Morbidity and cost-effectiveness analysis of outpatient analgesia versus general anaesthesia for testicular sperm extraction in men with azoospermia due to defects in spermatogenesis

Human Reproduction

Volumn 14, Issue 2, 1999, Pages 321-328

  Ezeh, U I O ^a   Shepherd, S ^a   Moore, H D M ^a,b   Cooke, I D ^a  

^a JESSOP HOSPITAL FOR WOMEN   (United Kingdom)

^b UNIVERSITY OF SHEFFIELD   (United Kingdom)

Author keywords

Analgesia; Azoospermia; Gonadal failure; Outpatient; Testicular biopsy

Indexed keywords

ANESTHETIC AGENT; FENTANYL; ISOFLURANE; LIDOCAINE; LOCAL ANESTHETIC AGENT; MIDAZOLAM; NITROUS OXIDE PLUS OXYGEN; PROPOFOL;

ARTICLE; AZOOSPERMIA; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; GENERAL ANESTHESIA; HEALTH CARE COST; HUMAN; INHALATIONAL DRUG ADMINISTRATION; INTRACYTOPLASMIC SPERM INJECTION; INTRAVENOUS DRUG ADMINISTRATION; LOCAL ANESTHESIA; MALE; MORBIDITY; OUTPATIENT; PAIN ASSESSMENT; PATIENT SATISFACTION; POSTOPERATIVE PAIN; SEDATION; SPERM; SPERMATIC CORD; SPERMATOGENESIS; TESTIS BIOPSY; TOPICAL DRUG ADMINISTRATION;

EID: 0033051849     PISSN: 02681161     EISSN: None     Source Type: Journal    
DOI: 10.1093/humrep/14.2.321     Document Type: Article

References (30)

