alexa The Predictive Value of Testicular Fine Needle Aspiration for Sperm Retrieval from the Contralateral Testis – A Prospective Randomized Study
ISSN: 2375-4508

Journal of Fertilization: In Vitro - IVF-Worldwide, Reproductive Medicine, Genetics & Stem Cell Biology
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

The Predictive Value of Testicular Fine Needle Aspiration for Sperm Retrieval from the Contralateral Testis – A Prospective Randomized Study

Ronit Haimov-Kochman*, Tal Imbar, Eliana Ein Mor, Francine Lossos, Iris Nefesh, Yuval Bdolah and Arye Hurwitz
Reproductive Endocrinology and Infertility Unit, Hadassah Hebrew University Hospital, Mt. Scopus, Jerusalem
*Corresponding Author : Ronit Haimov Kochman MD
Department of Obstetrics and Gynaecology
Division of Reproductive Endocrinology and Infertility
Hadassah Hebrew University Medical Centre
Mt. Scopus, P.O.B 24035, Jerusalem 91240, Israel
Tel: +972-2-584-4111
Fax: +972-2-581-4210
E-mail: [email protected]
Received August 07, 2014; Accepted August 28, 2014; Published August 31,2014
Citation: Haimov-Kochman R, Imbar T, Mor EE, Lossos F, Nefesh I, et al. (2014) The Predictive Value of Testicular Fine Needle Aspiration for Sperm Retrieval from the Contralateral Testis – A Prospective Randomized Study. J Fertil In Vitro IVF Worldw Reprod Med Genet Stem Cell Biol 2:132. doi:10.4172/2375-4508.1000132
Copyright: © 2014 Haimov-Kochman R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

 

Abstract

Testicular sperm extraction (TESE) and testicular sperm detection by fine needle aspiration (TEFNA) are both acceptable methods for sperm retrieval for non-obstructive azoospermia (NOA) men. The aim of the study was to determine the predictability of TEFNA to sperm detection by either TEFNA or TESE of the second testicle and to compare fertilization rate (FR) of testicular spermatozoa retrieved by each method. Sixty one men diagnosed with non-obstructive azoospermia (NOA) participated in this prospective study. All patients had a sperm recovery trial by TEFNA on a single randomly selected testicle (10-20 punctures with 23-gauge butterfly needle) and either TEFNA or TESE on the contralateral testicle at the same surgical session. The procedure was considered successful if at least 1 spermatozoon per 5μL was retrieved for use in the coming cycle of IVF-ICSI. We found that TEFNA could successfully predict all successful TESE cases (100% PPV and 88% NPV), whereas unsuccessful TEFNA was followed by successful TESE in 12.5% of cases. The mean number of spermatozoa collected by TEFNA vs. TESE was 1749±3175 (range 0-10,000) vs. 14129 +18005 (range 24-40800), respectively (p=0.033). TEFNA could successfully predict all successful TEFNA of the second testis (100% PPV and 95% NPV). The FR of MII oocytes was similar for sperm retrieved by either TEFNA or TESE. We conclude that in NOA patients successful TEFNA is fully predictive of both successful TESE and TEFNA on the contralateral testis. However, unsuccessful TEFNA may not predict the outcome of TESE in 12.5% of cases, most probably due to the numerical superiority of TESE. Spermatozoa collected by both methods share similar fertilization potential.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords