansour RT, Serour GI, Fahmy I, Kamal A, Tawab NA, et al. Fertilization and pregnancy rates after intracytoplasmic sperm injection using ejaculate semen and surgically retrieved sperm. Fertil Steril. 1997;68:108–111
  5. Su LM, Palermo GD, Goldstein M, Veeck LL, Rosenwaks Z, Schlegel PN. Testicular sperm extraction with intracytoplasmic sperm injection for nonobstructive azoospermia: testicular histology can predict success of sperm retrieval. J Urol. 1999;161:112–116
  6. Lee JS, Park HJ, Seo JT. What is the indication of varicocelectomy in men with nonobstructive azoospermia?. Urology. 2007;69:352–355
  7. Prader A. Testicular size: assessment and clinical importance. Triangle. 1966;7:240–243
  8. World Health Organization . WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. New York: Cambridge University Press; 1999;
  9. Marmar JL, Kim Y. Subinguinal microsurgical varicocelectomy: a technical critique and statistical analysis of semen and pregnancy data. J Urol. 1994;152:1127–1132
  10. Posinovec J. The necessity for bilateral biopsy in oligo- and azoospermia. Int J Fertil. 1976;21:189–191
  11. Huyghe E, Matsuda T, Thonneau P. Increasing incidence of testicular cancer worldwide: a review. J Urol. 2003;170:5–11
  12. Nobert C, Goldstein M. Increased incidence of testicular cancer in men with infertility and abnormal semen analysis. Fertil Steril. 2001;76(Suppl 1):S50
  13. Mancini M, Carmignani L, Gazzano G, Sagone P, Gadda F, Bosari S, et al. High prevalence of testicular cancer in azoospermic men without spermatogenesis. Hum Reprod. 2007;22:1042–1046
  14. Leibovitch I, Baniel J, Foster RS, Donohue JP. The clinical implications of procedural deviations during orchiectomy for nonseminomatous testis cancer. J Urol. 1995;154:935–939
  15. Aitken RJ, Koopman P, Lewis SE. Seeds of concern. Nature. 2004;432:48–52
  16. Dardashti K, Williams RH, Goldstein M. Microsurgical testis biopsy: a novel technique for retrieval of testicular tissue. J Urol. 2000;163:1206–1207

PII: S0015-0282(07)04338-5

doi: 10.1016/j.fertnstert.2007.12.065

Fertility and Sterility
Volume 91, Issue 3 , Pages 925-928 , March 2009

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