Can we reliably predict sperm recovery in semen of nonobstructive azoospermia men after varicocele repair?—answers are awaited

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Can we reliably predict sperm recovery in semen of nonobstructive azoospermia men after varicocele repair?—answers are awaited

tau.amegroups.com © Translational Andrology and Urology. All rights reserved. Nonobstructive azoospermia (NOA) refers to repeated inability to detect sperm in the centrifuged pellet of semen due to primary testicular failure (1,2). NOA is not uncommon, affecting approximately 1% of all men and 10% of infertile men (3). Clinical varicocele has been implicated as a main cause of testicular dysfun...

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Outcome of varicocele repair in men with nonobstructive azoospermia: systematic review and meta-analysis

The objective of this systemic review was to evaluate the benefit of repairing clinical varicocele in infertile men with nonobstructive azoospermia (NOA). The surgically obtained sperm retrieval rate (SRR) and pregnancy rates following assisted reproductive technology (ART) with the use of retrieved testicular sperm were the primary outcomes. The secondary outcomes included the presence of viab...

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Varicocele repair in patients with nonobstructive azoospermia: a meta-analysis.

PURPOSE Multiple small case series have reported sperm in the ejaculate and spontaneous pregnancies in patients with nonobstructive azoospermia after varicocele repair. We hypothesized that men with favorable testicular histopathology on testis biopsy such as maturation arrest or hypospermatogenesis would have a higher probability of success than those with more ablative pathology, eg Sertoli-c...

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Role of optimizing testosterone before microdissection testicular sperm extraction in men with nonobstructive azoospermia.

PURPOSE Although optimizing endogenous testosterone production before testicular sperm extraction is commonly practiced, whether improved preoperative testosterone levels enhance sperm retrieval remains unclear. We evaluated the influence of preoperative medical therapy in men with nonobstructive azoospermia before microdissection testicular sperm extraction. MATERIALS AND METHODS A total of ...

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Outcomes of microdissection testicular sperm extraction in men with nonobstructive azoospermia due to maturation arrest.

OBJECTIVE To evaluate sperm retrieval in men with nonobstructive azoospermia and maturation arrest (MA) undergoing microdissection testicular sperm extraction (micro-TESE). DESIGN Retrospective chart review. SETTING Tertiary referral center. PATIENT(S) Men with nonobstructive azoospermia and MA who underwent micro-TESE. INTERVENTION(S) Microdissection TESE. MAIN OUTCOME MEASURE(S) Spe...

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ژورنال

عنوان ژورنال: Translational Andrology and Urology

سال: 2017

ISSN: 2223-4683,2223-4691

DOI: 10.21037/tau.2017.02.02