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

Capsule:
Successful testicular sperm extraction was performed with seven vials of sperm frozen for a man with previous right cryptorchidism, pelvic trauma, and left tunica albuginea rupture.

Authors:
Franco Gadda, M.D., Matteo Giulio Spinelli, M.D., Gabriele Cozzi, M.D., Alessio Paffoni, M.Sc., Luca Carmignani, M.D., Francesco Rocco, M.D.
Volume 97, Issue 5, Pages 1074-1077, May 2012

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. 

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