Use of transperineal fine needle aspiration of seminal vesicles to retrieve sperm in a man with obstructive azoospermia

Cerruto, Maria Angela; Novella, Giovanni; Antoniolli, Stefano Zecchini; Zattoni, Filiberto

doi:10.1016/j.fertnstert.2006.03.069

Cited by 10 publications

(8 citation statements)

References 11 publications

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“…Cannulation of the seminal vesicle under transrectal ultrasonographic guidance enables diagnosis (extent of dilation, manometry, presence of sperm) (104). When sperm are present, seminal vesicle aspiration can be therapeutic with subsequent use of sperm for ART, an option that may be ideal for men with severe genital and testicular injury (105,106).…”

Section: Traditional Approachesmentioning

confidence: 99%

Fertility-enhancing male reproductive surgery: glimpses into the past and thoughts for the future

Halpern

Brannigan

2019

Fertility and Sterility

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Over the past few decades, there have been numerous paradigm shifts in male reproductive surgery, resulting from a combination of technologic advancements in both the operating room and the laboratory. The operating microscope transformed the field of male reproductive surgery, enabling novel techniques and higher precision for the treatment of male-factor subfertility. The subsequent widespread adoption of microsurgical approaches was largely responsible for the emergence of a cadre of highly specialized male infertility microsurgeons. The advent and evolution of in vitro fertilization/intracytoplasmic sperm injection was a concurrent story that further revolutionized the field. The ability to achieve fertilization and pregnancy with just a single sperm changed the ways in which male reproductive surgeons could approach a wide range of pathologies from obstructive to nonobstructive causes, culminating in the microdissection testicular sperm extraction procedure for the treatment of nonobstructive azoospermia. Here we review the recent advancements in fertility-enhancing male reproductive surgery for the treatment of four disease processes: varicocele, obstruction of the excurrent ductal system, ejaculatory duct obstruction, and nonobstructive azoospermia. While examining the great strides of the past, we look forward to exciting developments on the horizon. (Fertil Steril Ò 2019;112:426-37. Ó2019 by American Society for Reproductive Medicine.

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Section: Traditional Approachesmentioning

confidence: 99%

Fertility-enhancing male reproductive surgery: glimpses into the past and thoughts for the future

Halpern

Brannigan

2019

Fertility and Sterility

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“…Los quistes de la vesícula seminal son infrecuentes; su incidencia se estima en 0.005%. 1,2,3 Algunos autores consideran que hay 100 casos reportados en la bibliografía. 4 Se diagnostican con mayor frecuencia de la segunda a la cuarta décadas de la vida, 5,6,7 durante el periodo de mayor actividad sexual.…”

Section: Antecedentesunclassified

“…9 La forma adquirida se asocia con causas obstructivas, presumiblemente infecciosas. [2][3][4][5][6] La mayoría de los casos se manifiesta como una lesión única, aunque pueden encontrarse varias lesiones; esto es más frecuente en las formas adquiridas. 6 Los quistes de la vesícula seminal son las lesiones más infrecuentes de los quistes del aparato genitourinario masculino.…”

Section: Antecedentesunclassified

Vesiculoscopía en el tratamiento de quistes de vesícula seminal, revisión de la literatura a propósito de un caso

Guerrero¹

2017

Rev Mex Urol

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ANTECEDENTES: los quistes de vesícula seminal son infrecuentes. Se estima una incidencia de 0.005% y se diagnostican con mayor frecuencia de la segunda a la cuarta décadas de la vida. La mayoría de los casos se manifiesta con lesión única, aunque pueden encontrarse múltiples lesiones. La presentación puede ser congénita o adquirida; la primera se asocia con alteraciones del conducto mesonéfrico (conducto de Wolf). En dos terceras partes de los casos se ha descrito agenesia renal ipsilateral (síndrome de Zinner). La forma adquirida se asocia con causas obstructivas, quizá infecciosas.CASO CLÍNICO: paciente masculino de 43 años de edad, que acudió a consulta por síntomas urinarios bajos, de vaciamiento, acompañados de hematoespermia, tenesmo rectal y dolor pélvico.DISCUSIÓN: en pacientes con quistes en la vesícula seminal se han observado formas y grados variables en su manifestación clínica, algunos cursan asintomáticos y otros con síntomas urinarios obstructivos, infecciones urinarias, hematuria, hematoespermia e incluso infertilidad. Cuando los quistes son de mayor tamaño puede haber síntomas gastrointestinales: estreñimiento y tenesmo rectal. Debido a que estos quistes son infrecuentes, no existe consenso actual acerca de la conducta a seguir y el tratamiento. Hoy el tratamiento se reserva para pacientes sintomáticos; diversos artículos proponen el abordaje endoscópico, como la primera opción de tratamiento, considerando a la vesiculoscopia como el patrón de referencia para el tratamiento de los quistes de la vesícula seminal.PALABRAS CLAVE: quiste, vesícula seminal, vesiculoscopia, hematoespermia, quistes genitourinarios.

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“…Alternatively, sperm retrieval can be attempted with ICSI. Epididymal, testicular, and transperineal seminal vesical sperm retrievals have been applied in such cases with adequate yields of motile sperm for either immediate use with ICSI or cryopreservation (31). In cases of ejaculatory dysfunction, spermatogenesis is fully preserved, and gametes can be recovered either from the urine (in cases of retrograde ejaculation) or from the epididymides or testicles with any chosen surgical sperm retrieval technique (in cases of primary anorgasmia or failed urinary sperm recovery).…”

Section: The Impact Of Etiology On Retrieval Success and Reproductivementioning

confidence: 99%

Predictive factors for sperm retrieval and sperm injection outcomes in obstructive azoospermia: Do etiology, retrieval techniques and gamete source play a role?

Miyaoka¹,

Esteves²

2013

Clinics

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Obstructive azoospermia is a relatively common male infertility condition. The main etiologies of obstructive azoospermia include congenital, surgical-derived, traumatic and post-infectious cases. Although seminal tract reconstruction is a cost-effective treatment in most cases, this approach may not be feasible or desired in some cases. In such cases, assisted reproduction techniques offer a method for achieving pregnancy, notably via sperm retrieval and intracytoplasmic sperm injection. This process requires several considerations and decisions to be made, including the cause and duration of obstruction, which sperm retrieval technique to use, and whether to use fresh or frozen-thawed sperm. We present a review of obstructive azoospermia and assisted reproduction techniques, highlighting the most relevant aspects of the decision-making process for use in clinical practice.

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Use of transperineal fine needle aspiration of seminal vesicles to retrieve sperm in a man with obstructive azoospermia

Cited by 10 publications

References 11 publications

Fertility-enhancing male reproductive surgery: glimpses into the past and thoughts for the future

Fertility-enhancing male reproductive surgery: glimpses into the past and thoughts for the future

Vesiculoscopía en el tratamiento de quistes de vesícula seminal, revisión de la literatura a propósito de un caso

Predictive factors for sperm retrieval and sperm injection outcomes in obstructive azoospermia: Do etiology, retrieval techniques and gamete source play a role?

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