Tissue perfusion essential for spermatogenesis and outcome of testicular sperm extraction (TESE) for assisted reproduction

In order to determine if there are areas of major and minor perfusion in a single testicle and if the quality of sperm is correlated with quantity of perfusion we collected testicle tissue for TESE in accordance to the local testicle tissue perfusion. A patient undergoing TESE underwent testicular p...

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Veröffentlicht in:Journal of assisted reproduction and genetics 2004-05, Vol.21 (5), p.175-180
Hauptverfasser: Herwig, R, Tosun, K, Pinggera, G M, Soelder, E, Moeller, K T, Pallwein, L, Frauscher, E, Bartsch, G, Wildt, L, Illmensee, K
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container_end_page 180
container_issue 5
container_start_page 175
container_title Journal of assisted reproduction and genetics
container_volume 21
creator Herwig, R
Tosun, K
Pinggera, G M
Soelder, E
Moeller, K T
Pallwein, L
Frauscher, E
Bartsch, G
Wildt, L
Illmensee, K
description In order to determine if there are areas of major and minor perfusion in a single testicle and if the quality of sperm is correlated with quantity of perfusion we collected testicle tissue for TESE in accordance to the local testicle tissue perfusion. A patient undergoing TESE underwent testicular perfusion mapping using contrast enhanced ultrasound. The exposed tissue was scanned with a Laser Doppler scanner and perfusion rates were determined measuring tissue perfusion units (TPUs). Tissue was biopsied and sperm were selected and prepared for assisted reproduction. The total amount of isolated sperm correlated highly with the intensity of tissue perfusion showing high number of sperm in areas with high TPUs. This is the first demonstration that sperm quality and quantity is depending on tissue perfusion within the testicle. To further improve infertility treatment we propose that random biopsies could be replaced by perfusion-dependent collection of testicular tissue.
doi_str_mv 10.1023/b:jarg.0000031251.57848.04
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subjects Biopsy
Embryos
Female
Humans
Infertility, Male - therapy
Lasers
Male
Mineral oils
Morphology
Oocytes - metabolism
Ovulation Induction
Patients
Perfusion
Reproductive Techniques, Assisted
Reproductive technologies
Sperm
Sperm Injections, Intracytoplasmic - methods
Spermatogenesis
Spermatozoa - cytology
Spermatozoa - pathology
Testicular Diseases - therapy
Testis - diagnostic imaging
Ultrasonic imaging
Ultrasonography
Ultrasonography, Doppler
title Tissue perfusion essential for spermatogenesis and outcome of testicular sperm extraction (TESE) for assisted reproduction
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