Successful testicular sperm extraction in infertile male with non-obstructive azoospermia presented with bilateral atrophic testis: A case report

Ricky Adriansjah; Christopher Kusumajaya; Zola Wijayanti

doi:10.1016/j.eucr.2020.101300

Successful testicular sperm extraction in infertile male with non-obstructive azoospermia presented with bilateral atrophic testis: A case report

Urol Case Rep. 2020 Jun 16:33:101300. doi: 10.1016/j.eucr.2020.101300. eCollection 2020 Nov.

Authors

Ricky Adriansjah¹, Christopher Kusumajaya¹, Zola Wijayanti¹

Affiliation

¹ Urology Department, Hasan Sadikin Academic Medical Center, Faculty of Medicine Universitas Padjajaran, Bandung, Indonesia.

Abstract

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.

Keywords: Micro‐TESE; Nonobstructive azoospermia; Small testis; Spermatozoa.

Publication types

Case Reports