1. Bannister, L.H. and Dyson, M. (1995) Reproductive organs of the male. In Williams, P.L. (ed.), Gray's Anatomy. 38th edn. Churchill Livingstone, London, pp. 1848-1861.
2. Cassady, J.F. (1987) Outpatient urologic surgery: regional anaesthesia for urologic procedures. Urol. Clin. North Am., 14, 43-50.
3. Craft, I. and Tsirigotis, M. (1995) Simplified recovery, preparation and cryopreservation of testicular spermatozoa. Hum Reprod., 10, 1623-1627.
4. Craft, I., Tsirigotis, M., Courtauld, E. and Farrer-Brown, G. (1997) Testicular biopsy as an alternative to biopsy for the assessment of spermatogenesis. Hum. Reprod., 12, 1483-1487.
5. Devroey, P., Liu, J., Nagy, Z. et al. (1995) Pregnancy after testicular sperm extraction and intracytoplasmic injection in non-obstructive azoospermia. Hum. Reprod., 10, 1457-1460.
6. Ejlersen, E., Anderson, H.B., Eliasen, K. et al. (1992) A comparison between pre-and postincisional lidocaine infiltration on post operative pain. Anesth. Anal., 74, 495-498.
7. Ezeh, U.I.O., St John, J., Barratt, C.L.R. et al. (1996) A prospective study of needle versus open testicular biopsy for testicular sperm extraction in those with non-obstructive azoospermia. Blair Bell Research Society Meeting (The Royal College of Obstetricians and Gynaecologists, London), Liverpool, 2-3 October. Br. J. Obstet. Gynaecol., 104, 632-640.
8. Friedler, S., Raziel, A., Strassburger, D. et al. (1997) Testicular sperm retrieval by fine needle sperm aspiration compared with testicular sperm extraction by open biopsy in men with non-obstructive azoospermia. Hum. Reprod., 12, 1488-1493.
9. Fuchs, E.F. (1982) Cordal block anaesthesia for scrotal surgery. J. Urol., 128, 718-719.
10. Goldstein, M., Young, G.P.H. and Emer-Jensen, N. (1983) Testicular artery damage due to infiltration with a fine gauge needle: experimental evidence suggesting that blind cord block should be abandoned. Surg. Forum, 24, 653-656.
11. Harrington, T., Schauer, D. and Gilbert, B. (1996) Percutaneous testis biopsy: an alternative to open testicular biopsy in the evaluation of subfertile man. J. Urol., 156, 1647-1651.
12. Jarow, J.P. (1991) Clinical significance of intratesticular anatomy. J. Urol., 145, 777-779.
13. Katz, J., Kavanagh, B.P., Clairoux, M. and Sandler A.N. (1993) Pre-emptive analgesia. Br. J. Anaesth., 70, 378-379.
14. Keith, W.K., Lange, P.M. and Fraley, E.E. (1982) Spermatic cord block in urologic surgery. J. Urol., 128, 720-721.
15. Mallidis, C. and Baker, H.W.G. (1994) Fine needle tissue aspiration biopsy of the testes. Fertil. Steril., 61, 367-375.
16. O'Sullivan, G. and Park, G.R. (1990) The assessment of sedation. J. Clin. Intens. Care, 63, 116-122.
17. Palve, H., Kirvela, O., Olin, H. et al. (1995) Maximum recommended doses of lignocaine are not toxic. Br. J. Anaesth., 74, 704-705.
18. Ramsay, M.A.E., Savege, T.M., Simpson, B.R.J. et al. (1974) Controlled sedation with Alphaxalone-Alphadolone. Br. Med. J., 2, 656-659.
19. Reijo, R., Lee, T., Salo, P. et al. (1995) Diverse spermatogenic defects in humans caused by Y chromosome deletions encompassing a novel RNA-binding protein gene. Nature Genet., 10, 383-393.
20. Report of the working party on guidelines for sedation by non-anaesthetists. The Royal College of Surgeons of England. Commission on the Provision of Surgical Services. June, 1993.
21. Schlegel, P.N. and Su, L. (1997) Physiological consequences of teslicular sperm extraction. Hum. Reprod., 12, 1688-1992.
22. Schlegel, P.N., Palermo, G.D., Goldstein, M. et al. (1997) Testicular sperm extraction with intracytoplasmic sperm injection for non-obstructive azoospermia. Urology, 49, 435-440.
23. Scott, D.B. (1989) Maximum recommended doses of local anaesthetic drugs. Br. J. Anaesth., 63, 373-374.
24. Silber, S.J., Toumaye, H., Nagy, Z. et al. (1997) Distribution of spermatogenesis in the testis of azoospermic men: the presence or absence of spermatids in the testes of men with germinal failure. Hum. Reprod., 12, 2422-2428.
25. Tournaye, H., Liu, J., Nagy, P.Z. et al. (1996) Correlation between testicular histology and outcome after intracytoplasmic sperm injection using testicular spermatozoa. Hum. Reprod., 11, 127-132.
26. Tournaye, H.J., Verheyen, G., Nagy, Z. et al. (1997) Are there any predictive factors for successful testicular sperm recovery in azoospermic patients? Hum. Reprod., 14, 80-86.
27. Trainer, T.D. (1992) Testis and excretory duct system. In Sternberg, S.S. (ed.), Histology for Pathologists. Raven Press, New York, pp. 731-747.
28. Vinik, H.R., Reves, J.G. and Wright, D. (1982) Premedication with intramuscular midazolam: a prospective randomised double-blinded controlled study. Anesth. Anal., 61, 933-937.
29. Wakefield, E.S. and Elewa, A.A. (1994) Spermatic cord block: a safe technique for intrascrotal surgery. Ann. R. Coll. Surg. Engl., 76, 401-402.
30. Wildsmith, J.A.W. (1990) Local anaesthetic agents. In Aitkenhead, A.R. and Smith, G. (eds), Textbook of Anaesthesia. 2nd edn. Churchill Livingstone, London, pp. 257-267.