Clin Exp Reprod Med.  2018 Mar;45(1):44-47. 10.5653/cerm.2018.45.1.44.

Successful onco-testicular sperm extraction from a testicular cancer patient with a single testis and azoospermia

Affiliations
  • 1Department of Urology, Reproduction Center, Yokohama City University Medical Center, Yokohama, Japan. shinnosuke_1014@yahoo.co.jp
  • 2Department of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.

Abstract

Onco-testicular sperm extraction is used to preserve fertility in patients with bilateral testicular tumors and azoospermia. We report the case of a testicular tumor in the solitary testis of a patient who had previously undergone successful contralateral orchiectomy and whose sperm was preserved by onco-testicular sperm extraction. A 35-year-old patient presented with swelling of his right scrotum that had lasted for 1 month. His medical history included a contralateral orchiectomy during childhood. Ultrasonography revealed a mosaic echoic area in his scrotum, suggesting a testicular tumor. The lesion was palpated within the normal testicular tissue along its edge and semen analysis showed azoospermia. Radical inguinal orchiectomy and onco-testicular sperm extraction were performed simultaneously. Motile spermatozoa were extracted from normal seminiferous tubules under microscopy and were frozen. Eventual intracytoplasmic sperm injection using the frozen spermatozoa is planned. Onco-testicular sperm extraction is an important fertility preservation method in patients with bilateral testicular tumors or a history of a previous contralateral orchiectomy.

Keyword

Male infertility; Testicular neoplasms; Testicular sperm retrieval

MeSH Terms

Adult
Azoospermia*
Fertility
Fertility Preservation
Humans
Infertility, Male
Male
Methods
Microscopy
Orchiectomy
Scrotum
Semen Analysis
Seminiferous Tubules
Sperm Injections, Intracytoplasmic
Sperm Retrieval
Spermatozoa*
Testicular Neoplasms*
Testis*
Ultrasonography
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