Germ cell transplantation is a potentially valuable technique offering onco
logical patients gonadal protection by reinitiating spermatogenesis from st
em cells which were reinfused into the seminiferous tubules. In order to ac
hieve an intratubular germ cell transfer, intratubular microinjection, effe
rent duct injections and rete testis injections were applied on dissected t
estes of four different species: rat, bull, monkey and man. Ultrasound-guid
ed intratesticular rete testis injection was the best and least invasive in
jection technique with maximal infusion efficiency for larger testes. Deep
infiltration of seminiferous tubules was only achieved in immature or parti
ally regressed testes. This technique was applied in vivo on two cynomolgus
monkeys. In the first monkey a deep infusion of injected cells and dye int
o the lumen of the seminiferous tubules was achieved. Tn the second, transp
lanted germ cells were present in the seminiferous epithelium 4 weeks after
the transfer. These cells were morphologically identified as B-spermatogon
ia and located at the base of the seminiferous epithelium. In summary, this
paper describes a promising approach for germ cell infusion into large tes
tes. The application of this technique is the first successful attempt of a
germ cell transfer in a primate.