Testicular sperm extraction in a single cancerous testicle in patients with azoospermia: a case report.

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.