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Semin Reprod Med 2023; 41(06): 267-272
DOI: 10.1055/s-0043-1777833
Review Article

Microdissection Testicular Sperm Extraction

Aaron Brant
1   Department of Urology, New York-Presbyterian Hospital, Weill Cornell Medicine, New York, New York
,
Peter N. Schlegel 
1   Department of Urology, New York-Presbyterian Hospital, Weill Cornell Medicine, New York, New York
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Abstract

Nonobstructive azoospermia (NOA) is among the most common causes of male infertility. For men with NOA seeking fertility treatment, microdissection testicular sperm extraction (microTESE) is the best option for retrieving sperm, which can be used with in vitro fertilization–intracytoplasmic sperm injection to achieve pregnancy in their partner. With the aid of the operating microscope, microTESE allows for thorough evaluation of the testis tissue and selection of seminiferous tubules that appear most capable of sperm production. Rates of success with microTESE vary depending on the underlying cause of NOA and the center at which the procedure is performed. Not all patients are candidates for microTESE, and those who are candidates should be counseled on the likelihood of sperm retrieval and the potential for changes in postoperative testis function.

Keywords

male infertility - nonobstructive azoospermia - sperm retrieval


Publication History

Article published online:
23 January 2024

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