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  • 1
    ISSN: 1573-7330
    Keywords: epididymis ; ultrastructure ; epididymal epithelium ; obstructive azoospermia ; congenital absence of the vas deferens
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Purpose: Our purpose was to determine the obstructed epididymal epithelium morphometric state and to elucidate the influence of morphometric parameters on the fertilizing ability of aspirated spermatozoa. Methods: During MESA with IVF, epididymal tissue samples were carefully dissected, fixed, and prepared for morphometric analysis. The epithelium of the three regions was studied: head, body, and tail (when present). The total area/luminal area ratio, epithelium thickness, and stereocilium length were measured. Results: We have found significant differences in the total area/luminal area ratio, epithelium thickness, and stereocilium length in obstructed epididymal length 〉4 versus 0.5–2 cm (P≤0.01). Epithelium thickness and stereocilium length were significantly lower when no fertilization was observed in IVF. Conclusions: These results suggest that morphometric data of obstructed epididymis epithelium can be used as a means of explaining the failure of IVF with epididymal spermatozoa.
    Type of Medium: Electronic Resource
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