Non-obstructive azoospermia is reported to affect 1 in 100 men, and despite advances in surgical practice, the succesful sperm retrieval rate for microdissection testicular sperm extraction surgery (mTESE) is only 46%. This article reviews the potential causes for mTESE failure and provides a management strategy to guide the clinicians on how to treat this challenging cohort of patients.
Cite this article as: Tharakan T, Luo R, Foran D, Smith M, Jayasena CN, Minhas S. Strategies in infertile azoospermic patients with negative microdissection testicular sperm extraction surgery. Urol Res Pract., 2023;49(2):65-72.