Author/Authors :
Birowo, Ponco Department of Urology - Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia , Tendi, William Department of Urology - Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia , Rasyid, Nur Department of Urology - Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia , Turek, Paul J The Turek Clinic, San Francisco, USA , Rizal Sini, Ivan Indonesian Reproductive Science Institute - Bunda General Hospital, Jakarta, Indonesia , Rizal, Muhammad Indonesian Reproductive Science Institute - Bunda General Hospital, Jakarta, Indonesia
Abstract :
Background: Management for male infertility can be difficult for some cases. Surgical
intervention has long been thought as the last resort to help married couples to
conceive. The current guideline recommends testicular sperm extraction with microsurgery
technique (microTESE) in severe cases of male infertility. However, the
success rate still varies. Thus, a new strategy was needed to further increase the
sperm retrieval success rate.
Case Presentation: A 39-year-old male with a history of failed sperm extraction,
non-obstructive azoospermia (NOA) and Y-chromosomal microdeletion came to the
fertility center to undergo sperm retrieval. Fine needle aspiration (FNA) Mapping
was performed prior to microTESE to increase the accuracy of sperm retrieval. After
further examination with laser assisted immotile sperm selection (LAISS), five
spermatozoa were found.
Conclusion: The combination of FNA Mapping and microTESE increases the
chance of a successful sperm extraction.
Keywords :
FNA Mapping , LAISS , microTESE , NOA , Y-chromosomal microdeletion
