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Synchronous Testicular Sperm Extraction in the Setting of Bladder Exstrophy

  • John Weaver
    Correspondence
    Address correspondence to: John Weaver, M.D., Assistant Professor in Urologic Surgery, Case Western Reserve University School of Medicine, Attending Pediatric Urologist, Rainbow Babies and Children's Hospital, 11100 Euclid Ave, Cleveland, OH 44106.
    Affiliations
    Case Western Reserve University School of Medicine/Rainbow Babies and Children's Hospital, Division of Urology, Cleveland, OH
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  • Puneet Masson
    Affiliations
    University of Pennsylvania School of Medicine, Division of Urology, Cleveland, OH
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      Abstract

      Bladder exstrophy (BE) is a devastating congenital abnormality of the urinary tract in which infants are born with the urinary bladder extruded through their abdominal wall, a urethra that is open dorsally, and significant secondary abnormalities of the genitalia. We present a male patient with BE who suffered from infertility and after a long course of failed attempts with assisted reproductive technology ultimately benefitted from a synchronous testicular sperm extraction. We review the literature surrounding assisted reproductive techniques in the setting of bladder exstrophy and comment on innovative technologies that may benefit this population.
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