What should be the minimum frequency of micro testicular sperm extraction (m-TESE) in patients with Klinefelter syndrome?

dc.contributor.authorSalvarci, Ahmet
dc.contributor.authorBalasar, Mehmet
dc.date.accessioned2022-03-08T09:25:33Z
dc.date.available2022-03-08T09:25:33Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: To investigate whether a second or even a third surgery is required for sperm retrieval in non-mosaic Klinefelter syndrome patients who underwent a successful/failed micro-testicular sperm extraction (m-TESE).Material and Methods: The patients underwent physical examination, genetic analyses, pathological screening between 2008 and 2018. In the patients, sperm retrieval rates, pregnancy after intracytoplasmic sperm injection (ICSI) and baby take-home rates were examined.Results: M-TESE was repeated for the second time in thirty-five patients in total, with twenty of that underwent their first m-TESE with a negative result and fifteen with a positive result. In =6/20 patients (30%) who had a negative result with the first m-TESE and in n=9/15 patients (60%) who had a positive result with the first m-TESE, sperm was detected the second time. Pregnancy was achieved in n=2/6 patients (33%) who were negative the first time and positive the second time. Baby take-home was achieved in one patient (16.6%). Conclusion: In addition to patients from whom sperm could be retrieved previously, sperm could be detected especially in the second and even third redo m-TESE in patients from whom sperm could not be retrieved. Pregnancy occurred and baby take-home was achieved. Despite the presence of a very limited testicular tissue, it is recommended for this procedure to be performed by expert practitioners upon discussing very openly the complications and achievements, to decide accordingly and repeat m-TESE in these patients where possible.en_US
dc.identifier.citationSalvarci, A., & Balasar, M. (2021). What should be the minimum frequency of micro testicular sperm extraction (m-TESE) in patients with Klinefelter syndrome? . Annals of Medical Research,en_US
dc.identifier.urihttps://hdl.handle.net/11616/54723
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleWhat should be the minimum frequency of micro testicular sperm extraction (m-TESE) in patients with Klinefelter syndrome?en_US
dc.typeArticleen_US

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