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首页> 外文期刊>Fertility and Sterility: Official Journal of the American Fertility Society, Pacific Coast Fertility Society, and the Canadian Fertility and Andrology Society >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
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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

机译：有对侧睾丸性隐睾病史的阴囊外伤患者在阴囊外伤后紧急提取睾丸精子：病例报告并文献复习

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摘要

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. Design: Case report. Setting: Clinica Urologica I, Università degli Studi di Milano, Fondazione Istituto di Ricerca e Cura a Carattere Scientifico Ca' Granda, Ospedale Maggiore Policlinico. Patient(s): A 28-year-old man with a history of right orchiopexy for cryptorchidism presenting with blunt trauma of the pelvis. Intervention(s): Seminiferous tubules extraction. Main Outcome Measure(s): Successful sperm retrieval. Result(s): 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. Conclusion(s): 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.
机译：目的：报道一例有对侧隐睾病史的紧急阴囊探查术中成功提取睾丸精子的病例。设计：病例报告。地点：泌尿外科学院I，米兰大学研究大学，赖斯卡大学基金会，科学技术大学，马焦雷·波利里尼科剧院。患者：一位28岁的男性，患有右睾丸炎的隐睾病史，伴有骨盆钝性损伤。干预措施：曲细精管提取。主要观察指标：成功获得精子。结果：阴囊超声检查（US）显示怀疑左白膜破裂，彩色多普勒检查仅在睾丸纵隔附近区域显示睾丸灌注。阴囊探查后十二小时，成功处理了提取的睾丸组织，并冷冻了七个小瓶的精子。结论：在某些患者的睾丸外伤后，例如有单眼或隐睾病史的患者，紧急睾丸精子提取术（TESE）可能是保持生育能力的有用选择。

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