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Abstract
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OBJECTIVE: To perform a review of the literature to assess the options of preserving fertility in patients with fertility threatening testicular injuries and their efficacy to help guide surgeons who encounter these patients in the future.
METHODS: Medline, EMBASE and Cochrane library databases were searched using the keywords treatment, therapy, management, scrotal trauma / injury, testicular trauma / injury / amputation, fertility and fertility preservation Inclusion criteria: studies reporting the fertility preserving techniques with a history of testicular trauma with loss of one, both or nearly all testicular parenchymal tissue RESULTS: Two cases of testicular sperm extraction, eight cases of testicular replantation, and one case of cryopreservation after injury were identified. Presence of viable sperm post-surgery was found in 5/11 patients. Common reasons for failure of replantation were prolonged ischaemic time and extensive crush injury to the vascular supply of the testis. 2/2 cases of TESE and the single cryopreservation case obtained viable sperm CONCLUSION: Scrotal trauma with threat to fertility is rare. It is important that urologists should consider fertility in any situation where complete or a large amount of testicular tissue loss is at risk of occurring and offer fertility preservation options as locally available. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
Language: en |