Patterns of Testicular Cytology in Men with Primary Infertility

Haddad, Fares; Omari, Ahmad Al; Malkawi, Omar M.; Ajour, Wijdan K.; Izat, Alia; Khasrof, Hana; Khawaldeh, Abdel Karim

doi:10.1159/000326450

Cited by 10 publications

(12 citation statements)

References 16 publications

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“…16,21,23 Maturation arrest prevalence in the present study was 13.5%, which was similar to the observations of Brannen and Roth et al (1979) 12.55%, Al-Rayess et al (2000) 11%, 21,22 Thomas Jo et al (1990) 5% and Hadded et al (2004) reported a very low prevalence of maturation arrest 5% and 1.7% only. 23,24 The observation of hypospermatogenesis prevalence in this study was only 1.92% and all cases had a modified Johnsen score of 8. This was discordant to the observation of most of the other authors like Haddad et al (2004) 16,21,23,24,25 Testicular atrophy with modified Johnsen score of 1 was found to have a prevalence in the present study was 7.9%.…”

Section: Discussioncontrasting

confidence: 50%

“…23,24 The observation of hypospermatogenesis prevalence in this study was only 1.92% and all cases had a modified Johnsen score of 8. This was discordant to the observation of most of the other authors like Haddad et al (2004) 16,21,23,24,25 Testicular atrophy with modified Johnsen score of 1 was found to have a prevalence in the present study was 7.9%. Rashed M et al (2008), Meinhard et al (1973) and Al-Rayess et al (2000) had similar findings.…”

Section: Discussioncontrasting

confidence: 50%

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Assessment of Male Infertility by Testicular Biopsy in Southern Odisha

Naik¹,

Patro²,

Nayak³

et al. 2017

Jebmh

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BACKGROUND Infertility continues to be a significant problem since ages. Studies suggest that the problem affects 8-12% of couples across the globe, and among these affected couples, approximately 50% cases are contributed by the male partner. Semen analysis is the first investigation that indicates towards male factor in infertility. Finding the cause of infertility in cases of severe oligozoospermia and azoospermia by evaluating testicular biopsies has now become essential with the availability of Assisted Reproductive Techniques (ART), which gives information about the level of spermatogenesis. The present study was undertaken to detect the histological findings in cases of male infertility in this geographic region.

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Section: Discussioncontrasting

confidence: 50%

Section: Discussioncontrasting

confidence: 50%

Assessment of Male Infertility by Testicular Biopsy in Southern Odisha

Naik¹,

Patro²,

Nayak³

et al. 2017

Jebmh

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“…Thomas j [21] reported an incidence (38%) for obstructive azoospermia. But on the other side there were studies that reported low incidence, Meinhard et al [22] reported (5%) for obstructive azoospermia, also Hddad et al [23], a study at Jordan reported (11.2%) for obstructive azospermia, ( Table 4). The variation in the incidence reported in these studies could be related to a combination of social habits, environmental conditions and genetics.…”

Section: Discussionmentioning

confidence: 96%

Testicular Fine Needle Aspiration Cytology versus Open Biopsy in the Evaluation of Azoospermic Men

Al-Dabbagh¹,

Ahmed²

2015

OJU

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Background: Male infertility is a common problem and needs a minimally invasive method to arrive at the appropriate diagnosis. Alternative to open testicular biopsy the fine needle aspiration cytology (FNAC) of the testis is being increasingly used as a minimally invasive method of evaluating testicular function. Aim: To determine the causes of azoospermia and evaluate the efficacy of FNAC as compared to open testicular biopsy in evaluating azoosparmic men by correlating diagnosis from testis FNAC with biopsy histology. Patients and Methods: We prospectively studied 67 consecutive infertile patients who referred to andrology department of Al-Yarmouk Teaching hospital, Baghdad, Iraq between (January 2010-January 2014). All patients were azoospermic. They underwent bilateral testicular fine needle aspiration for cytological evaluation as well as bilateral testicular biopsy for histopathological correlation. Results: The morphological diagnosis revealed normal spermatogenesis in 12 patients (17.9%), hyposparmatogenesis in 4 (5.9%), spermatogenic arrest in 39 (58.2%), Sertoli cell only in 7 (10.4%), and complete tubular hyalinization in 5 patients (7.4%). Good correlation between the 2 methods was found in 120 (91.6%) testes which was identical in the right and left testis. Discrepancies between cytology and histology were mainly the result of insufficient and scanty smears. Conclusion: Testicular FNAC is a simple and minimally invasive alternative method to open testicular biopsy in the investigation and assessment of patients with azoospermia.

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“…24 Haddad et al in a study from Jordan reported 11.2% of cases with obstructive azoospermia. 25 This group of patients will benefit most from the microsurgical reconstruction of the reproductive tract or assisted reproductive techniques like TESE, TESA or ICSI. 26 Wong et al studied testicular biopsies in male infertility in 140 cases, testicular causes of infertility 105 cases (75%), pre-testicular causes -15 (10.7%) cases, and post testicular 20 cases (14.3%).…”

Section: Discussionmentioning

confidence: 99%

Prospective study to evaluate the risk factors associated with male infertility at tertiary care centre

Alam¹,

Choudhary²,

Aslam³

2018

Int Surg J

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Background: Infertility is a condition with psychological, economic, medical implications resulting in mental trauma, stress particularly in social set up like ours, with strong emphasis on child bearing. According to the International Committee for Monitoring Assisted Reproductive Technology, World Health Organization (WHO), Infertility is disease of reproductive system defined by failure to achieve the clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.Methods: This study was conducted in Department of Surgery in Jawaharlal Nehru Medical College, Aligarh from January 2017 to December 2017 on 120 patients to study the clinical profile, causes of male infertility and to evaluate the risk factors associated with it.Results: There were 54 (45%) patients with azoospermia and 66 (55%) had oligospermia. Out of them 52 (43.3%) had sperm counts of 1-8 millions/ml and 14 (11.6%) had sperm count between >9-15 millions/ml. 46 (38.3%) patients had low testosterone level. 86 of cases had motility <50% after one hour, remaining 34 had motility >50%. Out of 120 cases of male infertility, 12 (10%) had Obesity and rest 108 (90%) had normal BMI. Out of 120 cases of male infertility, 8 (6.6%) were known Diabetics rest 112 (93.3%) had normal blood sugar levels. Out of 120 cases of male infertility, 36 (30%) had Erectile dysfunction and rest 84 (70%) were normal.Conclusions: The study concluded that Erectile dysfunction was the most common cause of male infertility. Varicoceles and small sized testes were the most common clinical abnormalities seen in infertile males. Smoking, Alcohol and Tobacco use were frequently associated with most infertile males.

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Patterns of Testicular Cytology in Men with Primary Infertility

Cited by 10 publications

References 16 publications

Assessment of Male Infertility by Testicular Biopsy in Southern Odisha

Assessment of Male Infertility by Testicular Biopsy in Southern Odisha

Testicular Fine Needle Aspiration Cytology versus Open Biopsy in the Evaluation of Azoospermic Men

Prospective study to evaluate the risk factors associated with male infertility at tertiary care centre

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