Talk to Urologist on Urology Infertility
Asking for Self, Male, 28 years old, lahore
this is biopsy result, let me know,is this possible to having child in future? MICROSCOPY: A): Histological examination of the section reveals fragment of testicular parenchyma showing seminiferous tubules lined by sertoli cells. Few tubules have thick basement membranes. No evidence of spermatogenesis is noted. B): Histological examination of the section reveals fragment of testicular parenchyma showing seminiferous tubules lined by sertoli cells. Few tubules have thick basement membranes. No evidence of spermatogenesis is noted. DIAGNOSIS: A): Right Testicular Biopsy: - Sertoli Cells Only - Johnson's Score: 2 B): Left Testicular Biopsy: - Sertoli Cells Only - Johnson's Score: 2
Asst. Prof. Dr. Muhammad Shahzad - Urologist
| MBBS | FCPS (Urology) | | Abbottabad
408 Positive Reviews
an open biopsy is no longer the procedure of choice for diagnosis of azzospermia in infertility. You need MESA or TESA at a specialised centre before announcing you as infertile..
Member
Anonymous User
Dear patient,
Your testicular biopsy report shows that you don't have functional sperms in your testes. That means that no treatment can make you a father, except adoption. In Western countries, sperm donation is an option but its not allowed in our country and religion. So you should go for adoption. May Allah help you in that, Ameen...
Member
Anonymous User
28 year old male, azoospermia, primary infertility. Azoospermia generally occurs in 2 main scenarios: obstructive and non-obstructive. The former is treated more easily and has better outcomes. I would like to order a scrotal ultrasound with doppler to ascertain testicular size, blood flow and any associated abnormalities, like varicocele (which can be corrected surgically), serum hormone profile (LH, FSH, prolactin, testosterone). A high FSH with near normal testes indicate obstructive azoospermia, which is treated by epididymo-vasostomy. This yields a fair amount of sperms within 3 months. In this patient, however, it seems to be non-obstructive azoospermia. This is due to intrinsic testicular pathologies. Testicular biopsy shows sertoli cell only, with no spermatogenesis observed. However, Johnsen score 2/10 is given in the report which mean some spermatozoa are present in the seminiferous tubules. These sperms may be harvested by microsurgical testicular sperm extraction (mTESE). If found viable and motile, the sperms can then be used to innoculate ova taken from his partner in a procedure called intracytoplasmic sperm injection (ICSI). Results of ICSI/ IVF depend on the expertise of the fertility lab, which in Pakistan are about 30-50%, with a mean expenditure about Rs 500,000. So, yes, there is hope for him to have a biological child.
Patient
Post Owner
hi thanks for your opinion, can you please let me know about yourself? or can you provide me details about my treatment?
5 years ago
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Patient
Post Owner
thanks for your reply, is this possible to having child in future? or where i have to consult further?
6 years ago
| MBBS | FCPS (Urology) | | Abbottabad | Book Appointment
Dr Khalil ur Rehman from Fatima memorial hospital Lahore is your best bet at the moment in my opinion..
6 years ago