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Updated: Jul 10, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
Published on: May 27, 2022
Testicular sperm extraction in a single cancerous testicle in patients with azoospermia: a case report
Laure Descombe1, Céline Chauleur, Anne Gentil-Perret
1Department of Gynécologie-Obstétrique, Hôpital Nord, Saint Etienne, France.
Objective:
To optimize the management of patients with cancer in a single testis and azoospermia.
Design:
Case report.
Setting:
Reproductive biology department.
Patient(S):
Two male patients referred in an emergency context for gamete cryopreservation before castration for cancer in a single testis; the patients were azoospermic before any sterilizing treatment.
Intervention(S):
Testicular sperm extraction (TESE) was carried out synchronously with orchiectomy, allowing the cryopreservation of testicular spermatozoa.
Main Outcome Measure(S):
One year after the end of the cancer treatment, thawed testicular spermatozoa were successfully used in an intracytoplasmic sperm injection procedure. A twin pregnancy was obtained, and a healthy boy and girl were born.
Conclusion(S):
TESE and cryopreservation could be offered to every patient with cancer in a single testis and azoospermia.
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