دورية أكاديمية
Global Practice Patterns and Variations in the Medical and Surgical Management of Non-Obstructive Azoospermia: Results of a World-Wide Survey, Guidelines and Expert Recommendations
| العنوان: | Global Practice Patterns and Variations in the Medical and Surgical Management of Non-Obstructive Azoospermia: Results of a World-Wide Survey, Guidelines and Expert Recommendations |
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| المؤلفون: | Rambhatla A, Shah R, Ziouziou I, Kothari P, Salvio G, Gul M, Hamoda T, Kavoussi P, Atmoko W, Toprak T, Birowo P, Ko E, Arafa M, Ghayda RA, Karthikeyan VS, Russo GI, Pinggera GM, Chung E, Harraz AM, Martinez M, Phuoc NH, Tadros N, Saleh R, Savira M, Colpi GM, Zohdy W, Pescatori E, Park HJ, Fukuhara S, Tsujimura A, Rojas-Cruz C, Marino A, Mak SK, Amar E, Ibrahim W, Sindhwani P, Alhathal N, Busetto GM, Hashimi MA, El-Sakka A, Ramazan A, Dimitriadis F, Timpano M, Jezek D, Altay B, Zylbersztejn DS, Wong MY, Moon DG, Wyns C, Gamidov S, Akhavizadegan H, Franceschelli A, Aydos K, Quang N, Ashour S, Dayel AA, Al-Marhoon MS, Micic S, Binsaleh S, Hussein A, Elbardisi H, Mostafa T, Ramsay J, Zachariou A, Abdelrahman IF, Rajmil O, Kalkanli A, Molina JM, Bocu K, Duarsa GW, Çeker G, Serefoglu EC, Bahar F, Gherabi N, Kuroda S, Bouzouita A, Gudeloglu A, Ceyhan E, Hasan MS, Musa MU, Motawi A, Cho CL, Taniguchi H, Ho CC, Vazquez JF, Mutambirwa S, Gungor ND, Bendayan M, Giulioni C, Baser A, Falcone M, Boeri L, Blecher G, Kheradmand A, Sethupathy T, Adriansjah R, Narimani N, Konstantinidis C, Nguyen TT, Japari A, Dolati P, Singh K, Ozer C, Sarikaya S, Sheibak N, Bosco NJ, Özkent MS, Le ST, Sokolakis I, Katz D, Smith R, Truong MN, Le TV, Huang Z, Deger MD, Arslan U, Calik G, Franco G, Rashed A, Kahraman O, Andreadakis S, Putra R, Balercia G, Khalafalla K, Cannarella R, TuấnAnh Đặ, Meliegy AE, Zilaitiene B, Ramirez ML, Giacone F, Calogero AE, Makarounis K, Jindal S, Hoai BN, Banthia R, Peña MR, Moorthy D, Adamyan A, Kulaksiz D, Kandil H, Sofikitis N, Salzano C, Jungwirth A, Banka SR, Mierzwa TC, Turunç T, Jain D, Avoyan A, Salacone P, Kadıoğlu A, Gupta C, Lin H, Shamohammadi I, Mogharabian N, Barrett T, Danacıoğlu YO, Crafa A, Daoud S, Malhotra V, Almardawi A, Selim OM, Moussa M, Haghdani S, Duran MB, Kunz Y, Preto M, Eugeni E, Nguyen T, Elshahid AR, Suyono SS, Parikesit D, Nada E, Orozco EG, Boitrelle F, Trang NT, Jamali M, Nair R, Ruzaev M, Gadda F, Thomas C, Ferreira RH, Gul U, Maruccia S, Kanbur A, Kinzikeeva E, Abumelha SM, Kosgi R, Gokalp F, Soebadi MA, Paul GM, Sajadi H, Gupte D, Ambar RF, Sogutdelen E, Singla K, Basukarno A, Kim SH, Gilani MA, Nagao K, Brodjonegoro SR, Rezano A, Elkhouly M, Mazzilli R, Farsi HM, Ba HN, Alali H, Kafetzis D, Long TQ, Alsaid S, Cuong HB, Oleksandr K, Mustafa A, Acosta H, Pai H, Şahin B, Arianto E, Teo C, Jayaprakash SP, Rachman RI, Yenice MG, Sefrioui O, Priyadarshi S, Tanic M, Alfatlaw NK, Rizaldi F, Vishwakarma RB, Kanakis G, Cherian DT, Lee J, Galstyan R, Keskin H, Wurzacher J, Seno DH, Noegroho BS, Margiana R, Javed Q, Castiglioni F, Tanwar R, Puigvert A, Kaya C, Purnomo M, Yazbeck C, Amir A, Borges E, Bellavia M, Deswanto IA, KV V, Liguori G, Minh DH, Siddiqi K, Colombo F, Zini A, Patel N, Çayan S, Al-kawaz U, Ragab M, Hebrard GH, de la Rosette J, Efesoy O, Hoffmann I, Teixeira TA, Saylam B, Delgadillo D, Agarwal A, Global Andrology Forum |
