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. 2013 Feb;68(Suppl 1):99–110. doi: 10.6061/clinics/2013(Sup01)11

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.