Abstract

Objectives: The development of Intracytoplasmic Sperm Injection (ICSI) made possible direct retrieval of sperm from testes for use in Artificial Reproductive Techniques. At times, the urologist is not involved in the evaluation and/or retrieval of sperm in the infertile male. We found significant testicular pathology in patients who were candidates for testicular sperm extraction. These would have been discovered with an appropriate urological evaluation. Failure to detect these entities prior to TESE would have compromised patient care and possibly lead to medical legal action.

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