| المساهمون: | Rambhatla, A, Shah, R, Ziouziou, I, Kothari, P, Salvio, G, Gul, M, Hamoda, T, Kavoussi, P, Atmoko, W, Toprak, T, Birowo, P, Ko, E, Arafa, M, Ghayda, Ra, Karthikeyan, V, Russo, Gi, Pinggera, Gm, Chung, E, Harraz, Am, Martinez, M, Phuoc, Nh, Tadros, N, Saleh, R, Savira, M, Colpi, Gm, Zohdy, W, Pescatori, E, Park, Hj, Fukuhara, S, Tsujimura, A, Rojas-Cruz, C, Marino, A, Mak, Sk, Amar, E, Ibrahim, W, Sindhwani, P, Alhathal, N, Busetto, Gm, Hashimi, Ma, El-Sakka, A, Ramazan, A, Dimitriadis, F, Timpano, M, Jezek, D, Altay, B, Zylbersztejn, D, Wong, My, Moon, Dg, Wyns, C, Gamidov, S, Akhavizadegan, H, Franceschelli, A, Aydos, K, Quang, N, Ashour, S, Dayel, Aa, Al-Marhoon, M, Micic, S, Binsaleh, S, Hussein, A, Elbardisi, H, Mostafa, T, Ramsay, J, Zachariou, A, Abdelrahman, If, Rajmil, O, Kalkanli, A, Molina, Jm, Bocu, K, Duarsa, Gw, Çeker, G, Serefoglu, Ec, Bahar, F, Gherabi, N, Kuroda, S, Bouzouita, A, Gudeloglu, A, Ceyhan, E, Hasan, M, Musa, Mu, Motawi, A, Cho, Cl, Taniguchi, H, Ho, Cc, Vazquez, Jf, Mutambirwa, S, Gungor, Nd, Bendayan, M, Giulioni, C, Baser, A, Falcone, M, Boeri, L, Blecher, G, Kheradmand, A, Sethupathy, T, Adriansjah, R, Narimani, N, Konstantinidis, C, Nguyen, Tt, Japari, A |
| سنة النشر: | 2024 |
| المجموعة: | Università degli Studi di Foggia: CINECA IRIS Institutional Research Information System |
| الوصف: | Purpose: Non-obstructive azoospermia (NOA) is a common, but complex problem, with multiple therapeutic options and a lack of clear guidelines. Hence, there is considerable controversy and marked variation in the management of NOA. This survey evaluates contemporary global practices related to medical and surgical management for patients with NOA. Materials and methods: A 56-question online survey covering various aspects of the evaluation and management of NOA was sent to specialists around the globe. This paper analyzes the results of the second half of the survey dealing with the management of NOA. Results have been compared to current guidelines, and expert recommendations have been provided using a Delphi process. Results: Participants from 49 countries submitted 336 valid responses. Hormonal therapy for 3 to 6 months was suggested before surgical sperm retrieval (SSR) by 29.6% and 23.6% of participants for normogonadotropic hypogonadism and hypergonadotropic hypogonadism respectively. The SSR rate was reported as 50.0% by 26.0% to 50.0% of participants. Interestingly, 46.0% reported successful SSR in <10% of men with Klinefelter syndrome and 41.3% routinely recommended preimplantation genetic testing. Varicocele repair prior to SSR is recommended by 57.7%. Half of the respondents (57.4%) reported using ultrasound to identify the most vascularized areas in the testis for SSR. One-third proceed directly to microdissection testicular sperm extraction (mTESE) in every case of NOA while others use a staged approach. After a failed conventional TESE, 23.8% wait for 3 months, while 33.1% wait for 6 months before proceeding to mTESE. The cut-off of follicle-stimulating hormone for positive SSR was reported to be 12-19 IU/mL by 22.5% of participants and 20-40 IU/mL by 27.8%, while 31.8% reported no upper limit. Conclusions: This is the largest survey to date on the real-world medical and surgical management of NOA by reproductive experts. It demonstrates a diverse practice pattern and highlights the need for ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/38606867; journal:THE WORLD JOURNAL OF MEN'S HEALTH; https://hdl.handle.net/11369/449670Test |
| DOI: | 10.5534/wjmh.230339 |
| الإتاحة: | https://doi.org/10.5534/wjmh.230339Test https://hdl.handle.net/11369/449670Test |
| رقم الانضمام: | edsbas.B63C1B78 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5534/wjmh.230339 |
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