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Azoospermia and Sperm Retrieval in Post-Pubertal Testicular Torsion; Benefits and limitations by Khaled Almekaty; Mohamed H. Zahran; Ahmed Eid; David Ralph; Ayman Rashed is a Medicine article available to read on EtoBox.

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## Objectives: To assess the risk of azoospermia development and the value of sperm retrieval in post-pubertal testicular torsion (tt). ## Materials and methods: This prospective study included patients with post-pubertal tt. surgical exploration was urgently performed with either orchiopexy or orchiedectomy and contralateral orchiopexy. with the intention of cryopreservation, all cases underwent conventional testicular sperm extraction. patients were followed-up after 1, 3, and 6 months with semen analysis and hormonal assay (fsh, lh and testosterone). sperm retrieval rate (srr), azoospermia rate and changes in hormonal profile were evaluated. ## Results: The study included 62 patients with a median (iqr) age of 19 (18-20.7) years and duration of testicular torsion of 32.5 (18.3-48) hours. testicular salvage was successful in 20 (32.3%) while orchiedectomy was performed on 42 patients. the duration of torsion [or, 95% ci = 0.75 (0.61-0.93), p = .008] was the independent predictor of testicular salvage. successful sr was achieved in 58 patients (93.5%); (40 from the affected testis and 18 from the contralateral side). after 6 months, 21 patients (33.8%) developed azoospermia [19 (4

Who reads Azoospermia and Sperm Retrieval in Post-Pubertal Testicular Torsion; Benefits and limitations?

Author

Khaled Almekaty; Mohamed H. Zahran; Ahmed Eid; David Ralph; Ayman Rashed

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)