青春期后双侧睾丸固定术后无精子症男性成功进行睾丸精子提取及获得父系身份。

Successful testicular sperm extraction and paternity in an azoospermic man after bilateral postpubertal orchiopexy.

作者信息

Lin Y M, Hsu C C, Wu M H, Lin J S

机构信息

Department of Urology, National Cheng Kung University Medical College and Hospital, ROC, Tainan, Taiwan.

出版信息

Urology. 2001 Feb;57(2):365. doi: 10.1016/s0090-4295(00)01006-2.

DOI:10.1016/s0090-4295(00)01006-2

PMID:11182364

Abstract

Postpubertal orchiopexy is usually considered a cosmetic operation and unlikely to have any effect on fertility. We describe a 32-year-old patient with bilateral undescended testes who underwent bilateral orchiopexy at 18 years of age. He presented with primary infertility and azoospermia. After fertility counseling, testicular sperm extraction in conjunction with intracytoplasmic sperm injection was performed. A few spermatozoa were recovered and produced a fertilization rate of 42.9%. Pregnancy resulted and a healthy baby girl was delivered. We suggest that orchiopexy be recommended in infertile men with bilateral cryptorchidism, and that testicular sperm extraction be recommended if azoospermia persists after surgery.

摘要

青春期后睾丸固定术通常被视为一种整形手术，对生育能力不太可能有任何影响。我们描述了一名32岁的双侧隐睾患者，他在18岁时接受了双侧睾丸固定术。他表现为原发性不孕和无精子症。在接受生育咨询后，进行了睾丸精子提取并结合卵胞浆内单精子注射。回收了一些精子，受精率为42.9%。成功受孕并产下一名健康女婴。我们建议，对于患有双侧隐睾的不育男性，应推荐进行睾丸固定术；如果术后持续无精子症，则建议进行睾丸精子提取。