Document Detail


Criteria predicting the absence of spermatozoa in the Sertoli cell-only syndrome can be used to improve success rates of sperm retrieval.
MedLine Citation:
PMID:  11056118     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In patients with non-obstructive azoospermia, testicular sperm extraction (TESE) is a method of choice to recover spermatozoa as a male therapeutic approach in intracytoplasmic sperm injection (ICSI) programmes. However, the efficacy of TESE in this indication is burdened by a frequent failure of sperm recovery, which renders useless both the invasive testicular intervention and ovarian stimulation of the patient's spouse. One of the most frequent pathological pictures characterizing complete absence of spermatozoa is germinal aplasia (Sertoli cell- only syndrome or SCOS). Two different histological patterns of SCOS have been already described during the past five decades. These two patterns can be characterized as the congenital (pure) and the secondary (mixed) forms. Both patterns, with different prognosis to retrieve spermatozoa by therapeutic testicular biopsy, are frequently confused when TESE is performed during ICSI programmes. Useful criteria to predict the absence of spermatozoa can be obtained by a definite recognition of the two typical histological patterns during the diagnostic testicular biopsy. The diagnosis of congenital or acquired SCOS can be refined by endocrine, chemical, immunohistochemical and molecular biology aids. Reduction of both sperm retrieval failure and unnecessary ovarian stimulation can be achieved by combination of these methods.
Authors:
R Anniballo; F Ubaldi; L Cobellis; M Sorrentino; L Rienzi; E Greco; J Tesarik
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  15     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-11-27     Completed Date:  2000-12-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  2269-77     Citation Subset:  IM    
Affiliation:
Andrology Center 'John McLeod', Via F. Petrarca, Naples, Italy, Center for Reproductive Medicine, European Hospital, Via Portuense, Rome, Italy. nannibal@tin.it
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MeSH Terms
Descriptor/Qualifier:
Forecasting
Humans
Male
Oligospermia / pathology*
Sertoli Cells / pathology*
Specimen Handling / methods*
Spermatozoa / pathology*
Testicular Diseases / pathology
Testis / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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