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자료유형
학술저널
저자정보
Kuroda, Shinnosuke (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Kondo, Takuya (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Mori, Kohei (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Yasuda, Kengo (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Asai, Takuo (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Sanjo, Hiroyuki (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Yakanaka, Hiroyuki (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Takeshima, Teppei (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Kawahara, Takashi (Department of Urology and Renal Transplantation, Yokohama City University Medical Center) Kato, Yoshitake (Department of Urology, Reproduction Center, Yokohama City University Medical Center) Miyoshi, Yasuhide (Department of Urology and Renal Transplantation, Yokohama City University Medical Center) Uemura, Hiroji (Department of Urology and Renal Transplantat) Iwasaki, Akira Yumura, Yasushi
저널정보
대한생식의학회 Clinical and experimental reproductive medicine : CERM Clinical and experimental reproductive medicine : CERM 제45권 제1호
발행연도
2018.1
수록면
44 - 47 (4page)

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Onco-testicular sperm extraction is used to preserve fertility in patients with bilateral testicular tumors and azoospermia. We report the case of a testicular tumor in the solitary testis of a patient who had previously undergone successful contralateral orchiectomy and whose sperm was preserved by onco-testicular sperm extraction. A 35-year-old patient presented with swelling of his right scrotum that had lasted for 1 month. His medical history included a contralateral orchiectomy during childhood. Ultrasonography revealed a mosaic echoic area in his scrotum, suggesting a testicular tumor. The lesion was palpated within the normal testicular tissue along its edge and semen analysis showed azoospermia. Radical inguinal orchiectomy and onco-testicular sperm extraction were performed simultaneously. Motile spermatozoa were extracted from normal seminiferous tubules under microscopy and were frozen. Eventual intracytoplasmic sperm injection using the frozen spermatozoa is planned. Onco-testicular sperm extraction is an important fertility preservation method in patients with bilateral testicular tumors or a history of a previous contralateral orchiectomy.

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