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Role of fine needle aspirate mapping and touch imprint preparations in the evaluation of azoospermia
Authors:Hussein Mahmoud R  Bedaiwy Mohammad M A  Ezat Alae  Ibraheem Abdul Fatah  Nayel Mahmoud
Institution:Department of Pathology, Obstetrics and Gynecology, and Urology, Faculty of Medicine, Assuit University, Assuit, Egypt. mrh17@swissinfo.org
Abstract:OBJECTIVE: To assess the utility of fine needle aspiration cytology (FNAC) and touch imprint cytology (TIC) in the evaluation of azoospermia. STUDY DESIGN: FNAC, TIC and open testicular biopsy (OTB) were used to evaluate 31 azoospermic men. RESULTS: OTB revealed normal spermatogenesis (10), spermatogenic arrest (12), Sertoli cell only syndrome (SCO) (7) and unsatisfactory cases (2). Cytologic examinations (TIC vs. FNAC) revealed normal spermatogenesis (11 vs. 9), spermatogenic arrest (13 vs. 7), SCO (2 vs. 1) and unsatisfactory cases (5 vs. 5). Sensitivity and specificity of TIC and FNAC were 98% vs. 83% and 100% vs. 93%, respectively. CONCLUSION: Testicular FNAC is a reliable and simple method for the evaluation of azoospermia.
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