Tharakan Tharu, Luo Rong, Foran Daniel, Smith Miles, Jayasena Channa N, Minhas Suks
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.
Urol Res Pract. 2023 Mar;49(2):65-72. doi: 10.5152/tud.2020.20435.
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.
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。