Microsurgical epididymal sperm aspiration with motile trophozoite cells but no spermatozoa

C. Janssenswillen, H. Tournaye, D. Pierard, P. Devroey, A. Van Steirteghem
1997 Human Reproduction  
This paper reports on a patient in whom the clinical diagnosis of obstructive azoospermia was made according to clinical observations, i.e. azoospermia, normal andrological examination, normal follicle stimulating hormone and a misleading histopathological report of a testicular biopsy. Microsurgical vasoepididymostomy failed to restore fertility, and as a last resort, microsurgical sperm aspiration was performed. Although flagellated cells were observed in the epididymal aspiration, no
more » ... zoa were observed and wet preparation of multiple testicular biopsies failed to demonstrate any spermatozoon. This patient was diagnosed to have a non-obstructive azoospermia, resulting from maturation arrest associated with trichomonas infection at the level of the epididymis.
doi:10.1093/humrep/12.10.2217 pmid:9402284 fatcat:z2nqvhgtjbarrbp3pt5baozwju