Examination of clinical data and semen analysis results of patients undergoing orchiectomy for testicular tumor
Rev. Assoc. Med. Bras. (1992, Impr.)
; 67(4): 577-584, Apr. 2021. tab
Article
in En
| LILACS
| ID: biblio-1340637
Responsible library:
BR1.1
ABSTRACT
SUMMARY OBJECTIVE:
Testicular tumor constitutes 1% of male neoplasms. Infertility can be determined in patients with testicular tumors before orchiectomy due to the deterioration of spermatogenesis. The aim of this study was to show the clinical, radiological, and pathological characteristics and spermiogram results of patients with testicular tumor and their relationship with each other.METHODS:
The data of patients who underwent orchiectomy due to testicular tumor between 2016 and 2019 were reviewed retrospectively. These data included sociodemographic data of the patients, pretreatment spermiogram characteristics, level of serum tumor markers, characteristics of the ultrasonography, type of orchiectomy, and histopathological examination.RESULTS:
This study included 53 male patients, with a mean age of 33.51±12.86 years. The mean levels of all tumor markers were above the reference levels. The mean tumor size was 34.68±23.32 mm. Multiple localizations and microlithiasis were detected in 11.3 and 13.2% of the tumors, respectively. The most common masses were hypoechoic (n=37; 69.8%) and hypervascular (n=47; 81%). Spermiogram and cryopreservation were performed in 29 (54.7%) of 53 patients preoperatively. The mean sperm concentration before orchiectomy was 24.21×106 /mL and group A sperm motility 0.79%, group B sperm motility 39.10%, group C sperm motility 9.83%, and group D sperm motility 22.69% in testicular tumors.CONCLUSION:
Spermatogenesis adversely affected before the treatment due to local and systemic effects of testicular cancer. Fertility expectations can be increased in the subsequent years by semen analysis and referral to cryopreservation.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Testicular Neoplasms
Type of study:
Observational_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Rev. Assoc. Med. Bras. (1992, Impr.)
Year:
2021
Document type:
Article