[Testicular and epididymal sperm extraction surgery].

Chirurgies d’extraction de spermatozoïdes testiculaires et épididymaires.
Male Humans Epididymis / surgery Sperm Injections, Intracytoplasmic / methods Semen Testis / surgery Spermatozoa Sperm Retrieval Azoospermia / etiology
Andrologie Andrology Azoospermia Azoospermie Epididymis Infertilité masculine Male infertility Micro-TESE TESE Testicule Testis Épididyme

Journal

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
ISSN: 1166-7087
Titre abrégé: Prog Urol
Pays: France
ID NLM: 9307844

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 22 08 2023
revised: 04 09 2023
accepted: 07 09 2023
medline: 29 11 2023
pubmed: 28 11 2023
entrez: 28 11 2023
Statut: ppublish

Résumé

Testicular and epididymal sperm extraction surgery is a frequent procedure. However, to date, there has been no French consensus on the technique to be preferred in the various situations of male infertility and on the best way to perform them. We therefore decided to proceed with a formalized expert consensus, using the method recommended by the French National Authority for Health. The aim was to provide the French urology community with practical advice on how best to perform these procedures. Twenty-six international experts met online for the consensus. A research committee carried out a comprehensive literature review and prepared the 55 statements submitted to the rating group. After 2 rounds of scoring, 50 recommendations were validated in March 2023, having achieved a consensus of more than 85% among the experts. The consensus covered (1) preparation for sperm extraction surgery, (2) the different sperm extraction surgery techniques (Microsurgical epididymal sperm aspiration [MESA], Percutaneous epididymal sperm aspiration [PESA], Conventional Testicular Sperm Extraction [TESE], Microsurgical Testicular Sperm Extraction [micro-TESE]), (3) advice to be given to the patient concerning the postoperative period, before presenting the results of the sperm extraction surgeries. The expert consensus meeting on the performance of sperm extraction surgery presented a set of clinical guidelines based on the available literature and expert opinion. These guidelines should have a favourable effect on the development of this activity in France.

Sections du résumé

BACKGROUND BACKGROUND
Testicular and epididymal sperm extraction surgery is a frequent procedure. However, to date, there has been no French consensus on the technique to be preferred in the various situations of male infertility and on the best way to perform them. We therefore decided to proceed with a formalized expert consensus, using the method recommended by the French National Authority for Health. The aim was to provide the French urology community with practical advice on how best to perform these procedures.
METHODS METHODS
Twenty-six international experts met online for the consensus. A research committee carried out a comprehensive literature review and prepared the 55 statements submitted to the rating group. After 2 rounds of scoring, 50 recommendations were validated in March 2023, having achieved a consensus of more than 85% among the experts.
RESULTS RESULTS
The consensus covered (1) preparation for sperm extraction surgery, (2) the different sperm extraction surgery techniques (Microsurgical epididymal sperm aspiration [MESA], Percutaneous epididymal sperm aspiration [PESA], Conventional Testicular Sperm Extraction [TESE], Microsurgical Testicular Sperm Extraction [micro-TESE]), (3) advice to be given to the patient concerning the postoperative period, before presenting the results of the sperm extraction surgeries.
CONCLUSIONS CONCLUSIONS
The expert consensus meeting on the performance of sperm extraction surgery presented a set of clinical guidelines based on the available literature and expert opinion. These guidelines should have a favourable effect on the development of this activity in France.

Identifiants

DOI: 10.1016/j.purol.2023.09.007 PMID: 38012912
pubmed: 38012912
pii: S1166-7087(23)00210-5
doi: 10.1016/j.purol.2023.09.007
pii:
doi:

Types de publication

Review English Abstract Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

697-709

Informations de copyright

Copyright © 2023 Elsevier Masson SAS. All rights reserved.

Auteurs

Eric Huyghe (E)

Département d'urologie, hôpital de Rangueil, CHU de Toulouse, Toulouse, France; Service de médecine de la reproduction, hôpital Paule-de-Viguier, CHU de Toulouse, Toulouse, France; UMR DEFE, Inserm 1203, université de Toulouse, université de Montpellier, Montpellier, France. Electronic address: eric.huyghe@yahoo.fr.

Antoine Faix (A)

Clinique Saint-Roch, 560, avenue du colonel Pavelet-dit-Villars, 34000 Montpellier, France.

Amin Bouker (A)

Centre médical Coral, centre urbain Nord, avenue Zohra-Feiza, Tunis, Tunisie.

Charlotte Methorst (C)

Service de médecine de la reproduction, hôpital des 4 villes, Saint Cloud, France.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Appareil urogénital › Système génital › Système génital de l'homme › Épididyme › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Techniques d'investigation › Techniques de reproduction › Techniques de reproduction assistée › Fécondation in vitro › Injections intracytoplasmiques de spermatozoïdes › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Liquides et sécrétions biologiques › Sécrétions corporelles › Sperme › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Système endocrine › Glandes endocrines › Gonades › Testicule › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Cellules › Cellules germinales › Spermatozoïdes › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Techniques d'investigation › Techniques de reproduction › Techniques de reproduction assistée › Prélèvement de sperme › [Testicular and epididymal sperm extraction surgery].
questionsmedicales.fr › Maladies urogénitales › Maladies urogénitales de l'homme › Maladies de l'appareil génital mâle › Infertilité masculine › Azoospermie › [Testicular and epididymal sperm extraction surgery].