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Chapter 6 - Testicular Sperm Retrieval

Indications, Surgical Protocol, and Outcomes

from Part II - Sperm Retrieval

Published online by Cambridge University Press:  09 April 2021

By
Ahmad Majzoub ,
Chak Lam Cho  and
Sandro C. Esteves
Edited by
Ashok Agarwal ,
Ahmad Majzoub  and
Sandro C. Esteves
Ashok Agarwal
Affiliation:
The Cleveland Clinic Foundation, Cleveland, OH, USA
Ahmad Majzoub
Affiliation:
Hamad Medical Corporation, Doha, Qatar
Sandro C. Esteves
Affiliation:
Andrology & Human Reproduction Clinic, Sao Paulo, Brazil
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Summary

The development of surgical sperm retrieval procedures can be considered as the single most important breakthrough in the field of male infertility. Various testicular sperm retrieval procedures exist and are indicated in patients with obstructive and nonobstructive azoospermia, as well as patients with high levels of sperm DNA fragmentation and severe derangements in semen parameters. Microsurgical testicular sperm extraction can be considered the gold standard retrieval method as it allows meticulous and selective sampling of sperm-containing seminiferous tubules, yielding the highest retrieval rate in comparison to other surgical sperm retrieval methods.

Keywords

surgical sperm retrievalsperm DNA fragmentationnonobstructive azoospermiamicro-testicular sperm extraction
Type
Chapter
Information
Manual of Sperm Retrieval and Preparation in Human Assisted Reproduction , pp. 36 - 43
Publisher: Cambridge University Press
Print publication year: 2021

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