A new simple technique of epididymal sperm collection for obstructive azoospermia
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摘要:
Dear Editor,
Sperm in patients with obstructive azoospermia (OA) have been retrieved from the reproductive tract and/or from the testis for intracytoplasmic sperm injection (ICSI) in several ways,including microsurgical epididymal sperm aspiration (MESA),1 percutaneous epididymal sperm aspiration (PESA),2 testicular sperm extraction (TESE),3 and other techniques? Each of these has advantages and drawbacks in terms of microsurgical expertise or equipment,number of sperm obtained,invasiveness,and cost.Therefore,we developed a safe,simple,feasible,and low-cost modified MESA technique to collect epididymal sperm under direct vision,which we have labeled macrosurgical epididymal sperm imprint collection (MESIC).Herein,we present the details of the MESIC technique and our initial experience in patients with suspected OA.