Evidence map›Paper›PMID 36107367›Full record

ArticleJournal of assisted reproduction and genetics2022

The predictive factors of successful sperm retrieval for men with Y chromosome AZFc microdeletion.

I-Shen Huang, Wei-Jen Chen, Li-Hua Li, Robert E Brannigan, William J Huang

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

I-Shen HuangDepartment of Urology, Taipei Veterans General Hospital, No 201, Section 2, Shipai Rd, Taipei, Taiwan.ORCID http://orcid.org/0000-0003-1669-779X
Wei-Jen ChenDepartment of Urology, Taipei Veterans General Hospital, No 201, Section 2, Shipai Rd, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-0199-7602
Li-Hua LiDepartment of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-2501-0913
Robert E BranniganDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
William J HuangDepartment of Urology, Taipei Veterans General Hospital, No 201, Section 2, Shipai Rd, Taipei, Taiwan. williamjshuang@gmail.com.ORCID http://orcid.org/0000-0001-9048-4990
National Yang Ming Chiao Tung University · TWNorthwestern University · USTaipei Veterans General Hospital · TW

Funding

Taipei Veterans General Hospital VGH-109-C-132
6 · The paper itself

Abstract

purposeTo identify key predictors for successful sperm retrieval in men with AZFc microdeletion.

methodsTotally, 71 infertile men with confirmed AZFc microdeletion were studied. For each patient, the endocrine profile including serum follicle stimulating hormone (FSH), luteinizing hormone, total testosterone, prolactin, and estradiol was recorded, along with intratesticular testosterone levels (ITT), age, and testicular size. The factors were further analyzed to determine the key predictors for successful sperm retrieval.

resultsOf the 71 men with AZFc microdeletion, 52 (73.2%) were classified as having non-obstructive azoospermia (NOA), 7 (9.9%) as having cryptozoospermia, and 12 (15.8%) as having severe oligoasthenoteratozoospermia. Of the 52 men with azoospermia, 47 received microdissection testicular sperm retrieval, and sperm retrieval was successful in 35 of those cases (74.5%). A significantly lower serum FSH (p = 0.03) was found in those patients from whom sperm could be successfully retrieved. The area under the receiving operating characteristic curve for FSH was determined to be 0.721. Using an FSH cutoff point of 12.95 mIU/mL, the model for predicting successful sperm retrieval was found to have 51.4% sensitivity, 83.3% specificity, 90.0% positive predictive value, and 37.0% negative predictive value. ITT levels were obtained from 7 NOA patients, the mean ITT and the mean ITT/serum testosterone ratio was 1932.8 ng/ml and 567.2 in 6 men with successful sperm retrieval, whereas, in a patient with fail sperm retrieval, the levels were 2370 ng/ml and 393.0.

conclusionMen exhibiting AZFc microdeletion with discernible spermatogenesis from whom sperm was successfully retrieved by mTESE generally presented with relatively lower FSH levels.

Indexed as

AzoospermiaOligospermiaEstradiolFollicle Stimulating HormoneHumansLuteinizing HormoneMaleProlactinRetrospective StudiesSemenSperm RetrievalTestisTestosteroneY ChromosomeEstradiolFollicle Stimulating HormoneLuteinizing HormoneProlactinTestosteroneAZFc microdeletionFSHsperm retrieval

Identifiers

PMID36107367
PMCPMC9596631
OpenAlexW4295899635

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.