Document Detail

Sonographic evidence of minimal and short-term testicular damage after testicular sperm aspiration procedures.
MedLine Citation:
PMID:  15302296     Owner:  NLM     Status:  MEDLINE    
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.
Gil Raviv; Jacob Levron; Yehezkel Menashe; David Bider; Jehoshua Dor; Jacob Ramon; Igal Madgar
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  82     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-08-10     Completed Date:  2004-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  442-4     Citation Subset:  IM    
Male Infertility-Division of Urology, The Chaim Sheba Medical Center, Tel-Hashomer 52521, Israel.
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MeSH Terms
Monitoring, Physiologic
Oligospermia / pathology*,  ultrasonography
Reproductive Techniques, Assisted
Specimen Handling / methods
Testis / pathology,  ultrasonography*
Tissue and Organ Harvesting / methods

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