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- W2044940346 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: ORIGINAL ARTICLES1 Sep 2002Men With Nonobstructive Azoospermia Have Leydig Cell Hypertrophy But Not Hyperplasia Jennifer A. Tash, Stewart Mccallum, Matthew P. Hardy, Beatrice Knudsen, and Peter N. Schlegel Jennifer A. TashJennifer A. Tash More articles by this author , Stewart MccallumStewart Mccallum More articles by this author , Matthew P. HardyMatthew P. Hardy More articles by this author , Beatrice KnudsenBeatrice Knudsen More articles by this author , and Peter N. SchlegelPeter N. Schlegel More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64576-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined whether testicular histology in men with spermatogenic failure due to nonobstructive azoospermia shows true Leydig cell hyperplasia. Materials and Methods: Testicular biopsy specimens from 17 patients evaluated for infertility were retrospectively analyzed. Interstitial, tubular and Leydig cell volume were quantitatively evaluated. The total volume and number of Leydig cells per testicle were then calculated. Results: In 10 patients with obstructive azoospermia testicular histology showed normal spermatogenic function, while 7 had nonobstructive azoospermia. Average testicular volume plus or minus standard deviation was significantly larger in those with obstructive versus nonobstructive azoospermia (18.0 ± 7.0 versus 9.3 ± 8.7 cc, p = 0.025). Interstitial versus tubular volume was 32% of the total testis in the obstructive and 63% in the nonobstructive groups (p = 0.003). Although Leydig cell volume was proportionally greater in men with nonobstructive versus obstructive azoospermia (13.3% versus 0.05%, p = 0.045), there was no significant difference in the average number of Leydig cells per testicle (3.96 × 109 and 6.17 × 109, respectively, p = 0.16). The average volume of individual Leydig cells was significantly greater in men with the nonobstructive condition (253.0 ± 98.7 versus 174.0 ± 57.7 μm.3, p = 0.045). Conclusions: These results suggest that men with nonobstructive azoospermia and those with normal spermatogenesis have an equivalent number of Leydig cells. However, the Leydig cells are hypertrophic and occupy a larger proportion of total testis volume in men with nonobstructive azoospermia. Therefore, patients with spermatogenic failure show Leydig cell hypertrophy but not hyperplasia. References 1 : How to do a workup for male infertility. Medical Aspects of Human Sexuality, May1991; : 28. 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Link, Google Scholar From the James Buchanan Brady Urology Foundation, Departments of Urology and Pathology, New York Presbyterian Hospital-Weill Medical College of Cornell University and Population Council, Center for Biomedical Research, New York, New York© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byAtala A (2018) Re: Decreased Androgen Receptor Expression May Contribute to Spermatogenesis Failure in Rats Exposed to Low Concentration of Bisphenol AJournal of Urology, VOL. 191, NO. 2, (554-555), Online publication date: 1-Feb-2014.Eifler J, King P and Schlegel P (2018) Incidental Testicular Lesions Found During Infertility Evaluation are Usually Benign and May be Managed ConservativelyJournal of Urology, VOL. 180, NO. 1, (261-265), Online publication date: 1-Jul-2008.CARMIGNANI L, MORABITO A, GADDA F, BOZZINI G, ROCCO F and COLPI G (2018) PROGNOSTIC PARAMETERS IN ADULT IMPALPABLE ULTRASONOGRAPHIC LESIONS OF THE TESTICLEJournal of Urology, VOL. 174, NO. 3, (1035-1038), Online publication date: 1-Sep-2005.CARMIGNANI L, GADDA F, MANCINI M, GAZZANO G, NERVA F, ROCCO F and COLPI G (2018) DETECTION OF TESTICULAR ULTRASONOGRAPHIC LESIONS IN SEVERE MALE INFERTILITYJournal of Urology, VOL. 172, NO. 3, (1045-1047), Online publication date: 1-Sep-2004. Volume 168Issue 3September 2002Page: 1068-1070 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsinfertility, malehypertrophyLeydig cellstestisspermatogenesisMetricsAuthor Information Jennifer A. Tash More articles by this author Stewart Mccallum More articles by this author Matthew P. Hardy More articles by this author Beatrice Knudsen More articles by this author Peter N. Schlegel More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W2044940346 title "Men With Nonobstructive Azoospermia Have Leydig Cell Hypertrophy But Not Hyperplasia" @default.
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