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Intratesticular Sperm Extraction

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Endocrinology of the Testis and Male Reproduction

Part of the book series: Endocrinology ((ENDOCR))

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Abstract

In the scenario of medically assisted reproduction, sperm retrieval techniques (SRTs) represent a concrete possibility to find, freeze, and use spermatozoa in men with a diagnosis of azoospermia. Therefore, many infertile couples because of a severe male factor can achieve a biological offspring.

Nowadays the surgical overview in this field has a number of available techniques according to the causal and baseline condition. These stretch from the percutaneous approach to the latest and more sophisticated microsurgical dissection techniques aimed at increasing surgical specificity and eventually the sperm retrieval rate in individuals with nonobstructive azoospermia. In this context, the careful and complete diagnostic classification of every patient (obstructive vs. nonobstructive azoospermia) is essential in the choice of the surgical approach (percutaneous vs. open) and the anatomical site of acquisition (epididymis vs. testis), as well as in the prediction of the sperm retrieval successful rate.

Although can be considered day-surgery procedures, SRTs are clearly not free from potential sequelae and complications; therefore, it is clinically relevant to have an appropriate surgical indication, a thorough information of the patient and a meticulous perioperative management.

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Authors and Affiliations

  1. University Vita-Salute San Raffaele, Milan, Italy

    Davide Oreggia, Eugenio Ventimiglia & Andrea Salonia

  2. Division of Experimental Oncology/Unit of Urology, URI-Urological Research Institute, IRCCS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy

    Davide Oreggia, Eugenio Ventimiglia & Andrea Salonia

Authors
  1. Davide Oreggia
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  2. Eugenio Ventimiglia
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  3. Andrea Salonia
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Correspondence to Andrea Salonia .

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Editors and Affiliations

  1. Unit of Endocrinology Department of Biomedical Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy

    Manuela Simoni

  2. Faculty of Medicine Department of Surgery and Cancer, Imperial College London, London, United Kingdom

    Ilpo T. Huhtaniemi

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Oreggia, D., Ventimiglia, E., Salonia, A. (2017). Intratesticular Sperm Extraction. In: Simoni, M., Huhtaniemi, I. (eds) Endocrinology of the Testis and Male Reproduction. Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-319-44441-3_40

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  • DOI: https://doi.org/10.1007/978-3-319-44441-3_40

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