Sonographic evidence of minimal and short-term testicular damage after testicular sperm aspiration procedures

Gil Raviv*, Jacob Levron, Yehezkel Menashe, David Bider, Jehoshua Dor, Jacob Ramon, Igal Madgar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective To evaluate ultrasonically the incidence and duration of tissue damage after testicular sperm aspiration (TESA) procedures. Design Prospective, nonrandomized study. Setting Assisted reproductive technology program. Patient(s) Thirty-two men with obstructive azoospermia. Intervention(s) Physical and serial testicular ultrasound examinations 1.5, 3, and 6 months after the surgical procedure. Main outcome measure(s) Systematic evaluation of the testicular parenchyma and blood flow. Result(s) In 93.7% of the patients (30 of 32), no evidence of parenchymal or vascular injuries was found 6 weeks after the procedure. In the remaining 2 patients, transient evidence of tissue damage disappeared after 3 months. Conclusion(s) Testicular sperm aspiration is a safe surgical method for sperm retrieval for IVF. Repeated surgical attempts might be considered within 2 months, provided there is no evidence for tissue damage on sonography.

Original languageEnglish
Pages (from-to)442-444
Number of pages3
JournalFertility and Sterility
Volume82
Issue number2
DOIs
StatePublished - Aug 2004

Keywords

  • Azoospermia
  • testicular sperm retrieval
  • testicular ultrasound

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