Intérêt de la ponction épididymaire et de la biopsie testiculaire systématique dans la prise en charge de l'azoospermie obstructive Management of obstructive azoospermia with, both, microsurgical epididymal sperm aspiration and testicular sperm extraction

Introduction: In obstructive azoospermia (OA), even if spermatozoa recovery rate are high, pregnancy rates could be lower as expected. When almost surgeons stop if they could find motile spermatozoa in the epididymis after microsurgical epididymal sperm aspiration (MESA), in our center, we add systematically a testicular biopsy with testicular sperm extraction (TESE). What are our sperm extraction rates in MESA or TESE? Are pregnancy and miscarriage rates different regarding the sperm origin? S. Salama (*) · C. Huchon · R. Wainer · M. Bailly Service de gynecologie obstetrique et medecine de la reproduction, hopital de Poissy-Saint-Germain, 10 rue du Champ Gaillard, F-78303 Poissy cedex e-mail : Docsalama@gmail.com S. Salama · F. Boitrelle · M. Albert · C. Huchon · J. Selva EA 2493, Faculte des sciences, Versailles-Saint-Quentin en Yvelines F. Boitrelle · M. Albert · I. Hammoud · J. Selva Laboratoire de medecine de la reproduction, hopital de Poissy-Saint-Germain, 10 rue du Champ Gaillard, F-78303 Poissy cedex Andrologie (2012) 22:252-262 DOI 10.1007/s12610-012-0202-3