Successful microdissection testicular sperm extraction for men with nonobstructive azoospermia

madman

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5. Conclusions

MD-TESE is well documented to be the most effective and safest method to optimize sperm recovery for men with NOA. Since NOA can be diagnosed without testicular biopsy in most cases, MD-TESE should in our opinion be offered as the first line procedure to these men. More data is needed to achieve more accurate prognostic tools to help in preoperative counseling. In experienced hands combined with good quality ICSI, MD-TESE offers some men with NOA a real chance of biological fatherhood.
 

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