Failed Microdissection. There is Still Hope
Channel: Dr. Paul Turek, The Turek Clinic
Date: 2020-10-26

Fertility from Sterility or Failed Microdissection or Micro-TESE? Sperm Mapping could be the solution.

Have you had a failed microdissection or micro-TESE? Believe it or not this doesn't have to be the end of your journey. There is hope.

Two decades ago, the field of male infertility held two new truths: That men without sperm in the ejaculate can have sperm in the testicle, and that testicular sperm could be used to create babies with IVF-ICSI. We also learned that testicular sperm tends to be located in “islands” or “pockets” which means that it could be in one place but not another. A veritable hornet’s nest for the reproductive urologist.

One of the first “walls” I faced upon entering the field were patients who came to me after the traditional testis biopsy was unable to find sperm in the testicle, asking “is there anything you could do?” Thinking atmospherically, I invented Sperm Mapping. Indeed, by looking harder and avoiding incisions, we published that Sperm Mapping was both kinder and better at finding sperm than the classic biopsy. And this was good.

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