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Strategies in Infertile Azoospermic Patients with Negative Microdissection Testicular Sperm Extraction Surgery. 2023
Tharu Tharakan, and
Rong Luo, and
Daniel Foran, and
Miles Smith, and
Channa N Jayasena, and
Suks Minhas
Department of Urology, Imperial Healthcare NHS Trust, Charing Cross Hospital, London, UK; Section of Investigative Medicine, Department of Medicine, Imperial College London, London, UK.
Non-obstructive azoospermia is reported to affect 1 in 100 men, and despite advances in surgical practice, the succesful sperm retrieval rate for microdissection testicular sperm extraction surgery (mTESE) is only 46%. This article reviews the potential causes for mTESE failure and provides a management strategy to guide the clinicians on how to treat this challenging cohort of patients.
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