Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA

Nonobstructive azoospermia (NOA) is considered the most challenging clinical scenario for infertile men and current treatments leave many men unsuccessful at being able to achieve a pregnancy with their partner using their own sperm. Microdissection testicular sperm extraction (micro-TESE) is the ch...

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Main Authors: Parviz K Kavoussi, Widi Atmoko, Germar-Michael Pinggera
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Asian Journal of Andrology
Subjects:
Online Access:https://journals.lww.com/10.4103/aja202450
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author Parviz K Kavoussi
Widi Atmoko
Germar-Michael Pinggera
author_facet Parviz K Kavoussi
Widi Atmoko
Germar-Michael Pinggera
author_sort Parviz K Kavoussi
collection DOAJ
description Nonobstructive azoospermia (NOA) is considered the most challenging clinical scenario for infertile men and current treatments leave many men unsuccessful at being able to achieve a pregnancy with their partner using their own sperm. Microdissection testicular sperm extraction (micro-TESE) is the choice for men with NOA desiring to father children with their own gametes. Micro-TESE results in the highest numbers of sperm cells retrieved for use with in vitro fertilization/intracytoplasmic sperm injection. With suboptimal micro-TESE success rates of sperm retrieval and then pregnancy and live birth using the retrieved sperm with in vitro fertilization/intracytoplasmic sperm injection, advances to improve outcomes are necessary. This article comprehensively reviews the technologies investigated to date to improve the outcomes for men undergoing micro-TESE.
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institution OA Journals
issn 1008-682X
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language English
publishDate 2025-05-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Asian Journal of Andrology
spelling doaj-art-9ffbd664040d405a8a0f796dbe37e8d52025-08-20T02:01:58ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622025-05-0127337538210.4103/aja202450Technologies to improve sperm retrieval in men undergoing micro-TESE for NOAParviz K KavoussiWidi AtmokoGermar-Michael PinggeraNonobstructive azoospermia (NOA) is considered the most challenging clinical scenario for infertile men and current treatments leave many men unsuccessful at being able to achieve a pregnancy with their partner using their own sperm. Microdissection testicular sperm extraction (micro-TESE) is the choice for men with NOA desiring to father children with their own gametes. Micro-TESE results in the highest numbers of sperm cells retrieved for use with in vitro fertilization/intracytoplasmic sperm injection. With suboptimal micro-TESE success rates of sperm retrieval and then pregnancy and live birth using the retrieved sperm with in vitro fertilization/intracytoplasmic sperm injection, advances to improve outcomes are necessary. This article comprehensively reviews the technologies investigated to date to improve the outcomes for men undergoing micro-TESE.https://journals.lww.com/10.4103/aja202450intracytoplasmic sperm injectionmicrodissection testicular sperm extractionnonobstructive azoospermia
spellingShingle Parviz K Kavoussi
Widi Atmoko
Germar-Michael Pinggera
Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA
Asian Journal of Andrology
intracytoplasmic sperm injection
microdissection testicular sperm extraction
nonobstructive azoospermia
title Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA
title_full Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA
title_fullStr Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA
title_full_unstemmed Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA
title_short Technologies to improve sperm retrieval in men undergoing micro-TESE for NOA
title_sort technologies to improve sperm retrieval in men undergoing micro tese for noa
topic intracytoplasmic sperm injection
microdissection testicular sperm extraction
nonobstructive azoospermia
url https://journals.lww.com/10.4103/aja202450
work_keys_str_mv AT parvizkkavoussi technologiestoimprovespermretrievalinmenundergoingmicrotesefornoa
AT widiatmoko technologiestoimprovespermretrievalinmenundergoingmicrotesefornoa
AT germarmichaelpinggera technologiestoimprovespermretrievalinmenundergoingmicrotesefornoa