Andrology-Open Access
Open Access
ISSN: 2167-0250
+44 1300 500008
ISSN: 2167-0250
+44 1300 500008
Ashraf CM
Craft Hospital and Research Centre,
Kodungalloor, Kerala
India
Research Article
Microdissection Testicular Sperm Extraction (Micro-TESE): Results of a Large Series from India
Author(s): Ashraf CM, Dharmaraj P, Sankalp S, Sujatha R, MS Swati S, Vijayalakshmi D and Esteves SCAshraf CM, Dharmaraj P, Sankalp S, Sujatha R, MS Swati S, Vijayalakshmi D and Esteves SC
Objective: We describe our micro-TESE experience in a large group of men with Non-Obstructive Azoospermia (NOA) and poor prognosis for Sperm Retrieval (SR), and critically analyze the method´s results and limitations.
Methods: An ART facility was setup in a tertiary care center to perform SR using microsurgery. One hundred and eighty men with NOA underwent micro-TESE while their female partners received ovarian stimulation for Oocyte Pickup (OCP). Micro-TESE was performed on the day prior to OCP, and surgically-retrieved testicular sperm were used for sperm injections. We assessed sperm retrieval rates, operative aspects, and ICSI outcomes.
Results: The success of micro-TESE at obtaining testicular sperm for Intracytoplasmic Sperm Injection (ICSI) was 54.4% with no major complications. Sperm were obtained in 73.6 % of cases in which clearly dilated seminifero.. View More»
DOI:
10.4172/2167-0250.1000113