Feasibility of simultaneous testicular microdissection for sperm retrieval and ipsilateral testicular tumor resection in azoospermic men.

Male infertility is known to be associated with testicular tumors (Honig et al, 1994). In one recent report (Nobert and Goldstein, 2001), at least a 16-fold increase in the risk of testicular cancer, with seminoma being the most prevalent one, has been reported to be associated with male infertility. Generally, the standard initial treatment for testicular mass, in view of its high likelihood of malignancy, is inguinal orchiectomy. We hereby report 2 cases of testicular mass discovered during infertility evaluation for azoospermia. In both cases, simultaneous testicular sperm retrieval with microdissection, for future use of assisted reproduction, was performed during orchiectomy. The safety and advantages of this management approach for azoospermic patients with incidentally discovered testicular mass are discussed.