Enhancing Sperm Retrieval in Non-Obstructive Azoospermia: The Role of Targeted mTESE Following FNA Mapping

Ponco Birowo

Non-obstructive azoospermia, Fine Needle Aspiration Mapping, microTESE, Sperm Retrieval, Male Infertility

This video demonstrates a combined technique of Fine Needle Aspiration (FNA) Mapping followed by microsurgical Testicular Sperm Extraction (microTESE) in managing Non-Obstructive Azoospermia (NOA). The approach integrates systematic
FNA Mapping to identify sperm-positive sites prior to microTESE, enabling a targeted dissection strategy. By directing microTESE to pre-identified areas with a higher probability of containing viable sperm, this technique enhances sperm retrieval rates while minimizing unnecessary tissue excision. This method not only preserves testicular integrity but also reduces surgical trauma. Clinical data and case examples will be presented, emphasizing the increased efficiency and diagnostic value of targeted mTESE as supported by recent literature.

We acknowledge the support of Dr. Cipto Mangunkusumo Hospital, Urological Association of Asia, Faculty of Medicine Universitas Indonesia, Indonesian Urological Association, and Indonesian Society of Andrological Urology (InaSAU).

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1. Birowo P, Tendi W, Rasyid N, Turek PJ, Sini IR, Rizal M. Successful Targeted
   Testicular Sperm Extraction Using Microsurgical Technique (microTESE) Following
   Fine Needle Aspiration (FNA) Mapping in a Non-Obstructive Azoospermia (NOA)
   Patient: A Case Report. J Reprod Infertil. 2021;22(1):65-69.