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Novel development of microdissection testicular sperm extraction for non-obstructive azoospermia using haptics technology

Research Project

Project/Area Number 15K15588
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Urology
Research InstitutionInternational University of Health and Welfare

Principal Investigator

Iwamoto Teruaki  国際医療福祉大学, 大学病院, 教授 (60046117)

Co-Investigator(Kenkyū-buntansha) 佐藤 陽子  東亜大学, 公私立大学の部局等, 教授 (50398963)
吉池 美紀  聖マリアンナ医科大学, 医学部, 研究技術員 (60398964)
大西 公平  慶應義塾大学, 理工学部(矢上), 教授 (80137984)
Co-Investigator(Renkei-kenkyūsha) MORIKAWA Yasuhide  慶應義塾大学, 医学部, 講師 (90124958)
Research Collaborator NAKAZAWA Ryuto  聖マリアンナ医科大学, 医学部, 講師
NOZAWA Shiari  聖マリアンナ医科大学, 医学部, 研究員
OGAWA Kenji  慶應義塾大学, 大学院・理工学研究科, 大学院生
TOMIZUKA Daisuke  慶應義塾大学, 大学院・理工学研究科, 大学院生
Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords非閉塞性無精子症 / 顕微鏡下精巣内精子回収術 / 精巣硬度 / 造精機能障害モデル停留精巣 / Johnsen score / haptics / 精子回収率 / scarling / 精細管硬度 / 精細管基底膜 / 停留精巣造精機能障害モデル / 精細管基底膜肥厚 / haptics技術
Outline of Final Research Achievements

Microdissection testicular sperm extraction (MD-TESE) is the first choice treatment for patients with non-obstructive azoospermia. The identification of seminiferous tubules in which spermatozoa present is dependent on subjective observation under a microscope. As an objective index to raise the sperm retrieval rate in MD-TESE, it was devised to evaluate the hardness of seminiferous tubule by precise mechanical measurement. As a first step, we tried hardness measurement on the testes by pushing testes with a device using a micro force sensor and measuring the reaction force. Experimental cryptorchidism hamster model was prepared to measure the hardness and spermatogenic potential was evaluated by Johnsen score (JS). Result: the cryptorchidism group showed a significantly lower hardness and JS than the untreated group, and a strong positive correlation was found between hardness and JS.
It was shown that the hardness is useful as a new index of the spermatogenic evaluation.

Report

(3 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • Research Products

    (3 results)

All 2017 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (2 results)

  • [Journal Article] 精子形成能判定のための精巣の硬さ測定装置の開発2016

    • Author(s)
      冨塚大輔,小川健司,吉池美紀,野澤資亜利,中澤龍斗,佐藤陽子,
    • Journal Title

      日本コンピュータ外科学会誌

      Volume: 25 Pages: 271-272

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Presentation] ロボット支援を用いた非閉塞性無精子症に対するMD-TESEの精子回収率改善を目指した挑戦的萌芽研究 第1報 ハムスター精巣の硬さと造精機能との関連2017

    • Author(s)
      岩本晃明、小川健司、冨塚大輔 、吉池美紀、野澤亜利  中澤龍斗 、佐藤陽子、森川康英、大西公平
    • Organizer
      第105回泌尿器科学会総会
    • Place of Presentation
      鹿児島城山観光ホテル
    • Year and Date
      2017-04-22
    • Related Report
      2016 Annual Research Report
  • [Presentation] 精子形成能判定のための精巣の硬さ測定装置の開発2016

    • Author(s)
      冨塚大輔,小川健司,吉池美紀,野澤資亜利,中澤龍斗,佐藤陽子,
    • Organizer
      第25回日本コンピュータ外科学会
    • Place of Presentation
      東京工科大学蒲田キャンパス
    • Year and Date
      2016-11-26
    • Related Report
      2016 Annual Research Report

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Published: 2015-04-16   Modified: 2018-03-22  

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