Open AccessTesticular versus percutaneous epididymal sperm aspiration for patients with obstructive azoospermia: a systematic review and meta-analysis
Author(s) -
Kuan Wei Shih,
Ping You Shen,
ChiaChang Wu,
Yi Kang
Publication year - 2019
Publication title -
translational andrology and urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.721
H-Index - 27
eISSN - 2223-4691
pISSN - 2223-4683
DOI - 10.21037/tau.2019.11.20
Subject(s) - intracytoplasmic sperm injection , medicine , pregnancy rate , obstructive azoospermia , gynecology , sperm retrieval , miscarriage , azoospermia , obstetrics , infertility , testicular sperm extraction , pregnancy , meta analysis , biology , genetics
Intracytoplasmic sperm injection (ICSI) is a popular treatment for male infertility due to obstructive azoospermia (OA). Testicular sperm aspiration (TESA) and percutaneous epididymal sperm aspiration (PESA) are two common sperm retrieval approaches for ICSI among men with OA. However, the comparative efficacies of TESA and PESA have been debated for more than a decade and there has been no synthesis of the available evidence. This meta-analysis compared fertility outcomes between TESA and PESA among men with OA undergoing ICSI.