Evidence map›Paper›PMID 39743218›Full record

ArticleThe world journal of men's health2025

Short-Term Hormonal Changes Following Microdissection Testicular Sperm Extraction among Men with Non-Obstructive Azoospermia: Findings from a Large Longitudinal Prospective Multicentric Study.

Fausto Negri, Edoardo Pozzi, Christian Corsini, Massimiliano Raffo, Federico Belladelli, Alessandro Bertini, Francesco Cattafi, Eugenio Ventimiglia, Rayan Matloob, Antonino Saccà and 4 more

Abstract read
In one paragraph

Article in The world journal of men's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
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

14 authors.

Fausto Negri *Vita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0002-3677-6412
Edoardo Pozzi *Vita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0002-0228-7039
Christian CorsiniVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0001-9603-1589
Massimiliano RaffoVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0001-6644-6521
Federico BelladelliVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0002-2165-659X
Alessandro BertiniVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0009-0004-4987-7898
Francesco CattafiVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0009-0002-8081-281X
Eugenio VentimigliaDepartment of Urology, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0003-3654-1629
Rayan MatloobDepartment of Urology, IRCCS Ospedale San Raffaele, Milan, Italy.
Antonino SaccàDepartment of Urology, AO Papa Giovanni XXIII, Bergamo, Italy.ORCID https://orcid.org/0000-0002-7950-8936
Luca BoeriDepartment of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore, Milan, Italy.ORCID https://orcid.org/0000-0003-0040-784X
Alessia d'ArmaDepartment of Urology, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0002-4855-4577
Francesco MontorsiVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0002-7267-4181
Andrea SaloniaVita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0002-0595-7165

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to investigate possible hormonal changes following microdissection testicular sperm extraction (mTESE) in men with non-obstructive azoospermia (NOA) across three referral centers. MATERIALS AND

methodsWe prospectively analyzed data from 102 consecutive NOA men. Patients with prior hormonal therapies were excluded. Preoperative serum hormone levels (total testosterone [tT], luteinizing hormone [LH], follicle-stimulating hormone [FSH], and 17β-estradiol) were collected, with repeat measurements at 3-month post-surgery. We divided the cohort into two groups using a tT cut-off value of 3 ng/mL: 1) men who kept eugonadal status; and, 2) men who were initially eugonadal but became testosterone deficient (TD) after surgery.

resultsOverall, median (interquartile range [IQR]) age was 37 years (32-40 years). Positive sperm retrieval during mTESE was observed in 34 (33.3%) patients, and 48 (47.1%) underwent bilateral mTESE. Compared to baseline, 3-month postoperative median (IQR) hormonal levels were as follows: tT: 3.71 ng/mL (2.76-5.24 ng/mL)

conclusionsThis multicentric study shows that mTESE in men with NOA does not significantly impact short-time postoperative follow-up tT, LH, and FSH levels. A substantial proportion of men who were initially eugonadal demonstrated tT suggestive for TD at 3-month follow-up. These men had lower TV at baseline and abnormal karyotype.

Indexed as

AzoospermiaInfertility, maleSurgical procedures, operativeTestosterone

Identifiers

PMID39743218
PMCPMC12257323

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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.