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显微切割睾丸精子提取手术结果为阴性的不育无精子症患者的治疗策略

Strategies in Infertile Azoospermic Patients with Negative Microdissection Testicular Sperm Extraction Surgery.

作者信息

Tharakan Tharu, Luo Rong, Foran Daniel, Smith Miles, Jayasena Channa N, Minhas Suks

机构信息

Department of Urology, Imperial Healthcare NHS Trust, Charing Cross Hospital, London, UK; Section of Investigative Medicine, Department of Medicine, Imperial College London, London, UK.

Section of Investigative Medicine, Department of Medicine, Imperial College London, London, UK.

出版信息

Urol Res Pract. 2023 Mar;49(2):65-72. doi: 10.5152/tud.2020.20435.

Abstract

Non-obstructive azoospermia is reported to affect 1 in 100 men, and despite advances in surgical practice, the succesful sperm retrieval rate for microdissection testicular sperm extraction surgery (mTESE) is only 46%. This article reviews the potential causes for mTESE failure and provides a management strategy to guide the clinicians on how to treat this challenging cohort of patients.

摘要

据报道,非梗阻性无精子症在每100名男性中就有1人受其影响,尽管外科手术有所进展,但显微外科睾丸精子提取术(mTESE)的成功取精率仅为46%。本文综述了mTESE失败的潜在原因,并提供了一种管理策略,以指导临床医生如何治疗这一具有挑战性的患者群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63dc/12481787/4a41754374b6/urp-49-2-65_f001.jpg

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