Testis and epididymis
Infertility
Maturation arrest

Author: Turki Al-Hussain, M.D. (see Authors page)

Revised: 4 April 2017, last major update September 2012

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PubMed Search: Testis and epididymis Infertility Maturation arrest

Cite this page: Maturation arrest. PathologyOutlines.com website. http://pathologyoutlines.com/topic/testismaturationarrrest.html. Accessed November 17th, 2017.
Definition / general
  • Complete maturation arrest: germ cell maturity ceases at a specific point frequently at primary spermatocyte level; sperm counts usually zero
  • Incomplete maturation arrest: similar to complete but a few late spermatids are present in a few seminiferous tubules, some prefer the term hypospermatogenesis instead of incomplete maturation arrest (Arch Pathol Lab Med 2010;134:1197); patients are usually oligospermic
  • Same etiologies as hypospermatogenesis (diabetes mellitus, toxins, excess heat, varicocele, hypothyroidism, irradiation); also postpubertal gonadotropin deficiency, alkylating agents
  • Nonzero sperm counts indicate late spermatids are present somewhere in testis, although perhaps not in area biopsied
  • Patients with early maturation arrest have a greater incidence of genetic anomalies and are more likely to have worse reproductive outcomes than are patients with late maturation arrest (Urology 2012;80:826)
Microscopic (histologic) description
  • Numerous spermatogonia, few spermatocytes, no mature spermatozoa
  • Sertoli cells prominent since reduced germ cells
  • Tubules often contain degenerated cells with irregular dense nuclei
Microscopic (histologic) images

Images hosted on PathOut server:

Contributed by Dr. Asmaa Gaber Abdou, Menofiya University, Egypt



Images hosted on other servers:

Numerous spermatogonia

Sertoli cells