A comparison between open and percutaneous needle biopsies in men with azoospermia
| Autor: | T. Hillensjö, Ulrik Kvist, Björn Rosenlund, B L Rozell, L Plöen, Peter Sjöblom |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Pathology Open biopsy Percutaneous Biopsy medicine.medical_treatment Hemorrhage Cell Separation Fertilization in Vitro Suction Testicle Testicular Diseases Intracytoplasmic sperm injection Reproductive Techniques Ischemia Predictive Value of Tests Testis medicine Humans Spermatogenesis Azoospermia medicine.diagnostic_test urogenital system business.industry Biopsy Needle Rehabilitation Obstetrics and Gynecology Oligospermia Middle Aged medicine.disease Spermatids Spermatozoa Needle size medicine.anatomical_structure Reproductive Medicine Radiology business |
| Zdroj: | Human Reproduction. 13:1266-1271 |
| ISSN: | 1460-2350 0268-1161 |
| DOI: | 10.1093/humrep/13.5.1266 |
| Popis: | Open testicular biopsy is a classic method of investigation in men with azoospermia. Recently, percutaneous needle biopsy of the testis has been used in attempts to obtain material for histopathological diagnosis in such cases and to retrieve spermatozoa for intracytoplasmic sperm injection (ICSI). To determine whether a 19 gauge (G) and a 21G butterfly needle could be used for percutaneous aspiration of testicular tissue to determine the presence of mature spermatids and assess spermatogenesis, 10 patients (16 testes) and 12 patients (17 testes) underwent 19G or 21G needle biopsy respectively, immediately followed by open testicular biopsy, with both procedures under local anaesthesia. Biopsy with each needle size was compared with open biopsy. With the 19G needle, in the 14 cases where material was obtained there was full agreement with open biopsy regarding the presence or absence of mature spermatozoa, whereas with the 21G needle only nine of the 13 biopsies yielding material were predictive in this respect. Each needle size correlated poorly with open biopsy regarding evaluation of spermatogenesis. We conclude that percutaneous biopsy with a 19G butterfly needle is a quick and reliable method for demonstrating spermatozoa for ICSI. But for a detailed histopathological diagnosis, however, the needle biopsies gave poor results, whereas the material from the open testicular biopsies was assessable. |
| Databáze: | OpenAIRE |
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