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Surgical sperm retrieval: Techniques and their indications

Men with azoospermia can father a child through intra-cytoplasmic sperm injection if sperm can be retrieved from their epididymis or testis. Several percutaneous and open surgical procedures have been described to retrieve sperm. The various techniques and their merits are discussed in this review....

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Detalles Bibliográficos
Autor principal: Shah, Rupin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114571/
https://www.ncbi.nlm.nih.gov/pubmed/21716933
http://dx.doi.org/10.4103/0970-1591.78439
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author Shah, Rupin
author_facet Shah, Rupin
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description Men with azoospermia can father a child through intra-cytoplasmic sperm injection if sperm can be retrieved from their epididymis or testis. Several percutaneous and open surgical procedures have been described to retrieve sperm. The various techniques and their merits are discussed in this review. In men with obstructive azoospermia, epididymal sperm can usually be retrieved by percutaneous epididymal sperm aspiration (PESA). If PESA fails then testicular sperm are obtained by needle aspiration biopsy (NAB). In men with non-obstructive azoospermia, there will be no sperm in the epididymis and testicular sperm retrieval is required. Percutaneous retrieval by NAB can be tried first. If that fails then testicular sperm extraction (TESE) from open microsurgical biopsies is performed using the single seminiferous tubule (SST) or the microdissection TESE techniques. The simplest, least invasive procedure should be tried first.
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spelling pubmed-31145712011-06-28 Surgical sperm retrieval: Techniques and their indications Shah, Rupin Indian J Urol Symposium Men with azoospermia can father a child through intra-cytoplasmic sperm injection if sperm can be retrieved from their epididymis or testis. Several percutaneous and open surgical procedures have been described to retrieve sperm. The various techniques and their merits are discussed in this review. In men with obstructive azoospermia, epididymal sperm can usually be retrieved by percutaneous epididymal sperm aspiration (PESA). If PESA fails then testicular sperm are obtained by needle aspiration biopsy (NAB). In men with non-obstructive azoospermia, there will be no sperm in the epididymis and testicular sperm retrieval is required. Percutaneous retrieval by NAB can be tried first. If that fails then testicular sperm extraction (TESE) from open microsurgical biopsies is performed using the single seminiferous tubule (SST) or the microdissection TESE techniques. The simplest, least invasive procedure should be tried first. Medknow Publications 2011 /pmc/articles/PMC3114571/ /pubmed/21716933 http://dx.doi.org/10.4103/0970-1591.78439 Text en Copyright: © Indian Journal of Urology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Symposium
Shah, Rupin
Surgical sperm retrieval: Techniques and their indications
title Surgical sperm retrieval: Techniques and their indications
title_full Surgical sperm retrieval: Techniques and their indications
title_fullStr Surgical sperm retrieval: Techniques and their indications
title_full_unstemmed Surgical sperm retrieval: Techniques and their indications
title_short Surgical sperm retrieval: Techniques and their indications
title_sort surgical sperm retrieval: techniques and their indications
topic Symposium
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114571/
https://www.ncbi.nlm.nih.gov/pubmed/21716933
http://dx.doi.org/10.4103/0970-1591.78439
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