Testicular sperm extraction in a single cancerous testicle in patients with azoospermia: a case report.
OBJECTIVE
To optimize the management of patients with cancer in a single testis and azoospermia.


METHODS
Case report.


METHODS
Reproductive biology department.


METHODS
Two male patients referred in an emergency context for gamete cryopreservation before castration for cancer in a single testis; the patients were azoospermic before any sterilizing treatment.


METHODS
Testicular sperm extraction (TESE) was carried out synchronously with orchiectomy, allowing the cryopreservation of testicular spermatozoa.


METHODS
One year after the end of the cancer treatment, thawed testicular spermatozoa were successfully used in an intracytoplasmic sperm injection procedure. A twin pregnancy was obtained, and a healthy boy and girl were born.


CONCLUSIONS
TESE and cryopreservation could be offered to every patient with cancer in a single testis and azoospermia.
Descombe
Laure
L
Department of Gynécologie-Obstétrique, Hôpital Nord, Saint Etienne, France.
Chauleur
Céline
C
Gentil-Perret
Anne
A
Aknin-Seifer
Isabelle
I
Tostain
Jacques
J
Lévy
Rachel
R
D053713:Azoospermia / Q000150:complications*; D015925:Cryopreservation; D005260:Female; D006801:Humans; D008297:Male; D009919:Orchiectomy; D011247:Pregnancy; D012662:Semen Preservation; D020554:Sperm Injections, Intracytoplasmic; D013736:Testicular Neoplasms / Q000150:complications / Q000601:surgery*; D013737:Testis / Q000601:surgery; D020858:Tissue and Organ Harvesting