Cryptorchidism and its impact on male fertility: a state of art review of current literature
- PMID: 21672488
- PMCID: PMC3114036
- DOI: 10.5489/cuaj.10106
Cryptorchidism and its impact on male fertility: a state of art review of current literature
Abstract
Cryptorchidism is associated with impairment of germ cell maturation and subsequent infertility in adulthood. The present report details common scenarios of referral of men with prior history of cryptorchidism and orchidopexy seeking advice for infertility, and examines the association between cyrptorchidism and male infertility. The increase in the understanding of the hormonal profiles and patho-physiological changes in germ cell maturation in cryptorchid boys may potentially change our approach and management strategies. Improvement in sperm retrieval techniques and micromanipulation techniques, such as intracytoplasmic sperm injection, has led to excellent fertilization and pregnancy outcomes of treatment cycles.
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References
-
- Kolon FT, Patel PR, Huff SD. Cryptorchidism: diagnosis, treatment and long-term prognosis. Urol Clin North Am. 2004;31:469–80. - PubMed
-
- Hadziselimovic F, Herzog B. The importance of both and early orchidopexy and germ cell maturation for fertility. Lancet. 2001;358:1156–7. - PubMed
-
- Cortes D, Thorup JM, Visfeldt J. Cryptorchidism: aspect of fertility and neoplasms. A study including data of 1335 consecutive boys who underwent testicular biopsy simultaneously with surgery for cryptorchidim. Horm Res. 2001;55:21–5. - PubMed
-
- Trussel JC, Lee PA. The relationship of cryptorchidism to fertility. Curr Urol Rep. 2004;5:142–5. - PubMed
-
- Spencer JR. The endocrinology of testicular descent. AUA Update Series Lesson. 1994;12:94–9.
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