Successful Cryopreservation of Spermatozoa Following Orchidectomy for Testicular Torsion in a Patient with Previous Contralateral Torsion of Testis

Submit Manuscript | http://medcraveonline.com reduced [3]. The reduction in fertility is documented in patients following orchidectomy with a contralateral viable testicle. In this case the contralateral testicle was atrophic following previous misdiagnosed torsion. Patients with severe testicular atrophy have undergone successful microdissection of sperm, in one study up to 56% of patients with non-obstructive testicular atrophy had successful microdissection of sperm. These cases were more successful in patients with Kleinefelter’s syndrome as opposed to other causes of testicular atrophy [4]. Cryopreservation of sperm through masturbation rather than microdissection has been used for patients with testicular malignancy undergoing elective orchidectomy, both pre and post-operatively [5]. There is a documented case of a patient undergoing orchidopexy for torsion with ischaemic testicular injury and a single testis having a successful sperm cryopreservation post operatively [6]. There are no documented cases of patients underwent successful sperm cryopreservation following orchidectomy for testicular torsion. There has been some research into storage of sperm in seminal vesicles which may explain the mechanism for successful cryopreservation following orchidectomy however studies have produced mixed results [7,8]. The success of seminal vesicle aspiration in fertile volunteers was affected by the number of days of abstinence which is a factor which cannot be changed in an emergency presentation [7].