Table 2.
Sperm retrieval techniques, acronyms and indications.
Technique | Acronym | Indications |
Percutaneous epididymal sperm aspiration | PESA | Obstructive azoospermia |
Microsurgical epididymal sperm aspiration | MESA | Obstructive azoospermia |
Open epididymal fine-needle aspiration | ND | Obstructive azoospermia |
Percutaneous testicular sperm aspiration; percutaneous testicular fine-needle aspiration | TESA; TEFNA | Obstructive azoospermia; |
Failed epididymal retrieval in OA cases; | ||
Epididymal agenesis in CAVD cases; | ||
Favorable testicular histopathology1 in NOA cases; | ||
Previous successful TESA/TEFNA attempt in NOA cases | ||
Testicular sperm extraction (single or multiple biopsies) | TESE | Obstructive azoospermia; |
Failed epididymal retrieval in OA cases; | ||
Failed TESA/TEFNA in OA cases; | ||
Non-obstructive azoospermia | ||
Single seminiferous tubule biopsy | ND | Obstructive azoospermia; |
Failed epididymal retrieval in OA cases; | ||
Failed TESA/TEFNA in OA cases; | ||
Non-obstructive azoospermia | ||
Microsurgical testicular sperm extraction | Micro-TESE | Non-obstructive azoospermia |
OA: obstructive azoospermia; NOA: non-obstructive azoospermia. CAVD: congenital absence of the vas deferens. ND: not defined. 1Hypospermatogenesis.