Testicular fine-needle aspiration versus testicular open biopsy: Comparable sperm retrieval rate in selected patients.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
Mohammad Reza NowrooziAli Sirous

Abstract

Sperm recovery by testicular fine-needle aspiration (TESA) has resulted in variable sperm retrieval rate (SRR) and is generally considered inferior to open biopsy (testicular sperm extraction [TESE]). To develop a predictive model for SRR by TESA and to identify factors associated with comparable SRR between TESA and TESE. Single-center controlled cross-sectional study on 450 infertile men with nonobstructive azoospermia. Clinical, paraclinical, and histological information of patients were gathered. All patients underwent both TESA and TESE in a single operation. Predictors of SRR by TESA were identified, and the accuracy of TESA in predicting the outcome of TESE was determined. Categorical and continuous variables were compared using independent t test and -chi-square test. Logistic regression model was applied to develop a predictive model for SRR by TESA. Receiver Operating Characteristics (ROC) curve analysis was used to determine the accuracy of TESA in predicting TESE outcome. Sperm retrieval rate for TESA and TESE was 41.8 and 50.9%, respectively (P = 0.04). Age, duration of infertility, testis volume, luteinizing hormone, prolactin, and testosterone did not differ between patients with and without mature sperm in TESA ...Continue Reading

Citations

Oct 31, 2019·Human Reproduction Update·Giovanni CoronaNikolaos Sofikitis
Dec 26, 2018·The World Journal of Men's Health·Gianmartin CitoAlessandro Natali

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BETA
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