TESE and Non Obstructive Azoospermia
Azoospermia, Nonobstructive
About this trial
This is an interventional treatment trial for Azoospermia, Nonobstructive focused on measuring TESE, Sperm retreival, Azoospermia, FSH, LH
Eligibility Criteria
Inclusion Criteria:
- All infertile males with non-obstructive azoospermia
Exclusion Criteria:
Patient with obstructive azoospermia:
- Normal FSH
- Dilated seminal vesicle or ejaculatory duct
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Conventional TESE
Microdissection TESE
Conventional testicular sperm extraction (TESE) will be done under anesthesia through small vertical incision in the median raphe, skin, dartos and tunica vaginalis is opened to expose tunica albuginea. The tunica albuginea is incised for about 4mm at the upper pole near the head of epididymis.
Microdissection testicular sperm extraction (TESE)will be carried under anesthesia micro TESE will be through a transverse incision of the testis covering three-quarters of its circumference, according to a line preserving as much as possible the predominantly transversal sub albugineal vessels. The testis will be opened like a book by gently separating the lobular tissue of both sides. Then, the tissue will be examined under the microscope at ×10-24 magnification to search for areas with dilated whitish tubules, from which numerous microretrievals will be performed.