title: Varicocelectomy may benefit men with a sertoli cell-only pattern on microsurgical testicular sperm extraction: a case report.
abstract: Men with testicular failure (TF) often undergo an extensive microsurgical dissection of the testicles to identify sperm (TESE procedure). Frequently no sperm is found. Although a varicocelectomy results in improved spermatogenesis in some men with TF, the role of varicocelectomy in the setting of a failed TESE is unknown. We present a case of recovery of spermatogenesis after varicocelectomy in a man who had a previous failed TESE. This case demonstrates that patients with a failed TESE may gain some benefit from a varicocelectomy and that this procedure may be offered as an alternative to donor insemination or adoption.
authors.affiliation: Division of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Ontario, Canada.
authors.forename: Jason
authors.initials: J
authors.lastname: Lee
authors.forename: Saleh
authors.initials: S
authors.lastname: Binsaleh
authors.forename: Kirk C
authors.initials: KC
authors.lastname: Lo
authors.forename: Keith
authors.initials: K
authors.lastname: Jarvi
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008866:Microsurgery; D012708:Sertoli Cells; D013091:Spermatogenesis; D013094:Spermatozoa; D020858:Tissue and Organ Harvesting; D014646:Varicocele / Q000601:surgery*