title: Emergency testicular sperm extraction after scrotal trauma in a patient with a history of contralateral orchiopexy for cryptorchidism: case report and review of the literature.
abstract: OBJECTIVE
  To report a case of successful testicular sperm extraction performed during an emergency scrotal exploration for trauma in a patient with a history of previous contralateral cryptorchidism.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Clinica Urologica I, Università degli Studi di Milano, Fondazione Istituto di Ricerca e Cura a Carattere Scientifico Ca' Granda, Ospedale Maggiore Policlinico.
  
  
  METHODS
  A 28-year-old man with a history of right orchiopexy for cryptorchidism presenting with blunt trauma of the pelvis.
  
  
  METHODS
  Seminiferous tubules extraction.
  
  
  METHODS
  Successful sperm retrieval.
  
  
  RESULTS
  Scrotal ultrasonography (US) showed a suspected rupture of the left tunica albuginea, and color Doppler examination evidenced testicular perfusion only in the region near the mediastinum testis. Twelve hours after scrotal exploration, the extracted testicular tissue was successfully processed, and seven vials of sperm were frozen.
  
  
  CONCLUSIONS
  After testicular trauma in selected patients, such as individuals with a history of monorchism or cryptorchidism, emergency testicular sperm extraction (TESE) can be a useful option to preserve fertility.
authors.affiliation: Clinica Urologica I, Università degli Studi di Milano, Fondazione IRCCS Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy. franco.gadda@policlinico.mi.it
authors.forename: Franco
authors.initials: F
authors.lastname: Gadda
authors.forename: Matteo Giulio
authors.initials: MG
authors.lastname: Spinelli
authors.forename: Gabriele
authors.initials: G
authors.lastname: Cozzi
authors.forename: Alessio
authors.initials: A
authors.lastname: Paffoni
authors.forename: Luca
authors.initials: L
authors.lastname: Carmignani
authors.forename: Francesco
authors.initials: F
authors.lastname: Rocco
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D015925:Cryopreservation; D003456:Cryptorchidism / Q000601:surgery*; D059247:Fertility Preservation / Q000379:methods*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000628:therapy*; D008297:Male; D009049:Motorcycles; D056126:Orchiopexy; D012611:Scrotum / Q000000981:diagnostic imaging / Q000293:injuries*; D053625:Sperm Retrieval; D018615:Ultrasonography, Doppler, Color; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology*