Adriansjah Ricky, Kusumajaya Christopher, Wijayanti Zola
Urology Department, Hasan Sadikin Academic Medical Center, Faculty of Medicine Universitas Padjajaran, Bandung, Indonesia.
Urol Case Rep. 2020 Jun 16;33:101300. doi: 10.1016/j.eucr.2020.101300. eCollection 2020 Nov.
Approximately 50% of men with NOA have minimal sperm production within their dysfunctional testes. Studies shown poor correlations between testicular size and sperm retrieval rates. A 34 years old man with NOA and bilateral testicular atrophic had a successful sperm extraction using mTESE from his 2.1 cc right testicle. Lower testicular volumes significantly decrease sperm retrieval rate in mTESE. However, we described a successful mTESE in atrophic testis. Therefore, small testicular volume does not affect the successful rate of mTESE and should not be a contraindication.
大约50%的非梗阻性无精子症男性在其功能失调的睾丸内有极少的精子生成。研究表明睾丸大小与取精成功率之间的相关性较差。一名34岁患有非梗阻性无精子症和双侧睾丸萎缩的男性，通过显微睾丸精子提取术（mTESE）从其2.1立方厘米的右侧睾丸中成功提取出了精子。在mTESE中，较小的睾丸体积会显著降低取精成功率。然而，我们描述了在萎缩睾丸中成功进行mTESE的案例。因此，睾丸体积小并不影响mTESE的成功率，不应成为禁忌证。
