OncoTESE often involves both urologist and a fertility preservation scientist/embryologist and a facility capable of cryopreservation. In Australia, this is not offered at most public hospitals. As such, a particular effort to coordinate the procedure is needed. This is but one barrier - there are others. It is of interest to note the overall numbers of patients, aside from the primary outcome measures of the study.
Only four surgeons across Australia had any cases to contribute to this study, highlighting the lack of expertise in oncoTESE, which urologists are simply, well placed to deliver. Whilst we look forward to furthering studies demonstrating clinical utility and effectiveness, we anticipate a wider uptake of this simple surgery.
Written by: Dr. Gideon Blecher, Urological Surgeon, Monash University. Melbourne, Australia
Read the Abstract