{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:32:39Z","timestamp":1791484359263,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T00:00:00Z","timestamp":1507075200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reprod Medicine &amp; Biology"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the incidence, etiology, treatment indications, and outcomes regarding infertile male patients in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between April, 2014 and March, 2015, the authors contacted 47 clinical specialists in male infertility who had been certified by the Japan Society for Reproductive Medicine. The participating clinicians were sent a questionnaire regarding information on their infertile patients, according to etiology and the number and success rates of male infertility operations that had been performed in their practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010nine specialists returned the questionnaire and provided information regarding 7268 patients. The etiology of infertility included testicular factors, sexual disorders, and seminal tract obstruction. During the study year, the clinicians performed varicocelectomies, testicular sperm extractions (<jats:styled-content style=\"fixed-case\">TESE<\/jats:styled-content>s), and re\u2010anastomoses of the seminal tract. The rate of successful varicocelectomies was &gt;70%. The sperm retrieval rates with conventional <jats:styled-content style=\"fixed-case\">TESE<\/jats:styled-content> and microdissection <jats:styled-content style=\"fixed-case\">TESE<\/jats:styled-content> were 98.3% and 34.0%, respectively, while the patency rates with vasovasostomy and epididymovasostomy were 81.8% and 61.0%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgical outcomes for infertile male patients are favorable and can be of great clinical benefit for infertile couples. To achieve this, urologists should work in collaboration with gynecological specialists in order to optimize the treatment of both partners.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rmb2.12065","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T10:08:14Z","timestamp":1507111694000},"page":"44-51","source":"Crossref","is-referenced-by-count":36,"title":["Nationwide survey of urological specialists regarding male infertility: results from a 2015 questionnaire in Japan"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0909-478X","authenticated-orcid":false,"given":"Yasushi","family":"Yumura","sequence":"first","affiliation":[{"name":"Reproduction Center Yokohama City University Medical Center  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Tsujimura","sequence":"additional","affiliation":[{"name":"Department of Urology Juntendo University Urayasu Hospital  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Imamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Graduate School of Medicine Chiba University  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihiro","family":"Umemoto","sequence":"additional","affiliation":[{"name":"Department of Nephro\u2010urology Nagoya City University Graduate School of Medical Science  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1381-1665","authenticated-orcid":false,"given":"Hideyuki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Shiraishi","sequence":"additional","affiliation":[{"name":"Department of Urology Graduate School of Medicine Yamaguchi University  Yamaguchi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Urology Dokkyo Medical University Koshigaya Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisanori","family":"Taniguchi","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology Kansai Medical University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Chiba","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Division of Urology Department of Surgery Related Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Miyagawa","sequence":"additional","affiliation":[{"name":"Department of Urology Osaka University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teruaki","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Division of Male Infertility Center for Human Reproduction International University of Health and Welfare Sanno Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1016\/j.fertnstert.2009.09.009","article-title":"The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and World Health Organization (WHO) revised glossary on ART terminology","volume":"92","author":"Zegers\u2010Hoshschild F","year":"2009","journal-title":"Fertil Steril"},{"key":"e_1_2_7_3_1","first-page":"123","volume-title":"Male Infertility: Clinical Investigation, Cause Evaluation, and Treatment","author":"Comhaire FH","year":"1996"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(02)03105-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/13.suppl_1.33"},{"key":"e_1_2_7_6_1","volume-title":"Survey on the Status of Diagnosis and Treatment of Male Infertility at the Department of Urology: Focusing on Nationwide University Hospitals. 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